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 brief highlights learnings from working with local government leaders of two city corporations and ten district-level municipalities from the Rajshahi and Sylhet divisions 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.

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.