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. 

LHSS Bnagladesh is helping to identify and implement localized solutions to ensure that urban residents can access and afford high-quality primary health care services.

New efforts will make health care more affordable for residents in 10 municipalities.

The purpose of the assessment, conducted in 2021 by Two Oceans in Health for the LHSS Latin America and Caribbean Activity, was to understand the Dominican Republic context for expanding social health protection to migrant women.

Both Ghana and Bangladesh have implemented health budget accountability mechanisms. Their experiences offer practical lessons that other countries can adapt to their own budget execution needs. 

Late last year, health sector practitioners from eight countries met to tackle the issue head-on as participants in the Joint Learning Network Health Budget Execution Learning Exchange. They made meaningful progress.

In the Dominican Republic, the dual impact of large numbers of migrants and a health system overwhelmed by COVID-19 has meant that fewer health services are available for migrant women. LHSS is working to improve health protection for the country’s migrant women, most of whom come from Haiti.

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? 

The proliferation of mobile telephones and advances in digital financial technology have created opportunities for faster progress towards achieving Universal Health Coverage.