Most global public health organizations issue guidelines that are of a high methodological quality and are developed through a transparent, evidence-based decision-making process. However, they often lack an effective, scalable mechanism to support governments and health workers at country and sub-country level in turning these into action that leads to impact. Existing activities intended to help countries build public health capacity carry potential risk for these organizations, as they rely on high-cost, low-volume workshops and trainings that may be characterized by startling disparities in quality, scalability, replicability, and sustainability, often making it difficult or impossible to determine their impact. In some thematic areas, stakeholders have recognized the problem and are developing their own frameworks to improve quality of training and improve capacity-building. A few stakeholders are experimenting with new capacity-building approaches to empower local actors and strengthen the resilience of communities. The global community allocates considerable human and financial resources …
