NPI EXPAND strives to increase the capacity of new and underutilized local partners to expand utilization of high-quality, high impact health services, information, and supplies to scale up promising and innovative health solutions.

PHOTO: In Nimba County, Liberia, NPI EXPAND grantee SEARCH has recruited youth peer educators to work on COVID-19 prevention.

The New Partnerships Initiative (NPI) Expanding Health Partnerships—NPI EXPAND Project— is a five-year project which aims to support Missions by increasing the availability and utilization of quality health services across all USAID priority health areas. In line with the Journey to Self-Reliance (J2SR), USAID is committed to expanding its range of implementing partners by investing in new and underutilized local partners (NUPs) and strengthening their capacity to strategize, plan, and implement health sector programs with USAID funds. Enhanced participation of capable local partners to increase demand for and deliver high-quality, high impact health services will enable governments to meet crucial health goals equitably and sustainably. NPI EXPAND will catalyze opportunities to scale up innovative interventions by strengthening the capacity of NUPs with varying levels of capabilities and exposure to USAID.


Diversifying USAID’s partner base is an important component of J2SR and Effective Partnering and Procurement Reform under the Agency’s Transformation, because it helps mobilize the increasing number of funders of all types engaged in the development efforts of partner countries around the world. Promising prospective local, U.S., and international organizations that are NUPs represent untapped potential for partnership and impact in J2SR and funding more of them requires new initiatives and targeted approaches, such as NPI EXPAND. Some potential partners with good ideas and innovative approaches have—or believe they have—limited capacity or opportunity to compete for direct U.S. funding because of compliance and solicitation requirements and/or the dollar amount and scope of awards. NPI EXPAND supports USAID’s shift in focus to increasing and sustaining relationships with such NUPs, especially those locally established and in the private sector. Every effective, more sustainable NUP contributing to the health sector with skilled staff, strong internal systems, and productive networks promotes utilization of high-priority services and improved health outcomes.


  1. Organizational sustainability of new and underutilized local entities or locally established partners strengthened:Targeted countries will advance their self-reliance through a strengthened cadre of NUPs that are ready to meet the needs of the underserved. The activity will support NUPs to increase their managerial, financial, and administrative capacities to enhance their ability to not only receive direct support from USAID but also be more engaged partners within local health systems.
  2. Utilization of high-quality, high impact health services, information, and supplies expanded:Participating NUPs will contribute to enhancing the supply and utilization of high-quality, integrated health services, with a focus on reaching underserved populations. NPI EXPAND supports this evolution by strengthening the technical skills of providers, fostering the expansion of services offered, strengthening quality assurance systems, and introducing cost-effective demand creation techniques that can be integrated in the service delivery setting.
  3. Promising and innovative health approaches scaled-up through new and underutilized partnerships for increased sustainability:NPI EXPAND will support the assessment of NUP-generated innovations and support them to scale up these and other high-impact interventions.
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