The Local Health System Sustainability Project (LHSS)

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More than 1,300 health care specialists including physicians, lab workers and nurses went through training related to Covid-19 response.
More than 1,300 health care specialists including physicians, lab workers and nurses went through training related to Covid-19 response.
USAID/Kyrgyz Republic

The Local Health System Sustainability Project (LHSS) works to address immediate needs of the Government of the Kyrgyz Republic related to prevention, detection, and response to the COVID-19 pandemic.

Duration: April 01, 2020 – May 30, 2021

Budget: $2.9 million (Kyrgyz Republic)

Implementing Partner:  Abt Associates

Key Partners: Ministry of Health, KSMIRCE, Family Medicine Centers, Hospitals, Department of Disease Prevention and State Sanitary and Epidemiological Surveillance.

Activity Locations: Bishkek City, Chui region, Osh City, Osh region.


  • Strengthening the capacity of primary health care facilities and hospitals to treat cases of COVID-19 safely and effectively
  • Enhancing infection prevention and control at health facilities
  • Expanding the disease surveillance capacities of the Ministry of Health, the State Sanitary Epidemiological Surveillance, and facility staff
  • Strengthening laboratory services
  • Supporting comprehensive country readiness to administer COVID-19 vaccines, including efforts to ensure uptake and access
  • Conducting risk communication and community engagement campaigns to address vaccine hesitancy and combat mis- and disinformation
  • Procuring commodities and supplies requested by national partners 


  • Trained more than 1,300 health care workers on diagnosis, treatment, infection control, and other public health measures to combat COVID-19.
  • The project helped the Kyrgyz health care system enhance its operating procedures and protocols to fight COVID-19 more effectively. This includes safety protocols, procedures on collection and storage of COVID-19 specimen. Nearly 70 medical facilities and labs are using these enhanced operating procedures and safety protocols.
  • As part of this project, USAID supported a number of initiatives to help manage the shortage of specialists in the fight against COVID-19. The project helped to establish special teams of trained doctors to advise health providers on managing critical COVID-19 patients in remote areas. In addition, the project supported introduction of the Universal Nurse model in three medical facilities. A universal nurse is fully trained to care for patients and can work with greater independence and efficiency.
  • Introduction of different IT solutions helped to manage large amounts of data and improve logistics related to COVID-19. The project supported upgrading the government lab data management system to manage over 500,000 COVID-19 tests and other related data. USAID also supported introduction of three information systems for timely COVID-19 diagnostics and decision-making. These information systems enabled the Kyrgyz government to monitor the receipt and distribution of humanitarian aid to health care organizations and provide remote access to PCR analyses through the state portal of e-services, and timely inform on hospital bed capacity for COVID-19 patients. In collaboration with Republican Center for Immunoprophylaxis and E-Health Centre, the project developed an online system for cold chain management of vaccines for safe and timely distribution to end users.
  • USAID procured over $1.2 million worth of priority laboratory testing equipment, personal protective equipment, and medical equipment and supplies, including high-capacity oxygen concentrators, mobile X-ray machines, and video bronchoscopes, to support hospital intensive care units.
  • USAID developed the first of its kind methodology and a training material on interpersonal communication for medical workers of Kyrgyzstan so that they could be equipped with evidence-based information.
  • The project has ensured and incorporated gender-sensitive approaches in its training materials, communications and public campaigns.

Last updated: March 09, 2022

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