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.

In this webinar, we discuss conditions that facilitate the institutionalization of practices that improve health system outcomes. 

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!  

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

During this webinar, we use the HSS Evidence Gap Map to explore measurement tools and approaches that have been used to estimate impact of HSS interventions on health systems outcomes.

The Evidence Gap Map identifies existing literature examining the impact of health systems strengthening on health outcomes. Evidence is organized around USAID's Health System Strengthening Learning Agenda.

This two-pager focuses on USAID’s Learning Question 3, “What measurement tools, approaches, and data sources, from HSS or other fields, are most helpful in understanding interrelationships and interactions, and estimating impact of HSS interventions on health system outcomes and priority health outcomes?”

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 document describes the process to be followed for the regular revisions of the EHSP and presents important elements that support the updating, so that an EHSP that is a sustainable, equitable, and accessible—within financial and other constraints—is delivered to the population.

LHSS is supporting local government institutions in Bangladesh’s densely populated Rajshahi and Sylhet Divisions to expand access to primary health services and reduce out-of-pocket expenditures for low-income urban residents.