This report summarises the study which aimed to: assess the extent to which Gavi HSS support provided to DPR Korea during this period achieved, or is on track to achieve, its objectives; determine to what extent it has contributed to strengthening the health system of the country; identify issues encountered during implementation that have affected the overall results; and share the lessons learnt for informed decision-making with regard to future support from Gavi and other international donors to the DPR Korea. This study was supported by the World Health Organization (WHO) DPR Korea.