To meet its intervention objectives, Solthis has set up a high impact, three-pronged intervention approach: STRENGTHEN ALL ASPECTS OF NATIONAL HEALTH SYSTEMS IN A SUSTAINABLE MANNER Today, half the world’s population has no access to essential health services. In Africa in particular, health systems remain precarious due to a lack of financial resources, organisational problems and a shortage of human resources. To improve access, quality, efficiency and equity in access to care, it is essential to work on all the component parts of health systems: from the medical to the community, as well as supplies, laboratories, psycho-social, etc, to create a global, national-level dynamic in our countries of intervention. We believe in the strength of the collective, in the value of bringing together civil society actors, researchers and public figures for resilient health systems. ACT ON BOTH THE HEALTHCARE OFFERING AND THE MOBILISATION OF COMMUNITIES Improving access to quality care involves joint action on both the provision of and the demand for health services : Improving the quality of healthcare services, trai-ning and enhancing the skills of health professio-nals in health and community facilities and of our partners in national institutions; Promoting health and mobilising communities and patients. We want to allow users to identify their own needs in order to promote a care offering centred on their actual needs and to acknowledge the essential role of communities in the improvement of quality in health services and the defence of their rights. OUR AMBITION : A SUSTAINABLE IMPACT SUSTAINABILITY AND SCALING UP OF SUCCESSFUL INTERVENTIONS Our three combined modes of action aim to guarantee the sustainability and maximise the impact of our interventions: strenghtening capacity, analysing our actions and making public health policy changes based on our expertise. From the very start of our projects, we think about their sustainability and their possible transfer, be that through extension to new geographical areas or new beneficiaries or through their inclusion in national strategies. Capacity strengthening: support health profes-sionals, facilities and authorities, as well as civil society organisations in order to strengthen their skills, provide advice and support for change. Operational Research: analyse and understand the obstacles in access to care, conduct innovative projects to identify, test and evaluate sustainable solutions based on field experience. Advocacy: promote changes to public health po-licies by drawing upon our medical and scientific expertise and our results. Annual Report 2020 II p.7