Against the backdrop of beautiful Lake Naivasha, members of the Health Systems Advocacy Partnership (HSAP) gathered in Kenya last autumn to reflect on past successes as well as challenges, and discuss next steps. The partnership has documented over 480 outcomes and contributed to significant developments in access to quality healthcare for many across sub-Saharan Africa. Now, in its fifth and last year of implementation, the HSAP’s main objective is to consider how we can sustain outcomes already achieved and ensure their impact is felt long into the future.