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Building Sustainable, Resilient Health Systems


  • 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.
  • Our partners will be able to sustain quality health services and improve health outcomes.
The Challenge

Low- and middle-income countries are committed to universal health coverage (UHC) and better primary health care but steps must be taken to support their getting 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) will work with up to 52 countries to strengthen their health systems as a means to achieve UHC and improve population health and well-being. Interventions will focus on reducing financial barriers, holding health services accountable for meeting all clients’ needs and making sure that the care patients receive meets minimum standards. To help countries transition away from donor support, the project will team with local organizations to co-design interventions—with local actors leading implementation.

The Results

The $209 million, five-year project (2019-2024) is supported by USAID’s Office of Health Systems. Country activities are underway in Jordan and are expected to begin soon in Colombia and Zimbabwe.

At the global level, LHSS is working to help governments strengthen health budget execution, establish processes for setting health priorities, obtain accurate data on pharmaceutical expenditures, and explore whether and how digital savings and insurance services improve financial protection and health system performance. This pragmatic, problem-solving work will benefit ministries of health around the world while advancing USAID’s approach to working with national governments on sustainable financing for the health sector. LHSS is also working to improve health care quality through stronger governance arrangements, and helping private health innovators in Africa and India scale up and succeed.

Learn more:

Header Photo: Valérie Baeriswyl for Communication for Development

Australia & Asia Pacific
Latin America & the Caribbean
Middle East & North Africa
South & Central Asia
Sub-Saharan Africa