This brief describes opportunities to improve financial protection programs using behavior change approaches. The Practice Spotlights Social and Behavior Change series supports USAID’s Vision for Health System Strengthening 2030 by exploring how social and behavior change approaches can contribute to countries’ health system strengthening efforts.

This two-pager focuses on USAID’s Learning Question 6, "What are key behavioral outcomes that indicate a functioning, integrated health system? In what ways can integrated health system strengthening approaches explicitly include social and behavior change?"

This two-pager focuses on USAID’s Learning Question 4, “What are effective and sustainable mechanisms or processes to integrate local, community, sub-national, national, and regional voices, priorities, and contributions into USAID’s health system strengthening efforts?”

LHSS conducted a study of 37 countries to provide a better understanding of the strengths, opportunities, and gaps in the structures governing the provision of quality health services.

This report details case studies from Rwanda and Zambia which offer unique insights into the operationalization of National Quality Policies and Strategy (NQPS) within broader governance and quality of care reforms.

USAID nia Atividade ba Sustentabilidade Sistema Saúde iha Timor-Leste nia objetivu mak atu fortalese governasaun setor saúde, dezenvolve mekanismu ba finansiamentu saúde ida ne’ebe sustentável, fortalese jestaun forsa traballu saúde, promove hahalok saudavel, no mobiliza sosiedade sivil.

The Most Significant Change (MSC) is a complexity-aware monitoring approach that helps us track and understand important changes happening in systems, practices, organizations, and people. LHSS Bangladesh has applied this MSC tool to identify, evaluate, and understand the most substantial changes within our primary health care system functions. 

This brief highlights the recent shifts in health systems practice toward more explicitly incorporating an SBC lens in social accountability activities that aim to improve overall health system performance and address inequities. The brief synthesizes the growing body of evidence on the role social accountability plays in increasing accessibility to better-quality health care services and uses case studies and lessons learned to highlight how SBC approaches can be more explicitly integrated into this aspect of HSS programming.

This brief builds on the USAID Local Health System Sustainability Project (LHSS) Strengthening Governance report (2022) and global National Quality Policy and Strategy (NQPS) survey, aiming to provide practical examples and considerations for country practitioners to consider on their quality journeys. It includes case studies of three countries that have used NQPS to mobilize and align resources for quality.

This brief presents what LHSS has learned through applying a systems thinking approach to its support for HSCs’ advocacy efforts in expanding PHC services in urban Bangladesh.

The manual clearly identifies the engagement mechanisms where REBAS-TL/CSOs could participate to discuss health issues that impact the population at national and municipality levels.

his document captures the progress so far in improving CSO-MoH engagement and the next steps.

This short handbook presents information and guidance to inform the advocacy efforts of REBAS-TL and its member CSOs.

This two-pager focuses on USAID’s Learning Question 1, “What are the contributions of systems thinking approaches and tools to changes in health system outcomes? How do systems thinking approaches affect health system outcomes?”

This Catalog allows practitioners to consider which interventions have more robust evidence bases to support their practical application, such as: enhancing worker and supervisor competencies through training, offering nonfinancial incentives for high performers, practicing task sharing to promote cost savings, implementing digital solutions to expand access to services, and reducing costs of procuring and distributing pharmaceutical products.