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.

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.

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.

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.

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 learning brief captures LHSS’s experience in supporting municipal-level partners through the contracting process and distills emerging lessons to inspire other municipalities to pursue public-private partnerships as a vehicle for expanding access to urban PHC services.

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.

USAID Local Health System Sustainability Project (LHSS) in Bangladesh works with 14 local government institutions (LGIs) to improve primary health care for urban poor! Watch how LHSS helped Habiganj Municipality to transform an abandoned building into a fully functional primary health care center, serving over 100,000 people in need!  

The USAID Health System Sustainability Activity in Timor-Leste continues to support the Ministry of Health in strengthening the existing community health system and expanding the CBM-Health approach to additional villages.

This brief presents work completed under the LHSS Kyrgyz Republic Activity Intervention 4: Enhance Cold Chain System. LHSS worked with key government stakeholders, including the Republican Center of Immunoprophylaxis, to digitalize and update components of the country’s vaccine registry and complement these updates by adding additional functionalities for cold chain tracking and management.

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?”

This video shares the testimonials and progress made on the collaborative work achieved between territorial entities and community-based organizations as a result of the capacity-building process carried out by the Healthy Communities program to promote the inclusion of the migrant population in Colombia's general social security system in health.