Strong Health Systems Save Lives: MSH’s 2024 Annual Report

Strong Health Systems Save Lives: MSH’s 2024 Annual Report

In 2024, the challenges were immense: a global rollback in foreign assistance, continued conflict, climate disruption, and the growing burden of noncommunicable diseases. Yet, amid these pressures, MSH and our partners delivered results—expanding access to lifesaving medicines, mobilizing domestic resources, building resilient supply chains, and supporting health workers at every level.

Even as we adapt to a changing environment, our mission remains constant: saving lives by building strong, sustainable, people-centered health systems.

Dear Colleagues,

For more than five decades, MSH has pursued a singular vision of a world where everyone, everywhere, has the opportunity for a healthy life. Working with communities in 150 countries to build strong, locally led health systems, MSH has alleviated immense human suffering and driven lasting, positive impact in some the world’s most challenging settings: in Afghanistan before, after, and now again during Taliban rule; in South Africa, emerging from apartheid and confronting the fury of the AIDS epidemic; in Ukraine amid invasion and war; and in countries battling tuberculosis, malaria, Ebola, plague, cholera, COVID-19, and a staggering range of natural and human-made disasters.

In January 2025, another crisis shook us: the rapid dismantling of the US foreign assistance infrastructure left us—and many of our partners around the world—scrambling for survival. Dozens of contracts were canceled, programs shuttered, hundreds of employees lost their jobs, and countless people lost access to essential health services.

Despite the scope of these challenges, we’re making demonstrable progress. Across Africa, Asia, Europe, and Latin America, our programs continue to deliver important results—training frontline health workers, improving access to medicines, mobilizing domestic resources for health, and supporting regulatory reforms, to name a few.

Although we’re a smaller organization than we were a year ago, our commitment to saving lives—and our expertise in doing so—remains unchanged. We continue to help countries adapt science-based, locally driven solutions to deliver lifesaving health care. We are reimagining our business model, seeking new and innovative partnerships, approaching diverse funders and donors, and working tirelessly to design more efficient solutions to health systems challenges.

As we look ahead, we draw inspiration from the people we serve—the individuals who overcome monumental challenges every day with courage, humor, and dignity. It is their struggles and their achievements that motivate us to build a world where everyone has the opportunity for a healthy life.

Thank you for your continued support.

Sincerely,

Marian Wentworth
Marian W. Wentworth, President and Chief Executive Officer
John Isaacson, MSH Chair of the Board of Directors
JI Signature
John Isaacson, Chair of the Board of Directors

Mother and baby in Bangladesh.
As we look ahead, we draw inspiration from the people we serve—the individuals who overcome monumental challenges every day with courage, humor, and dignity.
People receiving medicine at a mobile pharmacy. Credit: Oleksandr Tsybin
Access to essential health products and medicines should never be a gamble—everyone deserves safe, affordable care.
In Ghana and Rwanda, local leaders applied data and adaptive leadership to reduce maternal anemia and strengthen primary health care.
Through Utz’ Na’n in Guatemala, MSH has expanded culturally appropriate maternal and newborn care with more than 3,500 comadronas and providers.
In Ukraine, even amid war, reforms supported by SAFEMed expanded affordable medicines and strengthened procurement for millions.
A young girl in front of a mosquito net
In Madagascar, we worked with the Ministry of Public Health and the National Malaria Control Program to strengthen community-based strategies that bring malaria prevention and treatment services closer to those in need.

Annual Reports

Read the stories of the people with whom we work. Together, with our diverse funding and implementing partners, we work with local health leaders and institutions around the world to create lasting health impact.