Limitations in the access to new health technologies can be partly attributed to insufficient technical capacities in low- and middle-income countries (LMICs). At the same time, there is also a critical need for integrated approaches to help ensure that the various elements of in-country systems work together effectively and are drivers of improved access and delivery.

Working together, the ADP partners leverage the expertise of each organization and, within focus countries, draw on the full range of technical skills necessary to strengthen the value chain for the introduction and scale-up of new health technologies.

The ADP adopts an integrated approach in the provision of technical and policy support, while emphasizing strong collaboration with the governments and national stakeholders of focus countries. The ADP focuses on equipping LMIC stakeholders with the necessary skills to develop the systems and processes required to effectively access new health technologies and deliver them to populations in need.

Acknowledging that multiple disciplines are critical across the value chain, the ADP approach aims to integrate these major work areas through interlinked pathways. The ADP has identified and addressed common challenges and capacity gaps that persist in LMICs, particularly in relation to the development of enabling policy and regulatory frameworks, the effective use of implementation research, sustainable resource allocation and priority-setting, as well as procurement and supply chain management.


Structured as six strategic, interrelated ‘pathways’, ADP activities address the range of essential capacities related to the alignment of policy and regulatory frameworks, as well as product safety monitoring, pricing, and supply and delivery systems. The ADP approach integrates these major work areas through the following six pathways:

  • An enabling policy and regulatory framework is a precondition for an effectively functioning health system.
  • Implementation research capacity supplements policy-making by systematically identifying bottlenecks impeding scaled-up use of health technologies and developing strategies to overcome them.
  • Capacities for safety monitoring and pharmacovigilance permit the detection and management of adverse effects associated with new technologies, thereby protecting patients and mitigating a potential loss of confidence in the technology among the target population.
  • Resource allocation through evidence-based decision-making – such as that achieved through health technology assessment (HTA), which includes economic evaluation of health technologies – helps ensure the predictability and sustainability of financing within health systems.
  • Health delivery systems define each country’s ability to provide access to health care, which in turn relies on good supply chain management, comprising the efficient planning, procurement and distribution of essential health technologies.
  • Strategic information allows for evidence-based decision-making and for the ADP to tailor its support for optimal impact.

The design and implementation of the ADP activities along the strategic pathways is informed by approaches that promote:

The ADP works closely with governments and national stakeholders in focus countries to ensure that the support provided by the ADP is appropriate and effective, and addresses priorities defined by country stakeholders, particularly the achievement of UHC. By strengthening efforts owned and driven by partner country governments, this approach also helps to secure the long-term sustainability of the processes that ADP activities contribute to.

The ADP promotes an integrated approach and cross-sectoral collaborations in recognition of the fact that actions outside the health sector are critical in addressing the broader determinants of health. The ADP aims to ensure coherence between policies and laws across sectors such as health, trade, industrial development and science and technology, among others, to enable improved access to and delivery of new health technologies. In addition to working across sectors, the ADP also seeks to bring together perspectives from a wide array of national, regional and global stakeholders in the access and delivery value chain; such as policy makers, researchers, technical experts, civil society, development partners and the private sector.

The ADP prioritizes mutual exchange of knowledge and learning between the focus countries and with other LMICs that have successfully implemented processes to enable better access to, and delivery of, new health technologies. Furthermore, the ADP aims to bridge the gap between national level efforts in focus countries and broader regional, continental and international frameworks and initiatives. The ADP has convened several regional level activities and workshops in Asia and Africa to enable knowledge-exchange and sharing of learning between regional and national initiatives. It is also providing technical assistance to governments of focus countries to align their laws, policies and processes with regional and international frameworks.