Past Projects

CAGH, and its previous organizations CCGHR and CSIH, have engaged in many important global health projects. We have grouped these into thematic areas and provide some details here. These projects have been undertaken with partners in Canada and internationally. Currently, CAGH has refocused its work and is limiting the number and scope of its project engagement. This helps us to focus and enhance our impact as global health convener, partner and champion. Feel free to reach out if you would like to hear more about our current approach!

Between 2021-2023, CAGH was the secretariat for Health Systems Global a global membership organization comprised of researchers, decision-makers and implementers dedicated to promoting health policy and systems research (HPSR) and knowledge translation. HSG organizes a Global Symposium on Health Systems Research every two years bring together a diverse range of players involved in HPSR.

Areas of Expertise

Health systems are strengthened when changes are implemented at the policy level or at the practice level in one or more functions of the health system in order to improve access, coverage, quality or efficiency.


CAGH’s overall framework for health systems strengthening is driven by the values of equity and accountability, supported by the two pillars of a social determinants framework and a “health in all policies” approach.


In applying this approach, CAGH works with partners in government, civil society, community, and academia to build and sustain the necessary leadership and long-term stewardship required for a sustainable health system.


CAGH has identified and supported several key elements of a health system for which technical assistance will have the greatest impact on improving health outcomes.

Capacity building is central to the sustained development of any health system. The United Nations development programme (UNDP) suggests that “capacity development starts from the principle that people are best empowered to realize their full potential when the means of development are sustainable, home grown, long-term, generated and managed collectively by those who stand to benefit.”

CAGH is committed to ensuring the transfer of knowledge and expertise to those we work with. Along with improving knowledge and strengthening skills and abilities, one of the major aims of capacity building is to develop a common language and understanding. Working at all levels in the health system is important to build not only individual capacity, but institutional capacity, and produce sustained change.

CAGH recognizes that in most contexts’ there is an existent reservoir of experience and expertise. In all forms of learning, efforts are made to integrate examples of good practice and practical experience from both local and foreign health systems and experts into training activities. The four core methods used by CAGH for building capacity are: training, action-based learning, train-the-trainer, and mentoring. 
Evidence-based medicine (EBM) is the conscientious, explicit, and judicious use of current best evidence in making decisions about care for individual patients. The practice of EBM means integrating individual clinical expertise with the best available external clinical evidence from systematic research.
Accurate and up-to-date information and evidence plays a critical role in appropriate policy development and clinical decision-making within the health system. While often overlooked, this is an area in which CAGH has had significant experience. The capacity to utilize reliable, valid data for decision-making and resource allocation for improved service delivery has been built and/or strengthened by CAGH at the program and policy level in many countries.

Health Information Systems include the resources, tools and approaches required to optimize the storage, retrieval and use of primary health care data and information. Tools of health information systems may include clinical guidelines, formal medical terminologies and information and communications technology (ICT). Functional, well-managed and adequately resourced Health Information Systems are an integral part of strong Health Systems as a whole.
The improvement and efficient use of human resources and infrastructures to prevent and mitigate the spread of infectious diseases is essential to the maintenance of a healthy population. Best practices in infection prevention guide the improvement of human resources and infrastructures towards the reduction of infectious disease rates.
Interventions aimed at all levels of society to build the capacity of women during and after pregnancy is essential to ensure the reduction of mortality rates in areas that are at high risk of death in these population groups. Interventions are aimed at the national, local and individual levels to provide all members of society with the capacity to reduce maternal and child mortality rates. 
A focused approach to quality improvement in provision of health care plays an important role in strengthening health systems. CAGH has extensive experience working on Quality Improvement Strategies across health sectors, as well as assessing gaps in clinical abilities of health professionals and building capacity appropriately. Past projects have centred on improving quality at the primary health care level as well as implementing quality improvement systems and services at all levels of the health system.
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