In 2020, the Alliance supported 18 ongoing projects, representing 145 grants across 38 countries. Find out more about these projects and how they are supporting the development of the field of health policy and systems research in this year's annual report. The report is organized around our core objectives: working together, empowering leaders, advancing knowledge and informing policy. We also look back at long-term investments that the Alliance has made to support greater capacity for health policy and systems research in Ethiopia.

After outlining a new five-year strategic plan in 2021, the Alliance for Health Policy and Systems Research has been working this year to broaden its horizons beyond tradition health systems to consider the wider determinants of health. The Alliance supported 15 ongoing projects, representing 145 grants across 80 countries. Find out more about these projects and how they are contributing to the achievement of the Alliance's objectives: advancing knowledge, catalysing change and empowering leaders. We also look at the impact of some of the Alliance’s projects.

The Alliance for Health Policy and Systems Research marked its 25th anniversary in 2023 while consulting on a new strategy. This year's report captures a time of transition, wrapping up projects while positioning ourselves for success in a new strategic period. In 2023, the Alliance supported 14 ongoing projects, representing 147 grants across 69 countries. Find out more about these projects and how they are contributing to the achievement of our objectives: advancing knowledge, catalysing change and empowering leaders. We also look at the global engagement activities undertaken by the Alliance and some of the in-country impact Alliance projects are having.

In Uganda, conditions in reproductive, maternal, newborn, child, and adolescent health (RMNCAH) remain the primary drivers of morbidity and mortality, accounting for 60 percent of years of life lost. The high burden of these conditions can be attributed to a poor quality of care resulting from inadequate financial, human, and material resources compounded by weak multisectoral coordination. Moreover, the country's high population growth rate and a young population imply that RMNCAH service delivery will continue to dominate health sector reforms--even with the increasing prevalence of noncommunicable and infectious diseases. Over the past two decades, Uganda has focused on improving the quality of RMNCAH service delivery, leading to declines in the maternal, infant, and under-five mortality ratios and the increased use of modern contraception among married women. However, the neonatal mortality and teenage pregnancy rates have stagnated, and the low civil registration of births and deaths remains challenging. Investing in Reproductive, Maternal, Newborn, Child, and Adolescent Health in Uganda: What Have We Learned, and Where Do We Go from Here? comprises 12 studies conducted as part of the RMNCAH Operational Research Program drafted between 2019 and 2021 and finalized and disseminated in October 2022 across 45 districts of Uganda with funding from Sweden and the World Bank. These studies underscore important lessons learned and offer suggestions for enhancing the delivery of RMNCAH interventions. Each chapter represents one study and discusses service delivery, the health workforce, financing, health information systems, and governance and leadership. Two appendixes summarize key findings and recommendations and explain the roles of key stakeholders in the RMNCAH Operational Research Program.