This brief documents successful approaches for achieving and sustaining high enrollment rates in the informal sector, aiming to facilitate replication across other states in Nigeria. 

This policy brief analyzes primary health care spending in Timor-Leste and provides recommendations for its improvement. It describes progress in implementing the Health Financing Strategy in 2019-2023 in reference to PHC, issues affecting spending efficiency, and quality of services at PHC providers.

The report is a guide for Civil Society Organizations on methods of effective advocacy for improving health outcomes. It explains what a health system is, outlines advocacy’s relationship to health, and describes planning health advocacy and its stages.  

LHSS advances the priorities of the USAID HIV/AIDS and Tuberculosis (HAT) Office by strengthening HIV/AIDS financing through improved government expenditure and financial risk protection schemes, while also conducting a landscape analysis of financing arrangements and public financial management processes to lay the foundation for effective implementation with state-specific institutions in Kano State.

This report presents the findings of a Gender Equality and Social Inclusion (GESI) analysis conducted by the USAID/Nigeria Local Health Systems Sustainability Project (LHSS) in the HPN States of Nasarawa, Plateau, and Zamfara. 

In Madagascar, community-based health insurance programs, known as mutuelles, are helping make health care more affordable for vulnerable populations. Through regular contributions, community members build a shared pool to cover health service costs when needed. Since 2023, LHSS has been supporting the Malagasy government in piloting this approach.

This brief discusses promising practices for working with government and non-government stakeholders to strengthen health planning and budgeting at the subnational level. The practices also highlight why and how to put subnational level actors at the forefront of any reforms to improve health outcomes through resource optimization.

The Ministry of Health and Social Services in Namibia, with support from LHSS, held a 3-day workshop to equip the media with skills for accurate, sensitive reporting on UHC. The training covered UHC's importance, health emergency reporting, and data interpretation.

This brief introduces implementation research as an effective means to addressing health equity challenges and offers country examples illustrating how the approach can enhance equity in the broader context of health system strengthening.

The large-scale delivery of high-quality, integrated, preventive, promotive, and curative health services presents a formidable challenge to health systems. Equity-enhancing implementation research is essential to improving the ability of health systems to provide this care equitably and achieve goals for universal health coverage (UHC). This brief provides examples of how implementation research can address equity challenges and offers recommendations for practitioner consideration. This brief identifies specific ways implementation research can address health systems equity challenges with emphasis on the following:

• Bridging the often-substantial gap between design and implementation reality of pro-poor policies and strategies

• Increasing accountability for equity-enhancing outcomes as programs scale-up by explicitly measuring and accounting for equity-related variables

• Empowering disadvantaged groups to influence programs and policies intended for their benefit

Learn about our speakers for this session on "Achieving change in complex health systems: How to understand the effects of integrated interventions on health systems performance" at HSR 2024. 

Ce cours se concentre sur les processus utilisés par les pays pour définir les priorités en matière de santé qui se reflètent dans les politiques nationales de santé.

In a milestone decision, the Peruvian Congress has passed legislation that extends temporary health insurance coverage to migrants diagnosed with HIV and tuberculosis (TB). 

Key stakeholders in Jamaica convened for a two-day One Health workshop to enhance the country's ability to manage public health emergencies. Supported by the LHSS Jamaica Activity, this multisectoral event brought together health, agriculture, and environmental leaders to develop a coordinated response to emerging health threats. 

Through her leadership, Giselle Cardona, a 38-year-old nurse, helped Cartagena expand the number of health centers providing care for pregnant women from 9 to 45. As the Director of the El Pozón Subnetwork, Giselle worked tirelessly to improve the quality of maternal care and reduce risks associated with maternal mortality. Her collaboration with LHSS Colombia played a key role in strengthening health services for pregnant women, regardless of nationality.