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Local Health System Sustainability Project (LHSS)

HIGHLIGHTS

  • In communities worldwide, many people can’t pay for health care and quality is substandard.
  • Abt is helping countries reform health financing, improve coverage for those most in need, and deliver quality services.
  • Governments will be able to sustain equitable access to quality, affordable health services.

PROJECT

Local Health System Sustainability Project (LHSS)

The Challenge

Low- and middle-income countries are committed to universal health coverage (UHC) and better primary health care but they sometimes need targeted support to get there. Governments and health providers have to become more accountable. Health financing needs to be improved so people don’t risk financial crisis when they seek health care. Poor, underserved, and socially excluded groups must be ensured equitable access to health care. And more attention must be paid to quality, so that essential health services do what they’re meant to do: improve health and survival.

The Approach

The Abt-led, USAID-funded Local Health System Sustainability Project (LHSS) helps countries around the world transition to sustainable, self-financed health systems as a means to support access to UHC and improve population health and well-being. Activities focus on reducing financial barriers, improving access to essential health services, and making sure that the care patients receive meets minimum standards. To ensure sustained progress and prepare countries to transition away from donor support, the project teams with local organizations to understand local realities and jointly design and implement tailored solutions.  

The Results

The $209 million, five-year project (2019-2024) is supported by USAID’s Office of Health Systems. Regional and country activities are underway across Latin America and the Caribbean, East and Southern Africa, the Middle East, and Asia. LHSS is also assisting countries with COVID-19 pandemic response needs while boosting the resilience of their health systems to future shocks.

At the global level, LHSS is generating evidence, resources, and insights that will help governments make progress on common challenges like institutionalizing transparent national priority-setting processes for health; fully executing health budgets; engaging with the private sector; addressing the social determinants of health; and operationalizing policies to improve the quality of health care.

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Header Photo: Valérie Baeriswyl for Communication for Development

Read More About the LHSS Project

Cambodia’s Social Protection Program Enters the Digital Age

Abt played a key role in helping Cambodia create a network with interoperable data management systems to improve the impact of its social protection programs.

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Reaching the Hardest to Reach: Improving Access and Affordability of Private Sector Health Services for Low-Income Urban Women in Afghanistan

In Afghanistan, Abt Global has worked with USAID to restore access to affordable healthcare by supporting local private health organizations.

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Local Digital Innovation Improves Family Planning in Uganda

An LHSS grant helped a Ugandan pharmacy expand an e-Pharmacy platform to include more family planning (FP) products and train staff to provide FP counseling.

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Funding Model Helps Bangladesh Expand Primary Health Care

Some municipalities fund primary health care services in urban areas of Bangladesh.

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Collaboration Improves Health Insurance Coverage in Nigeria

Abt helped two Nigerian agencies collaborate to increase access to health insurance.

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Abt Gives Kyrgyz Health Workers Tools to Fight Vaccine Misinformation

The USAID-funded, Abt-led Local Health System Sustainability Project gave Kyrgyz Republic health workers tools to fight COVID-19 vaccine misinformation.

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USAID Completes Uzbekistan COVID-19 Emergency Response Activity

The Abt-led Local Health System Sustainability COVID-19 Response Activity played a key role in helping Uzbekistan combat COVID-19.

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Humanitarian Assistance or System Strengthening? Both Are Needed for Migrant Health

The USAID-funded, Abt-led Local Health System Sustainability project helps develop system strengthening strategies for aid migrants in LAC countries.

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Reorganizing Nurses’ Work for COVID-19 and Beyond

The Universal Nurse Model offers efficient use of nursing resources to help Kyrgyzstan’s healthcare system cope with COVID-19.

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LHSS Supports COVID-19 Vaccination Efforts

LHSS Project is collaborating with country partners to strengthen systems and advance vaccine equity.

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Helping Get Vital COVID-19 Information to Colombia’s Underserved Populations

Rapid response teams in Colombia are traversing roads, mountain paths, and rivers to help health officials contain the spread of COVID-19.

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Answering the Call: Helping Field 5,000 COVID-19 Questions a Day in Laos

The LHSS project helped the government of Laos expand its national hotline capacity to prevent a potential surge in COVID-19 cases.

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Building Lab Skills in Tajikistan for COVID-19 and Beyond

The Abt-led USAID LHSS project helped strengthen the capacity of laboratory specialists in Tajikistan to perform high-quality COVID-19 tests.

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Sustainable Systems Strengthening: “There Are No Cookie Cutter Solutions”

Midori de Habich is technical director of the Abt-led Local Health System Sustainability Project (LHSS), USAID’s global flagship activity in health systems strengthening.

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Local Health System Sustainability Project

Local Health System Sustainability Project

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Resource