These syndromes were mapped as part of the two-phase Re-imagining Technical Assistance project. In the second phase, the Inter-agency Working Group (The Gates Foundation, USAID, and The World Bank) along with a diverse group of stakeholders from across 13 countries came together to explore and map how donor structures, processes, and norms pose challenges to achieving the critical shifts. Based on these insights, we identified nine system syndromes which represent systemic barriers to achieving the critical shifts. Building on these syndromes, we also convened gender experts to identify systemic challenges perpetuating or contributing to gender inequities in technical assistance. During this dialogue, the group co-created 6 gender-specific syndromes.