To explore the use of people-centered metrics in HIV care, a set of six people-centered indicators for HIV care and an indicator survey tool were developed to collect data on the metrics via client interviews. This brief summarizes findings and draws recommendations from an exploratory qualitative study to assess the acceptability, feasibility, integrability, and relevance of both the indicators themselves and the indicator survey tool employed to gather client data.

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 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?”

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.

This workshop marks a significant step towards enhancing health care in urban Bangladesh by uniting the Local Government Division, 11 municipalities, and 3 city corporations in a shared commitment to improve access and effectiveness of primary health care delivery.

This brief identifies systems considerations for CHW career progression, including health workforce education and training, regulation and policy, management, and financing.

This brief includes a global evidence review of DFS for health conducted by LHSS and an analysis of two programmatic case studies of DFS for health by Management Sciences for Health (MSH) through the Digital Square initiative.

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 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.