This brief identifies systems considerations for CHW career progression, including health workforce education and training, regulation and policy, management, and financing.

This brief includes a global evidence review of DFS for health conducted by LHSS and an analysis of two programmatic case studies of DFS for health by Management Sciences for Health (MSH) through the Digital Square initiative.

This brief highlights the recent shifts in health systems practice toward more explicitly incorporating an SBC lens in social accountability activities that aim to improve overall health system performance and address inequities. The brief synthesizes the growing body of evidence on the role social accountability plays in increasing accessibility to better-quality health care services and uses case studies and lessons learned to highlight how SBC approaches can be more explicitly integrated into this aspect of HSS programming.

This brief builds on the USAID Local Health System Sustainability Project (LHSS) Strengthening Governance report (2022) and global National Quality Policy and Strategy (NQPS) survey, aiming to provide practical examples and considerations for country practitioners to consider on their quality journeys. It includes case studies of three countries that have used NQPS to mobilize and align resources for quality.

This learning brief captures LHSS’s experience in supporting municipal-level partners through the contracting process and distills emerging lessons to inspire other municipalities to pursue public-private partnerships as a vehicle for expanding access to urban PHC services.

This brief presents what LHSS has learned through applying a systems thinking approach to its support for HSCs’ advocacy efforts in expanding PHC services in urban Bangladesh.

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.

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 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?”

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.

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.

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.