Initiatives Inc. is committed to improving access to quality primary health care for people in underserved communities.

Who We Are

Initiatives Inc. is an international public health firm headquartered in Boston, Massachusetts USA with 30 years of experience implementing USAID-funded projects as both a prime and subawardee on contracts, grants and cooperative agreements.

Our Team

What We Do

Our technical and management support enables organizations and communities to link, coordinate, and deliver health services with the goal of providing solutions for better health.
Our Projects

How We Work

We create a tailored package of expert technical services for each client, designed to ensure that every project, organization, and government agency can meet the programmatic needs of the communities it serves.

Solutions for Better Health


Organizational Capacity Development and Certification

Human Resources for Health

Quality Assurance and Accreditation


Community Health Systems

Operations Research and Evaluation

Our support has strengthened management systems in over 75 health districts across more than 10 countries.

Initiatives has successfully managed $25 million in federal funds over the last 10 years

We are supporting civil society organizations in Uganda advocating on behalf of 11.5 million people for quality health services.

What People Are Saying

“Initiatives is a great partner, bringing high-quality professionals to the table who are great to work with. Their studies were innovative and offered practical, actionable recommendations.”

“The clients we served are still providing positive feedback indicating that they are using instruments developed, as well as the knowledge and skills acquired to improve their performance daily.”

Where We Work

Founded in 1987, Initiatives has worked with government agencies and ministries, non-governmental organizations and international organizations in dozens of countries.

Current Projects

Our current project portfolio includes Challenge TB in DR Congo, Advocacy for Better Health in Uganda, Community Health Systems Strengthening in Tanzania, and Systems for Better Health in Zambia.

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Resource Library

Search our library of publications, including assessment tools, project reports, and evaluations.

CHW Central

Initiatives manages CHW Central, a web-based resource and forum for community health workers.

CHW Central offers downloadable resources, member discussions, periodic articles, and a listing of upcoming events on CHW programs and policy.

In the News

Spotlight on Sarah Murungi

Sarah Murungi has been a part of Initiatives’ family since 2009 when she joined our team on the CDC-funded TA-NPI (2009- 2012) capacity building project. Honing her capacity development skills, Sarah rejoined Initiatives in 2014 as the Senior Organizational Capacity...

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