Russia’s full-scale military invasion of Ukraine has created unprecedented challenges for the country’s health care system. Significant destruction of health care infrastructure has limited access to health services, and massive displacements of people have significantly complicated the process of providing and receiving health services. This context has given rise to an urgent need to provide health services, especially in remote and frontline areas where traditional in-person access to health services is severely limited or impossible.

This report analyzes the experience of introducing telemedicine solutions with the technical assistance of LHSS in Ukraine. It highlights the results, analyzes the experience, and presents best practices, challenges, and lessons learned. Additionally, this report provides recommendations for further utilization of extant and future telemedicine solutions both during martial law and after its repeal. The information presented in the report is intended to be useful for central and local authorities, health facilities, and telemedicine solution providers. It will also be of interest to those who wish to start using telemedicine solutions in the delivery of health services.

This brief highlights Timor-Leste's health progress over the last two decades. It provides an analysis of government expenditures and offers recommendations to improve PHC financing, budget execution, and service quality. The focus is on enhancing financial protection, increasing resource management efficiency, and ensuring sustainable investments in PHC to advance health outcomes and universal health coverage.

Russia’s full-scale military invasion of Ukraine has created unprecedented challenges for the country’s health care system. Significant destruction of health care infrastructure has limited access to health services, and massive displacements of people have significantly complicated the process of providing and receiving health services. This context has given rise to an urgent need to provide health services, especially in remote and frontline areas where traditional in-person access to health services is severely limited or impossible.

This report analyzes the experience of introducing telemedicine solutions with the technical assistance of LHSS in Ukraine. It highlights the results, analyzes the experience, and presents best practices, challenges, and lessons learned. Additionally, this report provides recommendations for further utilization of extant and future telemedicine solutions both during martial law and after its repeal. The information presented in the report is intended to be useful for central and local authorities, health facilities, and telemedicine solution providers. It will also be of interest to those who wish to start using telemedicine solutions in the delivery of health services.

At the end of 2022, the Local Health System Sustainability project (LHSS) analyzed the development of telemedicine in Ukraine and found a significant increase in the demand for telemedicine services in the previous few years. This was due to a combination of the COVID-19 epidemic and full-scale war initiated by Russia against Ukraine. LHSS supported the Government in drafting and ultimately approving a national Strategy for the Development of Telemedicine in Ukraine. In this strategy, one of the priority tasks was to define and further develop priority telemedicine services. This includes the development of technical models, algorithms, and business processes for interaction during the provision of medical assistance using telemedicine, as well as expansion of the functionality of the central database of the electronic health record system (EHRS) and medical information systems (MIS) in the field of telemedicine. 

This report evaluates the resources dedicated to telemedicine services in Ukrainian healthcare institutions. The primary goal of the study was to understand the current utilization of telemedicine and to analyze the costs involved, with a detailed focus on the components of these costs. The findings will support efforts to enhance the purchasing mechanisms for the National Health Service of Ukraine, paving the way for further improvements in telemedicine provision.

As USAID’s flagship health initiative in Timor-Leste, the USAID Health System Sustainability Activity made significant contributions over the past four years, strengthening Timor-Leste's health system in financing, governance, and service delivery.  Key achievements include the advancement of health system governance, establishment of a Health Financing Unit (HFU) to oversee the Timor-Leste Health Financing Strategy, and creation of the Health Management Information System (HMIS) Technical Working Group to ensure ongoing data quality improvement.

Featured as part of the Closing Ceremony for the Activity in June 2024, this video highlights work of the USAID Health System Sustainability Activity in supporting Timor-Leste build a self-reliant health system that is well-governed, efficient, accountable, and responsive to people’s needs.

Watch the video recording of the Closing Ceremony for the Timor-Leste Activity, which was held in Dili on June 14, 2024.

This report evaluates the resources dedicated to telemedicine services in Ukrainian healthcare institutions. The primary goal of the study was to understand the current utilization of telemedicine and to analyze the costs involved, with a detailed focus on the components of these costs. The findings will support efforts to enhance the purchasing mechanisms for the National Health Service of Ukraine, paving the way for further improvements in telemedicine provision.

The health labor market analysis aims to provide an overview and analysis of the current status of the health workforce in Timor-Leste. The findings will serve as an essential resource for the MOH in building and managing a health workforce that is fit-for-purpose and fit-for-practice, as it develops the next iteration of the multi-year NSPHRH.

This report summarizes the findings of said assessment conducted by the MOH’s newly established Cabinet for Licensing and Registration of Health Activities with support from the Activity.

USAID and the MOH collaborated to improve health workforce management in Timor-Leste, focusing on job descriptions and evaluations. Moving forward, in-person training and institutionalization are recommended for sustainable implementation, aiming to enhance health care services and employee development.

This document outlines the strategic process of establishing a Health Financing Unit (HFU) by the Ministry of Health(MOH) and USAID Health System Sustainability Activity(the Activity). It highlights key milestones, challenges, and lessons learned, emphasizing stakeholder engagement and tailored capacity building.

USAID | Timor-Leste and the Ministry of Health launched a groundbreaking initiative to bolster professional competence of health professionals to deliver and improve quality of health care services in Timor-Leste.

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.