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. 

The proliferation of mobile telephones and advances in digital financial technology have created opportunities for faster progress towards achieving Universal Health Coverage.

LHSS supports scale up and adaptation of existing vaccination programs for COVID-19 while also strengthening countries’ capacity to manage other public health efforts in the future.

This Year 2 Quarter 3 Report (April-June 2021) was prepared for USAID and provides a progress update for all annual work plan activities. 

This Year 2 Quarter 2 Report (Jan-Mar 2021) was prepared for USAID and provides a progress update for all annual work plan activities. 

This Year 2 Quarter 1 Report (Oct - Dec 2020) was prepared for USAID and provides a progress update for all annual work plan activities. 

Report highlighting early lessons and successes from the LHSS Project’s first year (August 2019-August 2020)