Category: Cambodia

ReBUILD cross cutting and synthesis non peer-reviewed outputs

Summary of ReBUILD’s cross cutting and synthesis non peer-reviewed outputs, eg videos, briefs, infographics etc


Socio-cultural change in conflict and post conflict settings: five decades of giving birth in Cambodia

Research explores the changing experience of giving birth in Cambodia over 53 years of conflict, privation, invasion & civil unrest


Establishing a responsive & equitable health workforce post-conflict & post-crisis: lessons from ReBUILD research

Human resources for health is the most expensive, complex and critical health system pillar, and one with more political ramifications – it is crucial to learn lessons about how to rebuild it effectively post-conflict. This brief highlights some of the main findings on HRH and recommendations from ReBUILD’s research.


Les systèmes de santé après un conflit – éléments probants en faveur de meilleures politiques et pratiques

Ces documents de synthèse décrivent les thèmes principaux issus des recherches de ReBUILD, ainsi qu’un aperçu du programme et de son large éventail de projets de recherche jusqu’en 2016.


A summary of ReBUILD’s research themes, projects and related outputs

A summary document giving an overview of the projects and research themes which have made up ReBUILD’s work.


Resources from ReBUILD’s research on gender in post-conflict health systems

Details of all outputs from ReBUILD’s work on gender and post-conflict health systems.


Developing health system research capacity in crisis-affected settings: why and how?

This brief outlines the meaning of health system research capacity, the particular needs for such research capacity in crisis-affected settings, and key lessons for future policy, building on the broad experience of the ReBUILD Consortium and tacit knowledge of the ReBUILD partnership as well as wider literature


Sustainability of health systems in crisis-affected settings: lessons for practice

This policy brief reviews key dimensions of sustainability and their relevance for crisis-affected settings, then presents lessons for encouraging sustainability in these settings.


Do health systems contribute to reduced fragility and state-building during and after crises?

This ReBUILD brief discusses the associations between health systems and state-building and the empirical evidence in this area.


How do different types of provider affect access to effective and affordable healthcare during and after crises?

This brief summarises the key characteristics of the different types of providers and the health services they offer, and discusses their involvement in health crises and possible interventions that can increase access to effective and affordable healthcare during and after crises.


How to move towards universal health coverage in crisis-affected settings: lessons from research

This policy brief reviews the meaning of universal health coverage (UHC) and summarises lessons for achieving UHC in crisis-affected settings.


Developing inclusive health systems in crisis-affected settings

This policy brief highlights the ways in which health systems reinforce the marginalisation of some social groups, and then summarises the effects of crises on inclusiveness and the interventions that can protect and enhance equity for those marginalised.


Institutions for strong and equitable health systems after conflict and crisis – lessons from ReBUILD research

This brief outlines the findings from ReBUILD’s phase 1 research informing the theme of institutions in post-conflict health systems.


Establishing a responsive and equitable health workforce post-conflict and post-crisis – lessons from ReBUILD research

This brief outlines the findings from ReBUILD’s phase 1 research on health workers in post-conflict settings.


Health financing policy in conflict affected settings – lessons from ReBUILD research

This brief outlines the findings from ReBUILD’s phase 1 research on health financing policies in post-conflict settings and how these have affected access to health care for the most vulnerable populations.


The ReBUILD programme and emerging themes for health systems strengthening in post-conflict and post-crisis settings

This brief outlines the main themes on health systems in post-conflict and post-crisis settings which came from the first phase of the ReBUILD programme, and the range of research projects which gave rise to these findings and themes.


Les systèmes de santé pendant et après une crise : éléments probants en faveur de meilleures politiques et pratiques

Cette série de documents de synthèse, fruit des recherches menées par ReBUILD, aborde un nombre de questions clés concernant le renforcement des systèmes de santé dans les contextes affectés par un conflit ou une crise.


Conflict, household structure and health-seeking behaviour: the Cambodian experience

This briefing note presents findings from ReBUILD’s research in Cambodia on the demographic and distributional impacts of conflicts and implications for health systems.


ReBUILD cross cutting and synthesis non peer-reviewed outputs

Summary of ReBUILD’s cross cutting and synthesis non peer-reviewed outputs, eg videos, briefs, infographics etc


ReBUILD briefings addressing gender, vulnerable groups and intersectionality

ReBUILD briefing papers addressing issues around gender, vulnerable groups and intersectionality in health systems in a range of countries


Health systems during and after crisis: evidence for better policy and practice

This series of ReBUILD briefing papers addresses some key questions related to health systems strengthening in settings affected by conflict or crisis.


The changing health care needs of communities and health system responses in fragile settings

Presentation on the changing health care needs of communities and health system responses in fragile settings by Tim Martineau at the Fifth Global Symposium on Health Systems Research in Liverpool, October 2018.


