Local Health System Sustainability Project

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Once one of southern Africa’s most vibrant, productive, and resilient countries, Zimbabwe has experienced a series of political and economic crises over the past decade that have led to a weakening in public health, education, and infrastructure performance. Following significant past gains, there are indications that Zimbabwe’s mortality and morbidity rates may be rising again due to an under-resourced health delivery system. The Government of Zimbabwe wants to sustain essential health services, but lacks a complete, evidence-based understanding of where the highest-priority gaps and needs currently lie.

LHSS will conduct a health systems assessment for the Government of Zimbabwe, resulting in a comprehensive, evidence-based, system-wide picture of the health system in its current state. The assessment will cover human resources for health, health financing, governance, commodities, service delivery, and health information. Based on the results, LHSS will provide recommendations for sustaining the availability, accessibility, use, and quality of Zimbabwe’s health programs in a climate of continued economic weakening. The government will use the baseline data from the assessment to monitor the performance of its health system in the short to medium term, and to inform key decisions in the health sector.