Health systems in fragile and conflict-affected states

Healthcare in fragile and conflict-affected states (FCAS) remains a real challenge, with poor performance on many health-related goals. But little evidence exists on appropriate approaches for health systems strengthening in such settings. The Thematic Working Group on Health Systems in Fragile and Conflict Affected States (TWG-FCAS), part of Health Systems Global.

One of the key objectives of the TWG-FCAS is to support the awareness and dissemination of current and new knowledge, and to support its translation into policy and practice. This collection of resources on the Eldis platform and associated Key Issue Guides are supporting these objectives.

For more information and to join the TWG-FCAS, visit our web-page.

This resource has been developed for the TWG-FCAS by the ReBUILD Research Programme, funded by UK Aid from the Department for International Development.

Documents

Showing 1-10 of 42 results

  • Health systems research in fragile and conflict affected states: A qualitative study of associated challenges

    BMC Health Research Policy and Systems, 2017
    High quality health systems research (HSR) in fragile and conflict-affected states (FCAS) is essential to guiding the policies and programmes that will improve access to health services and, ultimately, health outcomes. Yet, conducting HSR in FCAS is challenging. An understanding of these challenges is essential to tackling them and to supporting research conducted in these complex environments. Led by the Thematic Working Group on Health Systems in FCAS, the primary aim of this study was to develop a research agenda on HSR in FCAS....
  • A Congolese community-based health program for survivors of sexual violence

    BioMed Central, 2012
    Many survivors of gender based violence (GBV) in the Democratic Republic of Congo (DRC) report barriers to access health services including, distance, cost, lack of trained providers and fear of stigma. In 2004, Foundation RamaLevina (FORAL), a Congolese health and social non-governmental organization, started a mobile health program for vulnerable women and men to address the barriers to access identified by GBV survivors and their families in rural South Kivu province, Eastern DRC....
  • Governance and capacity to manage resilience of health systems: Towards a new conceptual framework

    Kerman University of Medical Sciences, 2017
    The term resilience has dominated the discourse among health systems researchers since 2014 and the onset of the Ebola outbreak in West Africa. There is wide consensus that the global community has to help build more resilient health systems. But do we really know what resilience means, and do we all have the same vision of resilience? The present paper presents a new conceptual framework on governance of resilience based on systems thinking and complexity theories....
  • An exploration of the political economy dynamics shaping health worker incentives in three districts in Sierra Leone

    Elsevier, 2015
    The need for evidence-based practice calls for research focussing not only on the effectiveness of interventions and their translation into policies, but also on implementation processes and the factors influencing them, in particular for complex health system policies....
  • Rehabilitating the health system after conflict in East Timor: A shift from NGO to government leadership

    Oxford University Press, 2006
    Efforts to rehabilitate health systems after periods of prolonged conflict have often been characterized by poor coordination of external actors - multilateral agencies, donors and non-governmental organizations (NGOs). This paper describes the process and analyses the roles of the different stakeholders in the establishment of a government-led district health system in East Timor, between 1999 and 2002, after decades of chronic conflict and Indonesian occupation.Future East Timorese policy-makers and health professionals began to mobilize in May 1999, in preparation for independence....
  • From drought to deluge: How information overload saturated absorption capacity in a disrupted health sector

    Oxford University Press, 2011
    Provision of technical assistance is a common form of support to health sectors emerging from prolonged conflicts. But what actions signal that the Ministry of Health (MoH) is, or is not, actively analysing and digesting the output of this assistance? Where are the boundaries between doing with and doing for?This article presents a qualitative description of an early post-conflict policy process in southern Sudan, which represented an opportunity to test these boundaries. The methodology of provision of technical assistance to the MoH in the formulation of a human resource plan is reviewed....
  • Early recovery: An overview of policy debates and operational challenges

    Overseas Development Institute, 2009
    Informative overview of the key issues to be addressed in early recovery approaches from the Humanitarian Policy Group, based on research with staff from UN agencies, donors and NGOs in headquarters and field offices in Darfur, Gaza, Colombia and Uganda.As they argue, early recovery, stabilisation, peace-building and state-building all offer different frameworks (p.13) that overlap and are often contradictory. They suggest that a more pragmatic approach should be taken to realistically achieve change in the highly political circumstances present in transitional periods....
  • Neglected health systems research: Health policy and systems research in conflict-affected fragile states

    World Health Organization, 2008
    As a result of their extremely poor health indicators, fragile states have recently become prominent on the international health agenda. These countries are furthest from reaching the MDGs, and continue to lag far behind other comparable countries. Whilst they are home to only 20% (or 1 billion) of the world’s population, they contain a third of the world’s poor, a third of the world’s maternal deaths and a third of those living with HIV/AIDS (World Bank, 2007)....
  • Complex emergencies and the crisis of developmentalism

    Institute of Development Studies, Sussex [ES], 1994
    This article takes complex emergencies and the humanitarian response to them as its point of reference. It provides critique of relief, development and the linking debate. Rather than being autonomous, relief is a developmental idea. However, development concepts have proven incapable of explaining permanent emergency. They also underestimate the extent of the North's institutional accommodation with unresolved political crisis in the South.Beginning with non-mandated NGO operations, there has been a growing acknowledgement of the inevitability of working in conflict situations....
  • Mapping Sierra Leone's plural health system and how people navigate it

    Secure Livelihoods Research Consortium, 2014
    This briefing paper maps the actors that constitute the plural health system in Sierra Leone and the relationships between them. Second, it examines the factors that influence health-seeking behaviour before setting out some recommendations on ways forward when developing appropriate interventions to address malnutrition....

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The TWG-FCAS is a working group of Health Systems Global, bringing together researchers, policy-makers, funders and implementers working in fragile and conflict affected states (FCAS), to promote and support the creation, identification and sharing of knowledge, and the translation of this knowledge into policy and practice.