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?”

This technical guidance document provides a summary of principal findings that highlight those complex factors including a literature review, surveys, resource mapping, case studies including key informant interviews, and the development of a theory of change.

The case study in Senegal focused on practical experiences and lessons learned when expanding financial protection to socially excluded and vulnerable groups.

The case study shows the literature and previous work on health equity to identify promising approaches and strategies from Senegal’s experience to ensure more equitable financial protection, particularly for underserved and socially excluded populations.

Through an LHSS-Joint Learning Network learning exchange, health practitioners from seven countries are sharing successful experiences and promising practices to institutionalize explicit national priority-setting processes for health. The goal? To help countries set equitable national health priorities and ensure that these priorities are reflected in national health plans and budgets.

This brief explores ways in which digital tools and systems can be used successfully and responsibly to advance SBC interventions in support of health system strengthening, and provides recommendations for future programming and areas of research.

This report provides results and lessons learned from the LHSS Project’s review of existing literature on expanding financial protection to underserved and socially excluded populations in LMICs.

By now, much has been written about the egregious global inequities in COVID-19 vaccine distribution. But less has been said about another inequity that holds serious implications for global health: the disparities in genomic sequencing capacities and capabilities worldwide.

This Practice Spotlight brief describes outcome harvesting, a monitoring, evaluation, research, and learning approach that can help tease out the specific impacts of HSS interventions conducted in complex environments, where many factors may influence an outcome.

In this webinar, we’ll listen to experiences and lessons from health system strengthening activities that have used two promising approaches: contribution analysis and outcome harvesting.

This Practice Spotlight brief describes contribution analysis, a monitoring, evaluation, research, and learning approach well-suited for examining the effects of HSS interventions conducted in complex environments, where the causes of change are multifaceted and difficult to trace.

This strategy document lays out how the LHSS Project will support country partners in moving towards greater gender sensitivity, responsiveness, and ultimately transformation in their health systems.

It is easy to fall back on the habit of using catchall terms like “vulnerable groups” to refer to many different people, but relying on these terms can have a harmful unintended consequence.  

Guided by USAID’s Gender Equality and Female Empowerment Policy (2012), GESI guidance developed by USAID Missions, and the LHSS GESI Strategy, LHSS is committed to implementing five GESI standards to ensure that local health systems meet everyone’s needs for access to quality essential health services.