Section 1:- Introduction and Background: "In 2008, an independent review committee recommended an award of a health system strengthe ning grant through the Global Alliance for Vaccines and Immunization. This grant was subsequently approved by the Board of GAVI in 2008. A central strategy in strengthening health systems was the development of Township Coordinated Health Plans. In order to have a Township Coordinated Health Plan based on identified needs, the strategy proposes a baseline health system assessment in each Township..."