Strengthening Health System Capacity Through Volunteer-Driven Twinning Partnerships and Initiatives Since 1992 AIHA, its partnerships, and programs represent one of the US healthcare sector's most coordinated responses to a broad range of issues affecting global health. Our programs contribute to sustainable change by providing the management and programmatic support to help donor institutions and health systems coordinate other forms of government or privately-sponsored development assistance. AIHA's technical assistance model provides an underlying structure that supports health reform, offering counsel and guidance based on five key pillars that serve as the basic framework for our programmatic work: introducing new models of care and services mobilizing communities for change building sustainable capacity among healthcare practitioners furthering the development of health-related professions expanding knowledge through effective dissemination of successful programs Clinical and administrative programs established through AIHA partnerships and programs are more sustainable because the partner-recipients identify key issues and create their own solutions. Particular attention is focused on the need for low-tech, economically-viable programs that increase productivity and quality of care without imposing new burdens that would impede long-term success and feasibility. Our goal is to improve output and effectiveness to such a degree that the provision of essential health-related programs and services can be sustained independently within the host community