USAID Local Health System Sustainability Project (LHSS) in Bangladesh works with 14 local government institutions (LGIs) to improve primary health care for urban poor! Watch how LHSS helped Habiganj Municipality to transform an abandoned building into a fully functional primary health care center, serving over 100,000 people in need!  

This learning brief can be used as a resource for HRH managers, planners, program managers, and frontline practitioners to learn how other countries are approaching and successfully designing and implementing solutions to their HRH challenges. It can also be used as a reference for health policy makers, funders, and implementing partners to inform the design and implementation of HRH resource optimization initiatives covered in this brief.

The USAID Health System Sustainability Activity in Timor-Leste continues to support the Ministry of Health in strengthening the existing community health system and expanding the CBM-Health approach to additional villages.

This brief presents the achievements of two NGOs that received grants to conduct risk communication and community engagement work under the LHSS Project in the Kyrgyz Republic. It examines the grants’ capacity strengthening impact on the two organizations, describes lessons learned, and provides recommendations for donors, implementing partners, and local government partners implementing similar programs.

This brief presents work completed under the LHSS Kyrgyz Republic Activity Intervention 4: Enhance Cold Chain System. LHSS worked with key government stakeholders, including the Republican Center of Immunoprophylaxis, to digitalize and update components of the country’s vaccine registry and complement these updates by adding additional functionalities for cold chain tracking and management.

This two-pager focuses on USAID’s Learning Question 1, “What are the contributions of systems thinking approaches and tools to changes in health system outcomes? How do systems thinking approaches affect health system outcomes?”

This two-pager focuses on USAID’s Learning Question 5, “What are effective and sustainable mechanisms or processes that enable the participation of private sector, civil society, and public organizations in developing locally-led solutions to improve high-performing health care, especially for poor and vulnerable populations? What enables the effective participation or leadership of marginalized populations themselves in the development and implementation of these solutions? Under what conditions is this participation different?”

This video captures Timor-Leste’s progress in increasing COVID-19 vaccination coverage and strengthening the capacity of health care professionals – efforts supported by LHSS’s local NGO partner HAMNASA.

This two-pager focuses on USAID’s Learning Question 2, “What conditions or factors successfully facilitate the institutionalization and/or implementation at scale of good practices that improve health system outcomes, and why? What are lessons learned regarding planning for sustainability and achieving results at scale?”

This video shares the testimonials and progress made on the collaborative work achieved between territorial entities and community-based organizations as a result of the capacity-building process carried out by the Healthy Communities program to promote the inclusion of the migrant population in Colombia's general social security system in health.

In this video, learn how Colombia is strengthening HSS through: strengthening governance, promoting sustainable financing, accessing the provision of health services, and emergency response.

Ukraine is facing extraordinary challenges to its health system amidst the Russian invasion, including attacks on Ukrainian medical facilities and infrastructure. To restore and maintain critical health services to Ukraine’s dispersed population, the Ministry of Health is strengthening its capacity to offer medical consultations via telemedicine. This two-page Progress Update describes LHSS technical assistance for the effort and results as of January 2023.

2022 marked Vietnam's 10-year journey to sustain its HIV response with domestic financing (2013 – 2022).  The country now stands out as a global example for sustainability and domestic resource mobilization for its HIV program.

This video was followed by a presentation from USAID’s M-RITE project and several sessions on the breadth and depth of the LHSS Activity’s interventions.

The Russian invasion of Ukraine has caused many doctors to leave the country, compromised patients’ safety when seeking care, and displaced large portions of the population away from their primary health care providers. A strong national telemedicine system will be key to assuring access to health services for Ukrainians, now and in the future. Experiences from other conflict/disaster areas may provide insights, helping Ukraine assess and implement its own telemedicine response.