This page is optimized for a taller screen. Please rotate your device or increase the size of your browser window.

Local Health System Sustainability Project (LHSS)


  • 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.
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.

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