Caribbean HSA and Guyana HSA

Guyana: The HSA in Guyana piloted a stronger stakeholder engagement methodology which resulted in cross-cutting recommendations prioritized by local stakeholders as follows: (1) Improve coordination among different stakeholders and within the MOH; (2)Strengthen data availability and quality; (3) Create synergies between health system components and programs; (4) Decentralization of authority and services and (5) Expand MOH planning efforts to include a wider range of health system

Caribbean: HSAs have been conducted through-out the Caribbean, with an emphasis on HIV as defined by the USAID client there. Findings from Antigua and Barbados suggested four key areas for strengthening the health system and sustaining the HIV response: (1) Investing in financial analysis (costing) to inform strategic planning; (2) Prioritizing updates and passage of key legislation and gazetting of regulations to enforce enacted laws; (3) Improving access, efficiency, and quality at all levels of care and (4) Pursuing opportunities to engage the private sector as a partner.