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Health Facility and Readiness Service Assessment was conducted in all health facilities in Kiribati from March to September in 2019. This is to measure the level of service each facility provides in terms of infrastructure, capacity, skills, knowledge and equipment and the accessibility of these services at the different levels within the Public Health clinics, Health centres and all hospitals. The HFRSA aimed to identify the strengths, gaps and issues for all health services provided at each level and to provide measurable recommendations to address and improve these services. In support of “leaving no one behind” the 2030 agenda, the results of this assessment will provide the baseline for good governance and good planning in improving and strengthening a quality integrated healthcare services provided at all levels for sexual reproductive health and to ensure rights and choices for all is well met, encompassing universal health coverage for all.