Baylor Foundation Uganda implements a district-led health system strengthening approach to improve the delivery of quality health care services in its supported districts by enhancing the competence of health workers. This involves providing health worker training programs, implementing supportive supervision mechanisms and quality improvement initiatives, improving laboratory systems, and improving access to essential medical supplies and equipment. Additionally, this approach has enabled the organization to collaborate with districts to develop sustainable strategies for addressing health system challenges and ensuring a long-term positive impact on the overall health system.