Etat des connaissances sur le renforcement des systèmes de santé dans les contextes fragiles

Presentation (French language) on the state of knowledge on health systems in fragile contexts, given by Professor Sophie WItter at an International Workshop at the Institute of Tropical Medicine in Antwerp on 16th October 2018.


The impacts of conflict on access to health care: missing generation and disability in Cambodia

Presentation given by Bandeth Ros at the 5th Global Symposium on Health Systems Research in Liverpool, on Wednesday 10th October 2018.


Health financing in fragile and conflict affected settings

Presentation given by Sophie Witter at a satellite session on “Health financing in fragile & conflict affected settings – controversies and innovations” at the 5th Global Symposium on Health Systems Research in Liverpool, on 8th October 2018.


Video on a study into career progression amongst women in the post-conflict Cambodian health system

Sreytouch Vong on a study into career progression amongst women in the post-conflict Cambodian health system


Summary of ReBUILD’s research themes, projects and outputs 2018

This summary of ReBUILD’s research projects from both the original phase and the short extension phase of the programme. It includes links to further information on the projects and their outputs.


Internal contracting of health services in Cambodia: drivers for change and lessons learned after a decade of external contracting

ReBUILD paper on health contracting models in Cambodia since 2009. Includes lessons on the Special Operating Agencies model of contracting.


Health Systems in Situations of Fragility

Presentation given by Professor Sophie Witter on 17th May 2018 for the American University of Beirut Global Health Institute’s Webinar series: “Global Health and Conflict”. This webinar theme: Health Systems in Situations of Fragility.


The gendered health workforce: mixed methods analysis from four fragile and post-conflict contexts

A paper from ReBUILD exploring the gendered experiences of health workers in fragile and post-conflict states


Context matters (but how and why?) A hypothesis-led literature review of performance based financing in fragile and conflict-affected health systems

Literature review from ReBUILD by on how context affects performance-based health financing in fragile and conflict-affected settings.


Why do people become health workers? Analysis from life histories in four post‐conflict and post‐crisis countries

Paper from ReBUILD’s health worker incentives research looking at motivation to join the profession in Uganda, Sierra Leone, Cambodia & Zimbabwe.


How do health workers experience and cope with shocks? Learning from four fragile and conflict-affected health systems in Uganda, Sierra Leone, Zimbabwe and Cambodia

Paper draws together lessons from ReBUILD’s research on health worker incentives in northern Uganda, Sierra Leone, Zimbabwe and Cambodia.


Resources from ReBUILD’s work on health financing in conflict-affected and post-conflict settings

Health financing in conflict-affected and post-conflict settings: Resources from ReBUILD’s work


The commercialization of traditional medicine in modern Cambodia

This 2017 paper describes the findings from ReBUILD’s research in Cambodia as part of the health financing research strand


Promoting women’s leadership in the post-conflict health sector in Cambodia

This brief describes findings from research conducted by RinGs and ReBUILD on women’s leadership in the health sector in Battambang province, Cambodia


Leaving no one behind: lessons on rebuilding health systems in conflict and crisis-affected states

This paper draws on ReBUILD’s research to understand key issues inhibiting health systems strengthening in fragile settings


Incentives for health workers to stay in post and in rural areas: findings from four conflict- and crisis-affected countries

ReBUILD report presents a cross-cutting analysis into health worker incentives in post-crisis northern Uganda, Sierra Leone, Cambodia & Zimbabwe


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

This 2017 ReBUILD paper seeks an understanding of the challenges of conducting health systems research in fragile and conflict-affected settings


The role of women’s leadership and gender equity in leadership and health system strengthening

This 2017 paper from ReBUILD and the RinGs programme explores gender and leadership in the health sector focusing on Cambodia, Kenya and Zimbabwe


Gender equality needs critical consideration in conflict-affected settings

This 2015 ReBUILD paper argues that more attention should be focused on addressing gender inequalities and inequities in conflict-affected states


Impact of health financing policies in Cambodia: A 20 year experience

This paper reports on some of the findings from ReBUILD’s quantitative research into post-conflict health financing policies in Cambodia.


Experiences of using life histories with health workers in post-conflict and crisis settings: methodological reflections

This paper examines the ReBUILD programme’s experience of using life histories to explore health system trajectories coming out of conflict through the eyes of health workers. The paper shows how life histories with health staff can be a very powerful tool, particularly in contexts where routine data sources are absent or weak, and where health workers constitute a marginalized community.


Evolution of policies on human resources for health: opportunities and constraints in four post-conflict and post-crisis settings

This article draws on ReBUILD’s research on human resources for health across four post-conflict settings, shedding light on the patterns and drivers of post-conflict policy-making. It explores whether the post-conflict period offers increased chances for the opening of ‘windows for opportunity’ for change and reform and the potential to reset health systems.


