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 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 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?”

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.

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. 

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 Spanish document summarizes the impact and learnings of the intervention Forging Healthy Environments carried out by the Sidoc Foundation for the strengthening of socio-emotional and citizenship skills.

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.

This report presents findings from December 2022 assessment of medical-grade liquid oxygen capabilities and availability for use in health facilities in the Kyrgyz Republic.

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 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?”