The overarching support to KP, Sindh and Federal level was provided for integrated health systems strengthening to build resilient health systems based on innovations and experiential learning from USAID's MCH Program in Sindh. Contech was responsible for Health System Strengthening and worked as consortium partner of JSI. Service delivery support was implemented and demonstrated in three selected districts based on epidemiological ranking. Institutional review and strengthening of DGHS, Provincial Health Services Academy, Regional Training institutes, KP Health Care Commission, Health Sector Reform Unit, Planning Cell, Independent Monitoring Unit, Financial Management Cell, and Minister's Office. Contech International provided technical support to USAID's Integrated Health Systems Strengthening and Service Delivery (IHSS-SD) Activity, which focused on restructuring the Department of Health Sindh. The team conducted consultations and back-to-back meetings with key stakeholders and developed programs profiles and proposal matrices. This Activity is still in process. Furthermore, Contech International provided technical support to USAID's Integrated Health Systems Strengthening and Service Delivery (IHSS-SD) Activity, which focused on restructuring the Department of Health Sindh.