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 analysis identified several inefficiencies related to how the financial budget and other financial resources are allocated and spent. It also presented potential actions that can improve resource allocation within the MoHSS budget and address some of the challenges identified during the analysis.

This process guide outlines an iterative process to support budgetary allocation decisions aligned with regional populations and needs as prioritized in the EHSP. The process guide proposes a broad decision-making framework that can be used to review current practices and move toward more efficient approaches in resource allocation.

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.

This PSCSE landscape report was compiled using evidence generated from a comprehensive documentary review and selected key informant interviews conducted to gain insight into the status of implementation of existing PPPs, and the challenges, lessons learned, and success stories.

The Namibian government has a long history of working with the private sector to deliver essential health services. However, the engagement between the Ministry of Health and Social Services (MOHSS) and private sector actors within the health sector is mostly through ad hoc interactions during national campaigns, planning processes and service delivery. Thus, there is a need for more-coordinated and more-strategic engagement to effectively leverage the private sector's capacity and strategically position the private sector’s role in advancing universal health coverage (UHC).

In Bangladesh, LHSS has built relationships with ministries, departments, and development partners to support its objective of assisting urban primary health care delivery. This newsletter provides detailed information about the latest news, updates, and activities in Bangladesh.

Both Ghana and Bangladesh have implemented health budget accountability mechanisms. Their experiences offer practical lessons that other countries can adapt to their own budget execution needs. 

Late last year, health sector practitioners from eight countries met to tackle the issue head-on as participants in the Joint Learning Network Health Budget Execution Learning Exchange. They made meaningful progress.

A review of health financing work in Namibia by the Health Finance and Governance Project.

An analysis of Namibia health financing reform by the Economic Association of Namibia.

Poor budget execution results in inefficiencies that undermine the ability of health agencies to improve access to needed health services and improve population health. Yet billions of dollars in unexecuted health budgets are returned to treasuries every year. 

The proliferation of mobile telephones and advances in digital financial technology have created opportunities for faster progress towards achieving Universal Health Coverage.