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 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?”

Through energetic and broad stakeholder collaboration, the country’s long-stalled effort to pass a UHC policy has gained momentum.

In a municipality where over 100,000 people had no access to basic health services, stakeholders joined together to open a primary health center that now serves thousands of households.  

Improved internet connectivity and capacity strengthening have increased timeliness and completeness of health data reporting in Timor-Leste. That makes all the difference for the country’s health officers.

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.

With LHSS support, the Ministry of Health in Ukraine is connecting health facilities with telemedicine equipment, training physicians and patients, and forging other parts of an impactful telemedicine system: policies, transparent financing arrangements for services, and agreed-upon roles among stakeholders.

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.

This brief presents what LHSS has learned through applying a systems thinking approach to its support for HSCs’ advocacy efforts in expanding PHC services in urban Bangladesh.

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 two-pager focuses on USAID’s Learning Question 5, “What are effective and sustainable mechanisms or processes that enable the participation of private sector, civil society, and public organizations in developing locally-led solutions to improve high-performing health care, especially for poor and vulnerable populations? What enables the effective participation or leadership of marginalized populations themselves in the development and implementation of these solutions? Under what conditions is this participation different?”

New capacities in delivering remote care are saving lives and strengthening Ukraine's health system resilience. 

This two-pager focuses on USAID’s Learning Question 2, “What conditions or factors successfully facilitate the institutionalization and/or implementation at scale of good practices that improve health system outcomes, and why? What are lessons learned regarding planning for sustainability and achieving results at scale?”