We test the following hypotheses: • Hypothesis 1a: Increasing health officials’ capacity in managing resources will improve health service delivery. • Hypothesis 1b: Increasing health officials’ capacity in managing resources will improve citizens’ perceptions of health care provision and governance. • Hypothesis 1c: Increasing health officials’ capacity in managing resources will improve citizens’ healthseeking behaviors. • Hypothesis 1d: Increasing health officials’ capacity in managing resources will improve household and community health outcomes.