Russia’s full-scale military invasion of Ukraine has created unprecedented challenges for the country’s health care system. Significant destruction of health care infrastructure has limited access to health services, and massive displacements of people have significantly complicated the process of providing and receiving health services. This context has given rise to an urgent need to provide health services, especially in remote and frontline areas where traditional in-person access to health services is severely limited or impossible.

This report analyzes the experience of introducing telemedicine solutions with the technical assistance of LHSS in Ukraine. It highlights the results, analyzes the experience, and presents best practices, challenges, and lessons learned. Additionally, this report provides recommendations for further utilization of extant and future telemedicine solutions both during martial law and after its repeal. The information presented in the report is intended to be useful for central and local authorities, health facilities, and telemedicine solution providers. It will also be of interest to those who wish to start using telemedicine solutions in the delivery of health services.

Russia’s full-scale military invasion of Ukraine has created unprecedented challenges for the country’s health care system. Significant destruction of health care infrastructure has limited access to health services, and massive displacements of people have significantly complicated the process of providing and receiving health services. This context has given rise to an urgent need to provide health services, especially in remote and frontline areas where traditional in-person access to health services is severely limited or impossible.

This report analyzes the experience of introducing telemedicine solutions with the technical assistance of LHSS in Ukraine. It highlights the results, analyzes the experience, and presents best practices, challenges, and lessons learned. Additionally, this report provides recommendations for further utilization of extant and future telemedicine solutions both during martial law and after its repeal. The information presented in the report is intended to be useful for central and local authorities, health facilities, and telemedicine solution providers. It will also be of interest to those who wish to start using telemedicine solutions in the delivery of health services.

At the end of 2022, the Local Health System Sustainability project (LHSS) analyzed the development of telemedicine in Ukraine and found a significant increase in the demand for telemedicine services in the previous few years. This was due to a combination of the COVID-19 epidemic and full-scale war initiated by Russia against Ukraine. LHSS supported the Government in drafting and ultimately approving a national Strategy for the Development of Telemedicine in Ukraine. In this strategy, one of the priority tasks was to define and further develop priority telemedicine services. This includes the development of technical models, algorithms, and business processes for interaction during the provision of medical assistance using telemedicine, as well as expansion of the functionality of the central database of the electronic health record system (EHRS) and medical information systems (MIS) in the field of telemedicine. 

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.

This report evaluates the resources dedicated to telemedicine services in Ukrainian healthcare institutions. The primary goal of the study was to understand the current utilization of telemedicine and to analyze the costs involved, with a detailed focus on the components of these costs. The findings will support efforts to enhance the purchasing mechanisms for the National Health Service of Ukraine, paving the way for further improvements in telemedicine provision.

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 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 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.

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.

LHSS in Ukraine is supporting improvements in the legislative and policy environment so as to enable expanded access to quality medical services using telemedicine. The analysis consists of 18 chapters and covers a wide range of topics, including terms and definitions related to telemedicine, its role in provision of medical care in different types of health facilities, rights and responsibilities of patients and medical professionals, and more.

This document explores the issues facing the Timorese health system, identifies the existing mechanisms for engagement between the MoH and CSOs, and offers recommendations to improve the engagement.

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. 

The English Summary for this report described the purpose of this guide which is to facilitate the implementation of Technical Health Standard N°191-MINSA/DGIESP-2022 for the prevention and management of patients affected by Mpox at the subnational level. This operational guide aims to ensure the effective implementation of the provisions established in the technical standard, to benefit the affected population and ensure access to appropriate services.