Evidence submitted to High Level Commission on Health Employment and Economic Growth

In June 2016 ReBUILD submitted evidence to the High Level Commission on Health Employment and Economic Growth, based on the findings and experience on human resources for health from the research team, especially related to fragile and conflict affected settings. You can access the submitted evidence here.


Health systems after conflict – evidence for better policy and practice

These briefs outline the main themes which have come from ReBUILD’s research, as well as an overview of the programme, its research projects, and how the themes developed from these.


Health financing and UHC – what’s gender got to do with it?

Presentation made by Sophie Witter at DFID lunchtime seminar 19th January 2016


Learning from the experiences of health workers in conflict-affected Cambodia to improve motivation and retention: analysis of life histories

This 2016 ReBUILD working paper looks at the evolution of health worker incentives in Cambodia, Sierra Leone, Uganda and Zimbabwe


How to promote a resilient health workforce in conflict affected settings – insights from four countries

Combined presentations from a ReBUILD panel session at the 4th Global Symposium on Health Systems Research in Vancouver, Canada, on 18th November 2016


Can positive inquiry strengthen obstetric referral systems in Cambodia?

This paper draws on ReBUILD’s Responsive Fund project “Obstetric Referral in the Cambodian Health System – What Works?” This project was conducted by the Nuffield Centre for International Health & Development, University of Leeds and Cambodian Development Research Institute.


‘Leaving no one behind’: protecting vulnerable groups in fragile and conflict-affected situations

Poster from ReBUILD’s cross-country study on people’s health needs and health seeking behaviour before, during and after conflict. This poster was presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada


Why aren’t women rising to the top? Gender in Cambodia’s Health Workforce and Leadership

Poster from RinGs small grant project in Cambodia, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada


Becoming more effective actors for evidence-based health systems policy and practice; Experiences of research, research uptake and capacity-building from the ReBUILD research programme consortium

Poster on ReBUILD’s experiences of research uptake and capacity building at national and international levels, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada.


Resources from ReBUILD’s work on health worker incentives and deployment in post-conflict and post-crisis settings

This document includes details of all outputs from ReBUILD’s work on human resources for health in post-conflict and post-crisis settings.


The evolution of human resources for health policies in post-conflict Cambodia: findings from key informant interviews and document reviews

ReBUILD Working Paper 19. Sovonarith So and Sophie Witter. February 2016. This working paper was an output of ReBUILD’s research into the evolution of health worker incentives in four post-conflict contexts (Cambodia, Sierra Leone, Uganda and Zimbabwe) in order to understand how to establish equitable access to quality health care in these health systems. The… Read more


Building Back Better – Gender and post-conflict health systems

Combined presentations given at the launch of the Building Back Better website and resources on gender in post conflict health systems; 20th October 2015 in Liverpool


Health systems in post-conflict states – Learning from the ReBUILD programme

Presentation given by Joanna Raven on ReBUILD’s work on health systems in post-conflict states, at a Workshop on Rebuilding Health in Yemen after Conflict, 4th June 2016 in Liverpool


Human Resources for Health in Post-Conflict settings – Findings from ReBUILD research

Presentation given in June 2016 by Sophie Witter on the ReBUILD programme’s findings on Human Resources for Health in Post-Conflict settings.


Human Resources in Fragile and Conflict-Affected settings – cross sectoral issues between health and education

A 2016 overview presentation on human resources in health and education in fragile and conflict-affected settings


Health care seeking behaviour and impact of health financing policy on household financial protection in post conflict Cambodia: A life history approach

This 2015 ReBUILD working paper presents the findings and recommendations from qualitative health financing research in Cambodia


Validation Workshop Report: Obstetric Referral in the Cambodian Health System – What Works?

A 2015 ReBUILD workshop report on research into obstetric referral in the Cambodian health system


Emergency Obstetric Referral in Cambodia: A Teaching Case study

A Case Study for District Referral Systems: Critical Emergency Referral in Cambodia


Maternal Healthcare in the Cambodian Health System: A Literature Review

ReBUILD’s 2014 literature review provides an overview of obstetric referral in the Cambodian health care system


Contracting health services in Cambodia: From external to internal contracting models and its implications

ReBUILD poster from 2014 – Cambodian study of the shift from external to internal contracting models and their implementation 


The challenges and opportunities of conducting ethical and trustworthy qualitative research in health systems in post-conflict and fragile contexts: Reflections from a learning community

ReBUILD poster presented at the Third Global Symposium on Health Systems Research in Cape Town 2014: A qualitative study exploring how to strengthen policy and practice related to health financing and human resource management in post conflict and fragile contexts


