The AKDN operates one of the largest non-profit, private healthcare systems in the developing world. In many countries, it has been operating these facilities for over 60 years. Drawing on this experience, the AKDN is working to expand private health systems to increase access where there is none or little or to complement public systems through publicprivate partnerships. In each case, it works to create efficient and appropriate health systems that raise the quality of life of populations in the developing world on an ongoing basis, supported over time by the communities themselves and anchored to broader integrated systems per the “Alma-Ata (1978)” primary healthcare principles. To that end, it works to transform developing world healthcare systems in three areas: service delivery, education and research.