Learning and knowledge sharing are fundamental to the LHSS Project. We invite you to search LHSS knowledge products and resources for the latest approaches, insights, and learning in the field of integrated health systems strengthening.
El documento presenta una evaluación de la metodología desarrollada para apoyar a los prestadores de servicios de salud en el uso de una herramienta web. Esta herramienta permite analizar la capacidad instalada y suficiencia para la implementación de las Rutas Integrales de Atención en Salud (RIAS), específicamente las rutas de Promoción y Mantenimiento de la Salud (RPMS) y Materno-Perinatal (RIAMP). La metodología fue validada en cinco territorios priorizados: Barranquilla, Bucaramanga, Cúcuta, Riohacha y Santa Marta. Los resultados mostraron una alta aprobación de los materiales y sesiones de asistencia técnica, con un 92,9% de los participantes calificando positivamente. Se destacaron recomendaciones para mejorar el proceso, como asegurar la disponibilidad de tiempo para los participantes y garantizar el acceso a la herramienta durante las sesiones. La metodología validada será utilizada por el Ministerio de Salud y Protección Social para apoyar a los prestadores en la implementación de las RIAS
The Comprehensive Healthcare Pathways (RIAS) are policy instruments used to deliver primary health care services in Colombia, with a focus on two priority pathways - Health Promotion and Prevention (RPMS) and Maternal-Perinatal Health Care (RIAMP). To support implementation, the Local Health System Sustainability (LHSS) project developed a web tool for analyzing primary care providers' capacity to deliver these pathways. LHSS then created and validated a methodology for the Ministry of Health to provide technical assistance to providers on using this tool. The validation was conducted in three phases across five territories, involving developing materials, testing with provider teams, and incorporating feedback. Results showed high approval ratings for the technical assistance sessions, with over 90% of participants agreeing or strongly agreeing with positive statements about the methodology. Some recommendations were made to improve the process, such as ensuring participant availability and tailoring content to different provider types.
Este anexo presenta las dimensiones de las prestaciones de salud en detalle, incluyendo las recomendaciones, las fuentes de trabajo, actividades, líneas de tiempo, y las organizaciones responsables.
El Programa Comunidades Saludables colaboró con el Gobierno Colombiano para identificar oportunidades de optimización en el Sistema General de Seguridad Social en Salud (SGSSS). Utilizaron la Guía de Eficiencia Técnica de USAID (GET) adaptada al contexto colombiano.
LHSS collaborated with the Colombian Government to identify opportunities for optimization in the General Social Security Health System (SGSSS). Using USAID's Technical Efficiency Guide (TEG) adapted to the Colombian context.
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.
The report outlines the main strategies recommended to address technical inefficiencies and improve the health system's capacity to integrate the Venezuelan migrant population in Colombia.
El informe detalla los esfuerzos de LHSS desde 2020 hasta 2023 en colaboración con el Gobierno de Colombia para mejorar la prestación de servicios de salud a las poblaciones migrantes, con un enfoque en la sostenibilidad financiera. Al implementar la Guía de Eficiencia Técnica de Sistemas de Salud (GET) de USAID, el Ministerio de Salud y Protección Social, el Departamento Nacional de Planeación y LHSS, se buscó mejorar la eficiencia en la asignación de recursos dentro del sector salud. La GET, que incluye cuatro grupos analíticos tradicionales—prestación de servicios, fuerza laboral en salud, productos farmacéuticos y financiamiento y gobernanza—se amplió para incluir un quinto grupo, Sistemas de Información, para satisfacer las necesidades específicas de Colombia. LHSS adaptó la guía mediante análisis de expertos y discusiones participativas con actores clave para identificar ineficiencias y proponer recomendaciones prácticas. El informe detalla las principales estrategias recomendadas para abordar estas ineficiencias y mejorar la capacidad del sistema de salud para integrar a la población migrante venezolana.
This brief introduces implementation research as an effective means to addressing health equity challenges and offers country examples illustrating how the approach can enhance equity in the broader context of health system strengthening.
With investment of nearly $60 million, LHSS supported USAID's COVID-19 response in 11 countries in Latin America and the Caribbean, the Middle East, Central Asia, and Southeast Asia, between March 2020 and September 2023.
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 implementation guide provides details on how project teams and local partners may implement the various approaches contained in the strategy, including tools and templates that may be adapted to country and activity contexts.
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.