The Local Health System Sustainability Project (LHSS) helps countries achieve sustainable, self-financed health systems that offer quality health care for all. This fact sheet summarizes our approach and technical areas of expertise.

El Programa Comunidades Saludables de USAID (LHSS) ayuda a los países a conseguir sistemas sanitarios sostenibles y autofinanciados que ofrezcan una atención sanitaria de calidad para todos.

Given the complexity of the causes and effects of the SDoH and the multitude of stakeholders and interventions needed, this publication introduces the Theory of Change (ToC) that can help those seeking to develop interventions to address and mitigate the effect of the SDoH on health.

Routine stakeholder engagement is critical to fair and inclusive national priority setting for health, but many countries face challenges in ​​reaching key groups. This blog shares promising practices for bringing in key stakeholders and making sure the loudest voices aren’t the only ones heard.

​​​For countries wanting to strengthen health budget execution, learning about promising approaches used by others is one thing but putting them into practice is another. This blog reveals how two countries, Lao PDR and Peru, adapted promising practices and began to implement them.

Ministries of health know that priority setting is important, but explicit priority-setting processes — processes that are inclusive, transparent, and informed by evidence — often are not institutionalized. This blog shares the promising practices being used in several countries.

This brief includes a set of suggested competencies developed in collaboration with a diverse group of stakeholders from around the world who identified them as essential for the health workforce.

This report synthesizes learning from an in-depth examination of successful MOH efforts that have led to increased health budget execution. It offers a vision of good health budget execution, as well as promising practices in the areas of budget structure and processes and budget accountability.

LHSS is proud to present at the Global Digital Health Forum, December 5-7, 2022, in Arlington, Virginia.

This technical guidance document provides a summary of principal findings that highlight those complex factors including a literature review, surveys, resource mapping, case studies including key informant interviews, and the development of a theory of change.

This literature review seeks to identify, analyze, and document successful efforts to integrate Social Determinants of Health into health workforce education, training, and service delivery in low- and middle-income countries.

This case study examines how Côte d’Ivoire’s DREAMS program incorporates Social Determinants of Health elements into HIV service delivery, as well as the related processes and key lessons learned.

This case study describes and analyzes the Eswatini Nursing Council's efforts to strengthen the competence of nursing graduates to address the population’s health needs by introducing entry-to-practice competencies as the basis for a national licensing examination, and for incorporating Social Determinants of Health into these competencies.

This case study describes and analyzes Patan Academy of Health Science’s efforts and contributes to the knowledge base on how to maximize the positive impact of integrating Social Determinants of Health into the education and training of health workers.

The case study in Senegal focused on practical experiences and lessons learned when expanding financial protection to socially excluded and vulnerable groups.