Based on the use of an assessment tool in four countries: Armenia, Ghana, Moldova, and Uganda, MEASURE Evaluation developed detailed assessment reports on the care system in each country. With each country having assessed its care system, MEASURE Evaluation supported the lead ministry in charge of alternative care to facilitate a workshop in each country to set priorities and create action plans. This report presents findings from all four countries, by system component and areas of care, and summarizes recommendations for strengthening alternative care systems.