partners for health reformplus abt associates inc 4800 montgomery lane suite 600 bethesda maryland 20814 tel 301 913 0500 fax 652 3916 in collaboration with development emory university rollins school of public philoxenia international travel program appropriate technology social sectors strategies training resource group tulane and tropical medicine research co llc funded by us agency order no te 051 out pocket payments utilization care services albania evidence from three districts august 2004 prepared david r hotchkiss phd paul l hutchinson altin malaj md mph andrés a berruti ma mission is usaid s flagship project policy system strengthening developing transitional countries the five year 2000 2005 builds on predecessor partnerships reform continuing phr focus financing organization new emphasis community participation infectious disease surveillance information systems that support management delivery phrplus will following results implementation