The Impact of Health Financing Policies on Household Spending: Evidence from Cambodia Socio-Economic Survey 2004 and 2009

ReBUILD Poster presented at the Third Global Symposium on Health Systems Research in Cape Town 2014: Cambodian study measuring the combined effects of user fee and health equity fund on household health expenditure


Health seeking behaviour and impact of health financing policy on household financial protection in post conflict Cambodia: A life history approach

Poster of ReBUILD’s qualitative research on health systems financing in Cambodia presented at the Third Global Symposium on Health Systems Research in Cape Town 2014


Exploring the influence of context and policy on health district productivity in Cambodia

Despite gains in life expectancy and increased health expenditure, Cambodia still lags behind neighbours in many health indicators. This article aims to understand variations in efficiency of public health services, and the extent to which changes in efficiency are associated with key health policies that have been introduced to strengthen access to health services over the past decade.


Obstetric Referral in the Cambodian Health System – What Works?

Presentation by Gillian Le on ReBUILD Responsive Fund project on Obstetric Referral in the Cambodian Health System given at internal programme webinar, 9th Sept 2015.


Understanding contracting in Cambodia: findings from interviews with key informants and health service managers and providers

This research report describes findings from the qualitative component of ReBUILD’s research into health contracting in Cambodia Over the last two decades, Cambodia has implemented several policy initiatives and interventions to improve health service delivery. The contracting of services in the health sector has been happening since the late 1990s. Since 2009, an internal contracting… Read more


Understanding Contracting in Cambodia The performance of contracting and non-contracting districts in extending primary health coverage: analysis of secondary data

This research report describes findings from the quantitative component of ReBUILD’s research into health contracting in Cambodia.


Health financing in post conflict settings

Presentation on health financing in post-conflict settings given by Barbara McPake at Nossal Institute of Global Health in July 2015


Building on our Assets – What works in Cambodia’s obstetric referral system?

A brief outlining the ReBUILD Responsive Fund project on Access to obstetric care and referral in rural Cambodia, produced for the Cambodia Health Researchers’ Forum in November 2015.


Research to inform health systems development – An overview of the ReBUILD RPC in Cambodia

This 2015 brief gives a brief outline of the range of ReBUILD’s research in Cambodia, and some of the emerging key findings.


Research on health worker policies, incentives and retention in post-conflict countries: an overview of ReBUILD work

Presentations from ‘Evolution of policy and incentives for human resources for health post-conflict: learning from different contexts’ 2015


Catastrophic Payments and Poverty in Cambodia: Evidence from Cambodia Socio-Economic Surveys 2004-11

This 2015 ReBUILD paper estimates the incidence and intensity of catastrophic health payments and their impoverishment effects in Cambodia


Understanding health worker incentives in post conflict settings: Project protocol summary

This document is a summary of the protocol for ReBUILD’s research on understanding health worker incentives in post-conflict settings. It details the approach used for this research across all four of the study countries. You can download the document here.


Financial incentives for human resources for health: What do we know? What do we do? The case of Sierra Leone

Abstract of an oral presentation given by Maria Paola Bertone at the “Health Services Research: Evidence-Based Practice” conference in July 2014


Health systems and gender in post-conflict contexts: building back better?

This narrative literature review is an output of collaborative work between ReBUILD and the Stockholm International Peace Research Institute (SIPRI) working group on gender, to explore the opportunities and challenges for building gender responsive health systems in post conflict contexts.


ReBUILD Progress Update February 2015

This briefing note provides a summary update of ReBUILD’s progress across the whole range of its research themes and focus countries, as of February 2015.


Evaluating the impact of the Special Operating Agency

Following on from ReBUILD’s study of health contracting arrangements in Cambodia, which concluded that a more robust evaluation of the Special Operating Agency model should be considered, this briefing outlines two options that could be considered for such an evaluation.


From public to private and back again: Lessons Learned from Internal Contracting in Cambodia

This brief provides a summary of ReBUILD’s research done on health contracting in Cambodia, and identifies key points relating to the impact of the Special Operating Agency (SOA) model on service coverage and equity.


Health Systems in post conflict settings

2015 presentation entitled ‘Current work of ReBUILD: Research for Building pro-poor health systems in the aftermath of conflict’


Health systems in conflict affected states

ReBUILD presentation from 2013 on health systems in conflict-affected states


Contracting in conflict affected settings: evidence from Cambodia

ReBUILD consortium presentation from 2013 on contracting in conflict-affected settings: evidence from Cambodia


Exchanging experience between Cambodia and Uganda using life histories

Video discussion on using life histories as a method: an exchange of experience between Cambodia and Uganda


Country Situation Analysis: Cambodia

A REBUILD consortium Country Situation Analysis for Cambodia from 2011