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 technical guidance document provides a summary of principal findings that highlight those complex factors including a literature review, surveys, resource mapping, case studies including key informant interviews, and the development of a theory of change.

The case study in Senegal focused on practical experiences and lessons learned when expanding financial protection to socially excluded and vulnerable groups.

The case study shows the literature and previous work on health equity to identify promising approaches and strategies from Senegal’s experience to ensure more equitable financial protection, particularly for underserved and socially excluded populations.

By now, much has been written about the egregious global inequities in COVID-19 vaccine distribution. But less has been said about another inequity that holds serious implications for global health: the disparities in genomic sequencing capacities and capabilities worldwide.

This strategy document lays out how the LHSS Project will support country partners in moving towards greater gender sensitivity, responsiveness, and ultimately transformation in their health systems.

It is easy to fall back on the habit of using catchall terms like “vulnerable groups” to refer to many different people, but relying on these terms can have a harmful unintended consequence.  

Guided by USAID’s Gender Equality and Female Empowerment Policy (2012), GESI guidance developed by USAID Missions, and the LHSS GESI Strategy, LHSS is committed to implementing five GESI standards to ensure that local health systems meet everyone’s needs for access to quality essential health services.