The Local Health System Sustainability (LHSS) Project will explicitly integrate gender equality and social inclusion (GESI) into all project activities to maximize the effectiveness of programming and strengthen inclusive health systems. By integrating GESI throughout project implementation, LHSS will further partner countries on their journeys towards self-reliance. GESI considerations are implicit in meeting the LHSS objectives of financial protection, population coverage, and service coverage. The project has therefore developed this strategy in alignment with USAID’s Gender Equality and Female Empowerment policy and other key Agency and U.S. government policies to guide project activities.