Health Systems & Reform (HS&R) is a fully open access journal publishing research, theory, and analysis for the field of health systems and reform.HS&R aims to be the catalyst for cross-national knowledge transfer and translation on innovative, equitable, and cost-effective approaches to improve the performance of health systems and health care delivery. The journal seeks to publish articles that share cutting-edge knowledge, skills, and lessons in health systems and reform. Most importantly, HS&R contributes to strengthening health systems and to improving care delivered to patients. The journal is committed to bringing research by scholars in emerging nations to the attention of the global academic community.