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.

By now, much has been written about the egregious global inequities in COVID-19 vaccine distribution. But less has been said about another inequity that holds serious implications for global health: the disparities in genomic sequencing capacities and capabilities worldwide.

She’s a big thinker, with an illustrious background. Midori de Habich was Peru’s minister of health and chair of the South American Council of Health from 2012-2014. She has served on various WHO working groups and missions and led USAID-funded projects in Peru. Now, she is applying her expertise in financial protection and population coverage to LHSS as the project’s technical director.

In this episode, we talk with Midori de Habich & Miguel Pulido on what systems thinking means and why it matters in health systems strengthening.

This Year 3 Quarter 1 Report (Oct-Dec 2021) was prepared for USAID and provides a progress update for all annual work plan activities. 

In Year 2, LHSS supported the work of USAID missions in 17 countries, with new activities launched in Bangladesh, Madagascar, Peru, and Timor-Leste. We also began work with the USAID Bureau for Latin America and the Caribbean and we continued to expand our work with USAID Washington to enrich the global knowledge base on health system sustainability.

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.  

The Year 2 Annual Report provides a look into the geographic and technical scope of LHSS during October 2020-September 2021. The report includes stories of impact within five themes: Building Resilience, Supporting Local Capacity and Sustainability, Advancing Equitable Access to Essential Health Services, Promoting Quality Health Care, and Optimizing the Use of Health Resources. 

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? 

LHSS conducted a global evidence review on emerging models of DFS for health, and explored why, how, and under what circumstances these models contribute to universal health coverage.

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. 

In this episode, we talk with Lisa Tarantino, Director of Transition and Sustainability and explore how LHSS is developing in-country capacity to ensure a more sustainable health system.