Health systems and the delivery of healthcare are complex and multi-faceted, even more so in resource-limited settings. Successful health systems and healthcare delivery require attention to political economy, governance, institutions, and local context. It is also important to be able to identify and prioritise cost-effective interventions, engage communities and equip health workers. This unit will cover health systems and healthcare delivery in low-income countries to equip students with a conceptual understanding and a set of tools to address major public health challenges from a health systems and delivery perspective with an explicit focus on building effective primary health care. With a focus on evidence-based decision making, the unit will provide an understanding of health systems including specific topics such as health workforce, financing, service delivery, information systems and policy, and how these impact health interventions and health status in less developed countries. We will also explore healthcare delivery in a novel integrated course design to highlight the perspectives of both health administrators and policymakers as well as health workers, patients and communities. A case study approach will then provide students with concrete examples of health systems challenges and will strengthen students' ability to view health problems in a holistic, multi-faceted manner. The unit will provide students with the tools needed to make a practical difference in health systems in less developed countries with emphasis on implementation of health projects, knowledge translation and bringing interventions to scale.