USAID Integrated Health Systems IDIQ (IHS)

The US Agency for International Development Bureau for Global Health awarded this Master IDIQ on September 20, 2018, to support health system strengthening programs across USAID Missions and Bureaus globally. The ordering period closed on September 18, 2025, and no new task orders may be issued against this vehicle.

This IDIQ is no longer active for new business development. The last task order was awarded in July 2021, nearly five years ago. Ordering momentum peaked in 2020 with three awards, then declined to one in 2021 and none thereafter. The vehicle obligated $303.9 million of its $362.6 million combined potential value (84%), with five task orders across five distinct prime contractors and five customer agencies within USAID.

Work contracted under this vehicle focused on health systems strengthening activities including quality improvement for health services, health workforce management, tuberculosis control through health systems approaches, and institutional capacity building in country-specific programs. Most task orders were cost-plus-fixed-fee arrangements with completion dates in 2023 and 2025. Four of five task orders were unset-aside; one was designated total small business.

Competition was minimal. Each of the five prime contractors—ABT Global LLC, Management Sciences For Health Inc., Banyan Global Inc., University Research Co. LLC, and Palladium International LLC—received a single award. ABT Global dominated by potential value, holding one $251.8 million task order that represented nearly 70 percent of the vehicle's combined potential. Management Sciences For Health held the second-largest order at $70 million. Customer concentration mirrored prime concentration: the largest customer, USAID Bureau for Management Office of the Assistant Administrator, accounted for the single ABT Global mega-order.

Task-order values ranged from $9.9 million (ceiling) to $251.8 million. All five awards were executed under the vehicle's $500 million shared ceiling. With the ordering period now closed and no activity since mid-2021, this vehicle presents no opportunity for new competitive pursuit.

The purpose of this IDIQ is to support USAID's Bureau for Global Health, as well as USAID Missions and other Bureaus, in planning and implementing health system strengthening programs with the overall goal of improving health and transitioning capacity to local partners. This IDIQ will enhance USAID's ability to implement health programs, globally, through the achievement of improved health systems performance.