The methodology
The Integrated Health Systems Transformation Framework™ (IHSTF) is an original methodology that brings WASH in health care, infection prevention and control, laboratory systems, and health security into one governed approach—linking service delivery with institutional strengthening, multisectoral leadership, policy influence, and sustainable systems change.
From policy to practice. From projects to institutions.
Strategic focus
Leveraging WASH, infection prevention and laboratory systems to advance respectful maternity care, newborn safety, specimen referral and surveillance, outbreak preparedness, and the safety of patients and health workers — while improving quality of care and building resilient, integrated health services.
Transformation outcome
Embedding health priorities into governance structures, policies, institutions, financing mechanisms, and accountability systems that endure beyond projects and funding cycles.
Strategic enabler
Turning evidence, implementation learning, and stakeholder partnerships into policy decisions, investment cases, governance reforms, and systems change.
Knowledge management and MEAL — monitoring, evaluation, accountability and learning — run through every pillar, tracking quality, capturing learning, and generating evidence for adaptation and scale.
Built on the framework
Pillar 02 · Governance and institutionalisation
The IPC/WASH Health Systems Wheel helps embed IPC and WASH health priorities into governance structures, policies, institutions, financing mechanisms and accountability systems that endure beyond projects and funding cycles.
Companion assessment · Five to ten minutes
The IPC/WASH Health Systems Fragmentation Diagnostic™ is an assessment instrument developed as a companion to the IHSTF. It evaluates ten defined dimensions of WASH, IPC, and health system integration and produces a personalised gap analysis with prioritised recommendations, completed by a user in five to ten minutes.
How it is delivered
The Integration Architecture™ sets out how the framework is delivered — as a diagnostic, a time-bound transformation engagement, or embedded advisory support that stays until the institution owns the work.