Le gouvernement de Madagascar s'est engagé à atteindre la couverture sanitaire universelle (CSU) à travers la mise en œuvre de la Stratégie nationale de financement de la santé de 2015. Cette stratégie prévoit d'accroître le financement national de la santé et de la protection financière des usagers des soins de santé. En mai 2022, le gouvernement a annoncé son intention de promouvoir le développement de l'assurance maladie de proximité (CBHI).

Pour répondre à cette nouvelle politique, l'Unité d'appui à la CSU, rattachée au Secrétariat général du ministère de la Santé publique, a initié un processus participatif de conceptualisation et de mise en œuvre d'un modèle de CBHI. Cette note technique présente des options pour la conception et la mise en œuvre de la phase de démonstration de CBHI prévue dans le district de Fénérive Est, en tenant compte des enseignements tirés des résultats de l'étude de faisabilité CBHI à Madagascar et des expériences que les pays d'Afrique subsaharienne, en particulier le Sénégal, ont eues avec CBHI. Cette note complète d'autres notes techniques que la LHSS a élaborées pour l'Unité d'appui à la CSU afin d'éclairer le processus d'établissement de la CBHI à Madagascar, notamment la Note technique sur le modèle de CBHI à Madagascar (LHSS 2022).

The Government of Madagascar is committed to achieving universal health coverage (UHC) through implementation of the 2015 National Health Financing Strategy. This strategy plans to increase domestic financing for health and for the financial protection of health care users. In May 2022, the government announced its intention to promote the development of community-based health insurance (CBHI). To respond to this new policy, the UHC Support Unit, attached to the General Secretariat of the Ministry of Public Health (MOH), has initiated a participatory process to conceptualize and implement a CBHI model. This technical brief presents options for the design and implementation of the demonstration phase of CBHI planned for Fénérive Est District, taking into consideration the lessons learned from the results of the CBHI feasibility study in Madagascar and the experiences that countries in sub-Saharan Africa—particularly Senegal—have had with CBHI.

This brief compliment other technical briefs that LHSS has developed for the UHC Support Unit to inform the process of establishing CBHI in Madagascar, including the Technical Note on the CBHI Model in Madagascar (LHSS 2022).

With a small grant and technical support from LHSS, a Ugandan pharmacy and logistics company, MM Partners Logistics Ltd., expanded its e-Pharmacy platform to include more family planning products and increased the capacity of its dispensing staff to provide better counsel to clients on reproductive health and family planning. 

.A validated, streamlined set of metrics can help the HIV community drive toward such a “people-centered” orientation and advance the Joint United Nations Programme on HIV/AIDS’ 2025 target of linking at least 90% of people living with HIV and people at risk to people-centered and context-specific integrated services.

This course is an interactive, four module, online self-study course on processes used by countries to set health priorities that are reflected in national health policies. Each module allows participants to engage with the materials and reflect on their own country’s context.

While health systems practitioners aren’t going out to sea with men named Ishmael, we chase our own white whale: evidence. Evidence that health systems interventions impact the availability, affordability, and accessibility of healthcare.

Creating a network with interoperable data management systems holds great potential to revolutionize Cambodia’s entire social safety-net ecosystem, providing improved efficiency for policymakers, implementing organizations, service providers, as well banks that subsidize services. 

With increased migration around the world posing unique challenges and opportunities for health systems, efforts to better integrate and include migrants and host communities in national health systems are an integral part of the global health equity agenda. 

This brief introduces implementation research as an effective means to addressing health equity challenges and offers country examples illustrating how the approach can enhance equity in the broader context of health system strengthening.

With investment of nearly $60 million, LHSS supported USAID's COVID-19 response in 11 countries in Latin America and the Caribbean, the Middle East, Central Asia, and Southeast Asia, between March 2020 and September 2023. 

Join us as we discuss key questions regarding the integration of migrants into national health systems, considerations for migrants and host communities, and strategies for promoting health equity.

The Ministry of Health in Madagascar, with support from LHSS and WHO, launched the 2022 Health Accounts exercise, a milestone for regular health resource tracking.

This Year 5 Quarter 1 Report (Oct-Dec 2023) was prepared for USAID and provides a progress update for all annual work plan activities. 

To explore the use of people-centered metrics in HIV care, a set of six people-centered indicators for HIV care and an indicator survey tool were developed to collect data on the metrics via client interviews. This brief summarizes findings and draws recommendations from an exploratory qualitative study to assess the acceptability, feasibility, integrability, and relevance of both the indicators themselves and the indicator survey tool employed to gather client data.

We are proud to share the LHSS Year 4 Annual Report which highlights the many achievements we celebrated with our country partners this year.