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.

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 brief introduces the social determinants of health (SDOH) concept and terminology, and discusses approaches to addressing SDOH. Understanding these root causes of health inequities and their impact on health care access, quality, and equity is crucial to strengthening health systems.

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?”

The video showcases the success of peer learning events held in the Sylhet and Rajshahi regions, where city corporations and district municipalities came together to share experiences and discuss different approaches to strengthening primary health care.

This video highlights the collaborative efforts between LHSS and six district municipalities from Sylhet and Rajshahi divisions to strengthen primary health care systems in urban Bangladesh.

The video captures the significant sharing of a young student with HIV who was recently treated by a community-led social enterprise (The Niem Tin Song Tien social enterprise) participating in the current social contracting pilot in Vietnam.

This workshop marks a significant step towards enhancing health care in urban Bangladesh by uniting the Local Government Division, 11 municipalities, and 3 city corporations in a shared commitment to improve access and effectiveness of primary health care delivery.

This brief identifies systems considerations for CHW career progression, including health workforce education and training, regulation and policy, management, and financing.

In this video, discover how local organizations in Cali work to strengthen capacity, promote sustainability, and improve access to health information related to the country’s health system.

This brief includes a global evidence review of DFS for health conducted by LHSS and an analysis of two programmatic case studies of DFS for health by Management Sciences for Health (MSH) through the Digital Square initiative.

To strengthen capacities and promote equitable access to the Colombian health care system, LHSS and the Healthy Communities program forged several high-impact partnerships in Bogotá. These partnerships focused on supporting the integration process of the migrant population, host communities, and returning Colombians into the country’s health system. This video highlights beneficiaries and partners impacted by this effort.

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.