Important points: Use of paid LHWs, work with public sector, address social determinants and inequalities, provide a 'preferential option' for the poor Strengthen access to public health care, provide healthcare to the poor, building community partnerships Rwanda: President got rid of all (I)NGOs unless they agreed to work under state led development goals. Wildly successful. goal->independent from aid by 2020, GDP quadrupled, health and development indicators improved, implemented mutuelle health insurance scheme in 2006 Important for GH intervention; expanding programs from local to national/international level [scaling up] , leveraging private resources to strengthen broader PHC and public sector health systems.