The goal of this study was to understand the service delivery chain of youth health services in Lithuania and, more generally, the needs of and challenges faced by public servants. This survey aims to better identify the management, work environment, and attitudinal factors that influence service delivery, and to identify actionable reforms that could be undertaken in the next one to three years at relatively low cost. The findings of this study is used to design and implement measures to make the civil service and youth health policies in Lithuania are better managed, and more effective in achieving its goals. It also informs research on how civil services work around the world and how the challenges civil servants face can be best overcome.