For More Information Contact:

Lucy Slater, Director

Gen Meredith, Associate Director, Programs

Randy May, Associate Director, Operations



NASTAD is a U.S. based public health organization that represents state health directors with programmatic responsibility for HIV/AIDS, viral hepatitis, and associated public health programs. NASTAD works to strengthen the role and promote the success of state and territorial public health programs in the U.S. and internationally.


NASTAD leverages members’ expertise to reinforce health systems of counterpart health ministries around the world through peer-to-peer exchange of experience and skills. We:

  • Strengthen capacity of public sector staff to plan and manage and evaluate public sector public health prevention, care and treatment programs at national and local levels.
  • Build organizational capacity of health ministries to support the delivery of national and local public health programs.
  • Create sustainability in national and local public health programs.


NASTAD supports public health leaders to plan, manage, implement and evaluate public health programs, and builds capacity for sustainable and effective programs. NASTAD calls upon its members in a peer-to-peer approach to build capacity of local government in line with the “Six Pillars of Health Systems Strengthening” (WHO).


NASTAD has partnered with Ministries of Health in 35 countries in Africa, Asia, the Caribbean and South America to support Health Systems Strengthening. NASTAD has local field offices in Botswana, Ethiopia, South Africa, Zambia, and Haiti, and local staff or activities in Tanzania, Guyana, Trinidad and Tobago, and The Bahamas.

NASTAD is also implementing regional initiatives in applied public health management, case-based surveillance, and cooperative agreement management.



NASTAD’s support for effective and sustainable health systems is implemented in partnership with local government and is driven by U.S. based applied public health experience paired with host country vision, need and direction. Implementation follows four steps including:

  • Assessment: At the invitation of the host country and/or funding partners, NASTAD works with partners to assess needs based on public health models and competencies.
  • Development: With partners, NASTAD develops a clear scope of work with defined deliverables. At this point, mentored capacity building begins with local staff and programs.
  • Implementation: With partners, NASTAD pilots implementation of tools, processes, programs, and systems, and uses monitoring and evaluation systems to adapt and improve outcomes.
  • Transition: Over time, NASTAD transitions established projects, programs and innovations to the host country. NASTAD provides additional supportive capacity building as needed to ensure efficacy and sustainability.

Through these steps, NASTAD supports sustainable national systems, programs and processes in partner countries that permit evidence-based public health success.


NASTAD continually monitors and evaluates work to answer these questions:

  • Have we strengthened health systems?
  • Have we built sustainable capacity?
  • Have we successfully transitioned programs?
  • Can health ministry staff better plan, implement, manage, and evaluate public health programs?
  • Can health ministries better support the delivery of national and local health programs, studies, and interventions?


NASTAD uses three methods to build public health capacity:

  • Training: Delivery of specific knowledge, skills, or competencies through an organized event. Training transfers the know-how from the trainer to the trainee in order to increase the skills of attendees.
  • Supportive Supervision: Ongoing one-on-one mentoring of specific skills to address identified needs. Mentoring is conducted in-person through site visits or through telephone calls. Supportive supervision increases capacity and confidence to take on the specific tasks addressed.
  • Technical Assistance (TA): Assistance that builds the skills of an individual or entity around an identified need or aids in the development of tools or materials for an intervention. TA builds capacity to a point where support is no longer needed.

Used in an overlapping fashion, NASTAD has found that knowledge and skill gains can be maintained and applied for sustainable growth.

Six Pillars Approach
Six Pillars Approach
General Information