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

Bridging humanitarian and development approaches

Showing 1-5 of 5 results

  • 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....
  • 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....
  • 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....
  • From humanitarian and post-conflict assistance to health system strengthening in fragile states: Clarifying the transition and the role of NGOs

    Health Systems 20/20, 2008
    This policy brief focuses on the transition from emergency assistance and relief to strengthening the health system for the long term, and the role of nongovernmental organizations (NGOs) and how they can help fragile states to rehabilitate their health systems. There is general agreement on the broad features of state fragility, but as a category it contains significant variation. Thus, transition strategies and interventions need to be contextualized for particular country situations....
  • Supporting statebuilding in situations of conflict and fragility: Policy guidance

    OECD DAC Guidelines and Reference Series, 2011
    Functioning states are essential for reducing poverty, sustaining peace and achieving agreed development goals. Despite receiving growing international attention in recent years, fragile states are falling behind other low-income countries in human development. Fragility – and its negative consequences – can destabilise entire regions and have global repercussions. Tackling the challenges associated with fragility requires a concerted international effort to support sustainable statebuilding processes, based on robust state-society relations....

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.