Partners: American University of Beirut, Lebanon, Liverpool School of Tropical Medicine UK, Kings College London, UK [opens new tab], and Queen Margaret University, UK
This study aims to address a key gap in the existing literature by systematically analysing the current health financing landscape in Northwest Syria, including sources of funding, purchasing mechanisms, population coverage, and priority-setting approaches. While previous research, including the work of many team members, has documented the challenges of health service delivery in humanitarian settings, there is limited empirical evidence on the financing mechanisms that sustain these services and the pathways for transitioning from external donor dependency to more integrated and sustainable financing models.
Health system financing is a critical determinant of the accessibility, quality, and sustainability of healthcare services, particularly in fragile and conflict-affected settings. In Northwest Syria, years of conflict and fragmented governance have led to a highly donor-dependent health system with ad-hoc financing mechanisms. As the region transitions towards greater integration with national and regional governance structures, there is an urgent need to explore sustainable health financing strategies that can ensure continuity of care and financial protection for populations in need.
We aim to conduct explorative diagnostic assessments of the key drivers responsible for the functioning of the existing health system financing arrangements in Northwest Syria to highlight the key mechanisms associated with (a) the financing functions that would need appropriate strengthening and better integration, (b) the existing strategic systems (e.g. coordination mechanisms and governance arrangements) that would require further consolidation, and (c) the potential opportunities to build resilience and sustainability in the financing mechanisms across different actors.
Specifically, this will involve the following key objectives:
By engaging key stakeholders – including health authorities, non-governmental organisations, donors, and service providers – this research will generate actionable insights into how health financing mechanisms can be strengthened to improve resilience and long-term sustainability. The findings will contribute to policy discussions on post-conflict health system recovery and inform decision-making by national and international actors involved in health governance in the region.
Ultimately, the study will provide evidence-based recommendations to support the development of financing strategies that enhance efficiency, equity, and financial sustainability, ensuring that health services remain accessible and responsive to the needs of populations in Northwest Syria.
Other ReBUILD studies conducted in Northern Syria
Image: An Independent Doctors Association (IDA) vaccine specialist administers a vaccine at the Shamarekh PHC in Azzaz. IDA is one of several local WHO implementing partners in the Azzaz region of northwest Syria. © WHO / Giles Clarke [opens new tab]