This implementation guide provides details on how project teams and local partners may implement the various approaches contained in the strategy, including tools and templates that may be adapted to country and activity contexts.

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?”

This brief introduces collaborative learning as an effective approach to support sustainable health system strengthening. Collaborative learning brings together local leaders and experts to learn from one another, problem-solve, co-create new knowledge, and adapt and apply their learning.

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.

In this webinar, we discuss conditions that facilitate the institutionalization of practices that improve health system outcomes. 

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.

This document outlines LHSS’s strategy for supporting the strengthening and scale up of local capacity through country and core activities. Designed for use by LHSS staff and local partners, this strategy provides a framework and details on how to develop, implement, monitor, and evaluate sustainable health system strengthening activities. This strategy replaces the LHSS Scale Up of Local Capacity Strategy (2019).

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

This brief explores ways in which digital tools and systems can be used successfully and responsibly to advance SBC interventions in support of health system strengthening, and provides recommendations for future programming and areas of research.

Population movement of this magnitude places huge stress on health systems in receptor countries. How can health care for migrants be financed? How can health system capacity be expanded? And how can health sector policies and national migration policies be harmonized?