A legacy of international system change

Since 2012, CHAP has sought to deliver creativity, clarity and energy to the field of international community health, helping countries develop sustainable, integrated, effective community-health systems. CHAP’s international work emerged from the office of Ray Chambers, first in his capacity as the United Nations Secretary-General’s Special Envoy and now in his role as WHO Ambassador for Global Strategy.

At the beginning of 2021 it was decided that at the end of 2022—after a 10-year legacy of international work—CHAP would primarily focus on work in the US. This decision was made in recognition of the system change that has happened internationally over the last 10 years in community health, and the opportunity for impact in the US in community health.

Our team has summarized the experience working on community health in Sub-Saharan Africa over the last 10 years in two articles:

Article 1

Our playbook—catalyzing change in community health delivery

Our methodology, a playbook for systems change derived from our experience.

Article 2

Our story—catalyzing change in community health delivery

Our experience in story form, a narrative of how we experienced it and how it felt.

Examples of the initiatives CHAP helped establish and is partially still funding through individual contributions of the CHAP philanthropist include:

Financing Alliance for Health

The Financing Alliance helps governments design and fund ambitious, affordable and at-scale community-health programs, including by finding innovative financing pathways and investments opportunities that utilize the private sector. While primarily focused on financing, this team has technical expertise, helping countries design more efficient and effective systems. Through in-country secondments and long-term support, the Financing Alliance stands “shoulder to shoulder” with Ministries of Health and Ministries of Finance, helping them develop strategies and financing options. The Financing Alliance for Health is a Skoll Awardee 2022.


AMP Health

AMP Health is committed to achieving the Astana Declaration on Primary Health Care of “a world where governments and societies prioritize, promote, and protect people’s health and well-being.” To deliver upon the shared promise of Primary Health Care, Universal Health Coverage and the health-related Sustainable Development Goals, major investments in the development and deployment of diagnostics, vaccines and other technologies need to be paired with increased investment in the people responsible for ensuring these tools reach every person who needs them. AMP Health works to improve health systems and outcomes by collaborating with governments to strengthen leadership and management capabilities through public-private partnership. AMP Health currently supports seven government health programs across four countries: Ghana, Malawi, Sierra Leone, and Zambia and is actively exploring opportunities to expand to additional program areas, ministries, countries and continents.


Africa Frontline First

Africa Frontline First is a collaborative initiative between Last Mile Health, the Financing Alliance for Health, President Ellen Johnson Sirleaf’s office and CHAP, that supports the scaling and strengthening of integrated and sustainable community health delivery in Africa. The initiative is founded on the belief that a robust community health infrastructure is essential to the delivery of effective, efficient, and equitable care. The goal of AFF is to deploy 200,000 new Community Health Workers by 2030. It will be catalyzing innovative financial solutions to expand the health workforce, and support national governments to build robust community health infrastructure that can deliver effective, efficient, and equitable health care.


The Missing Billion Initiative

There are 1 billion people worldwide living with disabilities. That’s 15% of the world’s population. They often experience access barriers to health services, and they have poor outcomes as a result. Health systems failures at all levels drive this situation. The Missing Billion initiative is a catalyst for system change. It aims to transforms health systems to ensure better access and outcomes for people with disabilities through delivering products and data, and providing a platform to mobilize change.