Category: Zimbabwe

The political economy of results-based financing: the experience of the health system in Zimbabwe

ReBUILD paper examining political economy factors behind adoption of results-based financing and shifts in influence & resources it may bring


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


Results-based financing as a strategic purchasing intervention: some progress but much further to go in Zimbabwe?

Research which empirically and systematically examines how results-based financing impacts on health care purchasing in Zimbabwe


Political economy approaches to explore PBF’s adoption, adaption and implementation in fragile settings

Presentation given by Maria Bertone at the International Health Economics Association congress in Basel July 2019


Flexibility of deployment: challenges and policy options for retaining health workers during crisis in Zimbabwe

ReBUILD study looking at the implementation of health worker deployment policies in Zimbabwe before, during and after the 1997-2008 crisis


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.


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

A summary of ReBUILD briefings addressing gender, vulnerable groups and intersectionality in health systems


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.


Improving deployment of human resources for health in Zimbabwe in the context of crisis

This brief outlines key findings and recommendations from ReBUILD’s study of health worker deployment in Zimbabwe


Webinar – Performance-based financing in fragile and conflict-affected settings: from research to practice

Recording of a webinar on the impact of PBF research on practice in fragile and conflict-affected settings


Performance-based financing as a way to build strategic purchasing in fragile and conflict affected settings: potential and pitfalls

Presentation given by Sophie Witter at a Satellite Session on “Payment for Performance, how, why, where and what?”, at the Fifth Global Symposium on Health Systems Research in Liverpool, on 9th October 2018.


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.


Investigating results-based financing as a tool for strategic purchasing: comparing the cases of the Democratic Republic of Congo, Zimbabwe and Uganda

Presentation given by Maria Paula Bertone at a Satellite session of the 5th Global Symposium on Health Systems Reseach, on “Payment for Performance, how, why, where and what? Learning from research across income settings. Tuesday 9th 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.


Performance-based financing in fragile and conflict-affected settings – a summary

This brief presents key messages from and a summary of ReBUILD’s research into performance-based financing


Health worker incentives in post-conflict Zimbabwe

Yotamu Chirwa of ReBUILD and Biomedical Training and Research Institute, Zimbabwe on health worker incentives in post-conflict Zimbabwe


Performance-based financing video

Video of Maria Bertone of ReBUILD speaking on the consortium’s work on performance-based financing in fragile and post-conflict states


The political economy of results-based financing: the experience of the health system in Zimbabwe

Poster presented at the Fifth Global Symposium on Health Systems Research in Liverpool in October 2018 on the political economy of results-based financing


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.


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


The human resource implications of improving financial risk protection for mothers and newborns in Zimbabwe

This 2013 paper examines implications for human resources for health of changes in user fees for maternal and newborn health services in Zimbabwe.


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


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


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.


Understanding health worker incentives in post-crisis settings: lessons from health worker in-depth interviews and life histories in Zimbabwe

This is a report from the qualitative component of ReBUILD’s health worker incentives research in Zimbabwe, drawing on the ‘life histories’ interviews with health workers


Impact of user fees on health care seeking behaviour and financial protection during the crisis period in Zimbabwe: A life history approach

This report presents the findings and recommendations from part of ReBUILD’s qualitative health financing research in Zimbabwe, using the life histories approach.


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.


Deployment of Human Resources for Health in Zimbabwe: Synthesis report

Report from ReBUILD’s research into deployment systems for health workers in remote and rural areas in Zimbabwe. Download the full report here.


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


‘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


Data collection on rural posting /deployment of health workers in post crisis settings: A case of rural Zimbabwe

Poster from ReBUILD’s health worker deployment study in Zimbabwe, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada


Impact of the policy to freeze posts on the deployment of health workers after the crisis in rural Zimbabwe

Poster from ReBUILD’s health worker deployment study in Zimbabwe, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada


More flexibility in the use of deployment policies: the challenge of retaining health workers in post crisis settings in remote areas of Zimbabwe

Poster from ReBUILD’s health worker deployment study in Zimbabwe, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada Authors: Wilson Mashange, Yotamu Chirwa, Pamela Chandiwana, Mildred Pepukai, Shungu Munyati, Tim Martineau & Alvaro Alonso-Garbayo Click on the poster image to download the poster.


