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This strategy document lays out how the LHSS Project will support country partners in moving towards greater gender sensitivity, responsiveness, and ultimately transformation in their health systems.
It is easy to fall back on the habit of using catchall terms like “vulnerable groups” to refer to many different people, but relying on these terms can have a harmful unintended consequence.
For countries facing a large influx of migrants, the best way to ensure that these new members of society have sustained access to essential health services is to have a long-term strategy – one that builds on existing health platforms.
In the Dominican Republic, the dual impact of large numbers of migrants and a health system overwhelmed by COVID-19 has meant that fewer health services are available for migrant women. LHSS is working to improve health protection for the country’s migrant women, most of whom come from Haiti.
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.
Population movement of this magnitude places huge stress on health systems in receptor countries. How can health care for migrants be financed? How can health system capacity be expanded? And how can health sector policies and national migration policies be harmonized?
The events of the past 18 months underscore the importance of generally strong, equitable, and accessible health systems. COVID-19 is not the only threat we face, and as we prepare for the future it is critical that we begin to sufficiently invest in the foundational health system strengthening required to develop lasting resilience.
Mobile phones, mobile money, and other advances in digital financial technology create new opportunities to speed progress towards universal health coverage.
Guided by USAID’s Gender Equality and Female Empowerment Policy (2012), GESI guidance developed by USAID Missions, and the LHSS GESI Strategy, LHSS is committed to implementing five GESI standards to ensure that local health systems meet everyone’s needs for access to quality essential health services.