What We Do



Working towards sustainable, self-financed health systems and quality health care for all.


The Local Health System Sustainability Project (LHSS) is USAID's flagship initiative in integrated health systems strengthening. Its goal is to help low- and middle-income countries achieve strong, sustainable health systems as a means to support access to universal health coverage. Whether finding solutions to widely-shared challenges or providing tailored assistance for unique country needs, LHSS prioritizes engagement with diverse local actors. LHSS will equip countries to sustain health system progress after the project ends, supporting them in their journey to self-reliance.

Our Approach
LHSS Resources and Publications
Where We Work
Our Areas of Expertise
  • Capacity strengthening
  • Community health
  • Complexity aware M&E methods
  • Costing
  • Decentralization
  • Digital transformation
  • Domestic resource mobilization
  • Financial protection
  • Gender equality and social inclusion
  • Global health security
  • Health financing
  • Health governance
  • Health information systems
  • Health insurance
  • Health systems assessments
  • Health systems research
  • Human resources for health
  • Migration and health
  • Monitoring, evaluation, research, and learning
  • Organizational capacity
  • Primary health care systems
  • Private sector engagement
  • Political economy analysis
  • Public financial management
  • Resource optimization
  • Resource tracking
  • Social and behavior change
  • Social determinants of health
  • Supply chain management
Download the LHSS Fact Sheet PDF
English (4.36 MB)
French (4.38 MB)
Spanish (4.39 MB)

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