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Local Health System Sustainability Project

East Africa

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People traveling through or living in Eastern Africa’s cross-border areas face heightened risk for numerous illnesses, including HIV infection, TB, malaria, and other infectious diseases. These issues are compounded by high rates of maternal and child morbidity and mortality, and stunting due to food insecurity in the region.

LHSS will work to increase access to and use of affordable, quality health care in cross-border areas of East Africa. We will partner closely with regional intergovernmental organizations (RIGOs), national governments of nine countries (Burundi, Djibouti, Ethiopia, Kenya, Rwanda, Somalia, South Sudan, Tanzania, and Uganda), cross-border authorities, the private sector, local organizations, and health service providers.

Our efforts will focus on building the capacity of RIGOs and cross-border stakeholders; enhancing governance, partnership, and coordination; improving the digitization and interoperability of cross-border health evidence generation and use; and institutionalizing financial protection systems tailored for cross-border and mobile populations.

Specific objectives include:

  • Improved and digitized cross-border health information systems in cross-border areas
  • Increased capacity of regional organizations to standardize regional health policies and regulations that affect cross-border populations
  • Strengthened regional and national financing, resource mobilization, and accountability for cross-border health

Vulnerable groups living in or crossing borders include workers in public businesses like hotels and bars; migrant workers; pastoralists; fisherfolk; female sex workers; men who have sex with men; and women, adolescents, and children.