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.


Understanding factors that can promote resilience during and after economic crises: how to retain and motivate health workers at rural health facilities in Zimbabwe

Poster from ReBUILD’s health worker incentives study in Zimbabwe, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada.


Fostering development of sustainable incentive policies for a resilient health workforce: lessons from post crisis Zimbabwe

Poster from ReBUILD’s health worker incentives study in Zimbabwe, 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.


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


Understanding health worker incentives in three districts of Zimbabwe: survey report

This 2015 report describes the findings from a health workers study in Zimbabwe which aimed to understand the incentive environment.


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


Health worker remuneration and incentive policies in post crisis Zimbabwe: challenges and Implications for retention of human resources for health

ReBUILD Poster presented at the Third Global Symposium on Health Systems Research in Cape Town 2014: The study examines how incentive environments have evolved during and after the crisis in Zimbabwe


Understanding health worker incentives in post-crisis settings: policies to attract and retain public health workers in Zimbabwe: key informant interviews

Report from key-informant interview element of ReBUILD’s research into health worker incentives environment in Zimbabwe.


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


The challenge of retaining health workers in Zimbabwe: findings from ReBUILD research

A briefing paper summarising the findings ReBUILD’s work on health worker incentives in ZImbabwe and giving policy recommendations


Health financing and the budgets of the poor in Zimbabwe Implications for Universal Health Coverage

This brief was produced for the Zimbabwe Health Research Forum on Evidence for Advancing Universal Health Coverage in March 2015, based on ReBUILD’s health systems financing research presented at that meeting.


The challenge of retaining health workers in Zimbabwe: Implications for Universal Health Coverage

This 2015 brief focuses on ReBUILD’s work on the challenge of retaining health workers in Zimbabwe and implications for UHC


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


Evidence and proposals for advancing equity and universal coverage of health services in Zimbabwe

2015 policy brief outlines findings and proposals from ReBUILD’s Rebuilding the foundations for universal health coverage with equity in Zimbabwe


Improving deployment systems for health workers in remote and rural areas: Project Protocol Summary

This document is a summary of the protocol for ReBUILD’s research on deployment systems for health workers in remote and rural areas. It details the approach used for this research in the two study countries. You can download the document here.


Desk Review of institutional arrangements for health financing in Zimbabwe

Report of a ReBUILD desk study to describe the organizational, institutional & governance aspects of health financing in Zimbabwe.


Desk review of purchasing arrangements for public health services in Zimbabwe

2013 ReBUILD literature review on healthcare purchasing arrangements between government & (i) local government & (ii) private providers in Zimbabwe.


National Research Forum: Evidence for advancing Universal Health Coverage in Zimbabwe ABSTRACTS

This document contains all abstracts from presentations made at the National Research Forum: Evidence for advancing Universal Health Coverage in Zimbabwe, held on 19th/20th March 2015 in Harare, organised by ReBUILD’s Affiliate research partners in Zimbabwe. You can download the full report from this National Research Forum from the TARSC website.


Evidence for advancing Universal Health Coverage in Zimbabwe: Report of the National Research Forum, 19th/20th March 2015

Report of the National Research Forum: Evidence for advancing Universal Health Coverage in Zimbabwe held March 2015 in Harare


Literature Review on Needs Based Resource Allocation

Background literature review to inform field work protocol to develop a resource allocation formula for public health resources in Zimbabwe.


Review of financing of semi-autonomous health institutions in Zimbabwe

Desk study presenting evidence on the funds pooled in and paid by semi-autonomous institutions funding health in Zimbabwe


Desk review of institutional arrangements for health financing in selected African countries

ReBUILD desk study from 2014 on the collection, pooling, purchasing, monitoring & governance of tax-based health financing in several African countries


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.


Short introduction to our work in Zimbabwe, August 2011

A 2011 short introduction to ReBUILD’s research programme to support health system development in post-conflict Zimbabwe


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.


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


Understanding health worker incentives in post-crisis settings – a document review of Zimbabwe

A 2014 ReBUILD report on health worker incentives in post-crisis settings: policies to attract and retain health workers in rural Zimbabwe