MSH programs have provided technical assistance to the country’s integrated health care system, including management training for district health staff, and improved the quality of, access to, and use of health services at all levels of care.


  • To better meet the needs of pregnant women for respectful, quality antenatal care (ANC), the Strengthening Antenatal Care for Indigenous Women in Guatemala project (2019-2020) successfully co-designed and adapted a group ANC model with indigenous women in the western highlands, a region characterized by poverty, high fertility rates, and substandard access to health services. The project aims to implement and scale the model to 30 health facilities.


  • Strengthened the capacity of Guatemala’s National HIV Program to reform, update and implement regional and national HIV policies with a focus on achieving the 90-90-90 targets, and adopting WHO Guidelines on the early initiation of treatment and innovative models of service delivery.


  • Supported the National Malaria Program in a nationwide rollout of interventions to improve the management of malaria commodities at all levels of the health system to improve timely access to appropriate treatment for malaria.


  • Supported self-financing of family planning clinics by using CORE Plus, a primary health service costing and planning tool developed in Guatemala and Zimbabwe by MSH in the mid-1990s. Use of the tool helped health managers improve overall institutional performance, accountability, cost recovery, and cost-effectiveness of clinics.


  • Strengthened the management of a countrywide program for the promotion of childhood immunization and oral rehydration therapy. Developed a manual on primary health care for health promoters and supported the evaluation and redesign of the national health information system, which made service statistics and data on mortality and morbidity for all health areas available for the first time.


  • Supported an innovative public-private partnership with six major soap companies in Central America, among them Colgate-Palmolive of Guatemala, to form a regional alliance to promote handwashing to hold diarrheal disease in check.


  • Provided technical assistance to primary- and secondary-level health facilities to expand obstetric and neonatal care and newborn, child health, and family planning services with a focus on ensuring quality, monitoring the use of health information system data for decision making, and introducing results-based financing models.


  • Bolstered the capacity of local NGO partners providing family planning services in quality improvement; expansion of coverage in rural areas; programmatic efficiency and effectiveness; financial management; training and supervisory skills; strategic planning; human resources management; and management information systems and strengthened boards of directors.

Our Projects

Project Name Health Systems Health Areas Date
Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program
Pharmaceutical Management, Financing Health Services, Global Health Security Malaria, Tuberculosis, HIV & AIDS, Women's, Children's, and Adolescents' Health 2011 - 2018
Salud Mesoamérica Initiative
Leadership, Management & Governance Women's, Children's, and Adolescents' Health May 07, 2013 - September 13, 2017
Program for Strengthening the Central American Response to HIV
Leadership, Management & Governance HIV & AIDS 2014 - 2017
Strengthening Antenatal Care for Indigenous Women in Guatemala
Women's, Children's, and Adolescents' Health 2019 - 2021