U.S. Global Health Initiative

GHI: Innovating for Results


U.S. health investments will introduce, evaluate and, where appropriate, scale up new interventions and approaches that have shown promise in small studies. For example:

  • Integrated community case management of child illness with rapid diagnostic tests for malaria;
  • Integrated prevention and treatment of diarrheal disease and pneumonia, including encouraging the use of breastfeeding, vitamin A and zinc supplementation, household sanitation and point-of-use water purification, oral rehydration therapy, effective treatment for pneumonia and neglected tropical diseases, and rotavirus and pneumococcal vaccine;
  • School-based de-worming and safe water, sanitation and hygiene interventions;
  • Clinic-based hand-washing and drinking water stations to prevent health-facility-acquired infections and facilitate directly observed treatment short course (DOTS) for TB and other facility-based oral treatment administration;
  • Providing services, including introduction or expansion of selected fee-for-service and target-based incentive programs, while respecting voluntary family planning and informed choice;
  • Innovations to increase and maintain demand for essential health services, including voucher schemes, financial and non-financial incentives for screening and adherence to treatment, community mobilization, behavior change communications, and other demand-side approaches;
  • Information and communications technology to improve community health and disease reporting and promote telemedicine;
  • Reaching Every District ("RED") strategy for key interventions integrated with immunization and HIV/AIDS services; and
  • Community-based programs to encourage women and children to demand and use high quality health services, monitor the supply and quality of services, manage certain diseases, and increase the participation of women and girls in decisions on health needs and interventions.

Examples of innovating for results include: