Category: Health workers

Health Workers – a film

‘Health Workers’ is a film that chronicles the journey of five female health workers who challenge ingrained social norms after relocating from Syria to Lebanon, where they unexpectedly become the sole breadwinners for their families.


The interplay of gender and other vulnerabilities: A participatory action research with informal Syrian close-to-community health care providers in Lebanon

In this AUB video, the ReBUILD for Resilience team in Lebanon present on the gendered experiences of close-to-community health care providers during the COVID-19 pandemic


Research on gender and close-to-community providers of health care – providing policy guidance in a pandemic

A ReBUILD case study on its research on gender and close-to-community health care providers and how it has provided policy guidance in a pandemic


A Story of Female Community Health Volunteers

A video from the HERD International team in Nepal explores the lived experiences of Female Community Health Volunteers


From policy to practice: a qualitive study exploring the role of community health workers during the COVID-19 response in Sierra Leone

Paper which looks at the role community health workers were required to play to help their communities respond to the COVID-19 outbreak in Sierra Leone, and implications for future crises, primary health care and community resilience


Community health workers and COVID-19: Cross-country evidence on their roles, experiences, challenges and adaptive strategies

Paper on community health workers’ experiences during COVID-19 in India, Bangladesh, Pakistan, Sierra Leone, Kenya and Ethiopia


Community leaders’ engagement to prepare and respond to shocks, increase inclusivity, accountability and trust, and support health system resilience

Presentation by Haja Wurie on community leaders’ engagement to prepare and respond to shocks, increase inclusivity, accountability and trust, and support health system resilience in Sierra Leone


Community health workers involvement in COVID-19 response: Understanding their roles, experiences, challenges and adaptive strategies across six countries

Community health workers’ experiences and innovations during the COVID-19 pandemic in six countries


The gendered experience of close-to-community providers in fragile and shock-prone settings – Myanmar

Report from Burnet Institute Myanmar on the gendered experiences of close-to-community providers during COVID-19


Health sector policy responses and health workforce management during COVID-19 in Nepal: Lessons for building resilient health systems

Brief on health workforce management in order to address the surge in demand for services during COVID-19 in Nepal


Policies on return and reintegration of displaced healthcare workers towards rebuilding conflict-affected health systems: a review for The Lancet-AUB Commission on Syria

Paper looks at specific policies and information focused on the repatriation and reintegration of health care workers to their home country in the post-conflict period


How to attract and retain health workers in rural areas of fragile states? Findings from a labour market survey in Guinea

Paper seeks to understand how health staff could be better motivated to work and remain in rural, under-served areas in Guinea


Understanding health system resilience to respond to COVID-19 in a federalised context

A report – Understanding Health System Resilience to Respond to COVID-19 in a Federalised Context: a case study of health workforce management at the sub-national level in Nepal during the COVID-19 pandemic – by HERD International


Gendered experience of Sierra Leone’s close-to-community providers during COVID-19: a study report

Report on the Sierra Leone strand of the study ‘The gendered experience of close-to-community providers in fragile & shock-prone settings: implications for policy & practice during & post COVID-19’


Gendered experience of close-to-community providers in fragile and shock-prone settings – global document review

Review examines relevant literature on close-to-community providers during the COVID-19 pandemic in fragile and shock-prone settings, applying gender, equity & justice lenses.


Executive summary: the gendered experience of close-to-community providers in Lebanon

A brief summarising work by American University of Beirut on the gendered experience of close-to-community providers in fragile and shock-prone settings during the COVID-19 pandemic


Close-to-community providers, gender and COVID-19 webinar

Video recording of the webinar ‘Close-to-community providers in fragile settings and vulnerable communities during crisis: Gender and COVID-19’


Recommendations for supervisors of female health workers

Recommendations for supervisors of female health workers in Lebanon – how to improve employees’ experiences of work and boost their well-being, motivation & productivity (Arabic & English versions)


The gendered experience of close-to-community providers in Sierra Leone

This brief explores the roles of close-to-community health care providers in Sierra Leone and their gendered experiences during the COVID-19 pandemic


Understanding health system resilience to respond to COVID-19

A presentation from HERD International on understanding health system resilience to respond to COVID-19: a case study of COVID-19 policy response and health workforce management in Nepal


The comparative agility of the community health worker cadre in fragile & conflict-affected contexts

Presentation on ReBUILD’s research into the agility of community health worker cadres in four fragile settings during Covid-19


How should community health workers in fragile contexts be supported: qualitative evidence from Sierra Leone, Liberia and Democratic Republic of Congo

Paper presents evidence from three fragile settings – Sierra Leone, Liberia and Democratic Republic of Congo – on managing community health workers and recommends best approaches to support them


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


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


“Posting policies don’t change because there is peace or war”

Paper looking at how deployment policies & practices were adapted during and after conflict in Acholi, Uganda


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.


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.


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.


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


Understanding HRH recruitment in post-conflict settings: an analysis of central-level policies and processes in Timor-Leste (1999–2018)

The study explores how the human resources for health recruitment policies changed in Timor-Leste from 1999-2018, the drivers of change and their contribution to rebuilding an appropriate health workforce after conflict.


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.


Insights on health systems and community health workers from a photovoice project in Sierra Leone

This booklet presents the findings of a photovoice project into health systems and Community Health Workers in Sierra Leone


How gender influences the service provided by Community Health Workers in Sierra Leone

This booklet presents the findings of a photovoice project into how gender infuences the service provided by Community Health Workers in Sierra Leone


Gender and community health worker programmes in fragile and conflict-affected settings. Findings from Sierra Leone, the Democratic Republic of Congo and Liberia

Based on findings from ReBUILD’s research project on community health workers in fragile and conflict-affected settings, this brief provides recommendations and guidance for practitioners and policy makers on the ways their workforce may be affected by gender norms, and actions to address them.


Understanding human resources for health recruitment and deployment in post-conflict settings

Alvaro Alonso-Garbayo speaks about understanding human resources for health recruitment and deployment in post-conflict settings


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


Health worker deployment policies in conflict-affected northern Uganda

Richard Mangwi Ayiasi of ReBUILD talks about health worker deployment policies in conflict-affected northern Uganda


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


Community health workers in Sierra Leone

Haja Wurie of ReBUILD and College of Medicine and Allied Health Sciences talks on community health workers in Sierra Leone. More on ReBUILD’s work on community health workers here.  


Supporting community health workers in fragile settings: evidence from Sierra Leone, Liberia and Democratic Republic of Congo

Poster presented at the Fifth Global Symposium on Health Systems Research in Liverpool in October 2018 on supporting community health workers in fragile settings


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.


UHC in Emergencies – ReBUILD presentation at the 2018 World Health Assembly

Video of Tim Martineau of the ReBUILD Consortium speaking at a session on UHC in emergencies at the 2018 World Health Assembly


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


Health workers’ experiences of coping with the Ebola epidemic in Sierra Leone’s health system: a qualitative study

A paper from ReBUILD’s study on health workers’ experiences of coping with the Ebola epidemic in Sierra Leone’ s health system.


What adaptation to research is needed following crises: a comparative, qualitative study of the health workforce in Sierra Leone and Nepal

ReBUILD paper examines health systems research that explored and evaluated health worker performance during crises in Sierra Leone & Nepal


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.


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


Minding the gaps: health financing, universal health coverage and gender

This ReBUILD paper reflects on why we need to focus on gender when moving towards Universal Health Coverage


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


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


Building post-conflict health systems: a gender analysis from Northern Uganda

This book chapter analyses ReBUILD’s research in Northern Uganda to explore gender equity in the post-conflict reconstruction of the heath sector


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.


Health worker experiences of and movement between public and private not-for-profit sectors – findings from post-conflict Northern Uganda

This paper looks at the experiences of health workers during and after the 20 years of conflict in northern Uganda, and the factors that influenced their movement between public and private not-for-profit sectors. The findings highlight the need to ensure balanced health labour market incentives which take into account not only the changing context but also needs at different points in individuals’ life cycles and across all core service delivery sectors.


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.


Understanding deployment policies and systems for staffing rural areas in Northern Uganda during and after the conflict: synthesis report

This 2017 paper reports on ReBUILD’s research into deployment systems for health workers in remote and rural areas in Uganda


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.


Attraction and retention of Health Workers in Northern Uganda: Implications for faster reconstruction and Universal Coverage?

This brief outlines findings and recommendations from ReBUILD’s research on health worker incentives research in post-conflict northern Uganda, in support of universal health coverage.


Health systems in post conflict Uganda – ReBUILD video

From ReBUILD’s partners at Makerere University School of Public Health – an overview of the context and issues covered by the team’s research on the post-conflict health system in northern Uganda.


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.


What do health workers do, and why? A study of the activities performed by primary healthcare workers in Sierra Leone

Poster from ReBUILD/LSHTM affiliate study on Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada


Outputs from the project Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone

This page lists all outputs from the project Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone


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


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.


Adapting official deployment policies for staffing rural areas to build resilient health systems during conflict: lessons from northern Uganda

Poster from ReBUILD’s health worker deployment study in Uganda, 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.


Building a resilient health system post Ebola: voices of health workers from Sierra Leone

Poster from ReBUILD’s study on health worker experiences of the Ebola outbreak in Sierra Leone, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada


Health worker experiences of and movement between public and private not-for-profit (PNFP) sectors in post conflict Northern Uganda: Lessons for health system resilience

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


Resources from ReBUILD’s work on health worker incentives in Sierra Leone, and on health worker experiences during the Ebola outbreak

Details of all outputs from ReBUILD’s work on health worker incentives and remuneration in Sierra Leone, and on health worker experiences during the Ebola outbreak.


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.


‘Fighting a battle’: Ebola, health workers and the health system in Sierra Leone

A working paper on the ReBUILD study ‘Fighting a battle: Ebola, health workers and the health system in Sierra Leone’


Report of Sierra Leone Human Resources for Health Summit 2-3 June 2016

A ReBUILD consortium report from the Sierra Leone Human Resources for Health Summit 2016


Performance-based financing in the context of the complex remuneration of health workers: findings from a mixed-method study in rural Sierra Leone

The study investigates the absolute and relative contribution of performance-based financing (PBF) to health workers’ income and explores their views on PBF bonuses, in comparison to and interaction with other incomes. The study confirms the complex and interrelated nature of health workers’ remuneration and that the different financial incentives cannot be examined independently from one. It also shows that the way PBF schemes are implemented has an impact on health worker motivation.


Investigating health workers remuneration in Sierra Leone – preliminary results and reflections on methods

Presentation given by Maria Paola Bertone at the 3rd Conference of the African Health Economics and Policy Association (11-13 March, 2014, Nairobi).


Maintaining an effective health workforce during and after conflict: Evidence from ReBUILD’s research in northern Uganda

This research brief gives an overview and key findings/recommendations from ReBUILD’s research on health worker incentives in northern Uganda


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.


Sources, determinants and utilization of health workers’ revenues: evidence from Sierra Leone

This 2016 ReBUILD paper investigates the formal and informal payments available to health workers in Sierra Leone


Increasing access to health services in remote and rural areas through improved retention of health workers: evidence from Sierra Leone

This 2014 poster describes a study on the effectiveness of incentive packages in attracting and retaining health workers in Sierra Leone


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


Equity in Maternal Health Care Services in post-conflict Northern and non-conflict East-Central Uganda: A Comparative Mixed Methods Multi-case study

ReBUILD poster presented at the Third Global Symposium on Health Systems Research in Cape Town 2014: Mixed method study comparing maternal health care in post-conflict and non-conflict regions of East Central Uganda


Mobility of health staff during conflict and post-conflict situations in a decentralized system, a case study of Northern Uganda

ReBUILD Poster presented at the Third Global Symposium on Health Systems Research in Cape Town 2014: Study to understand how the policy of recruitment and deployment under decentralization was implemented and its impact on mobility of health workers over the conflict and post-conflict periods


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.


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.


Incentives to improve health workers’ retention and motivation: implementation challenges and informal practices at district level. The role of DHMTs and NGOs

This policy brief describes findings and gives recommendations from ReBUILD research on the actual implementation of policies on human resources for health at local level in Sierra Leone. The brief includes reflections on the challenges of translating knowledge not only into policy but also into effective practice. You can download the brief here.


Exploring the remuneration of primary healthcare workers: findings on incomes and income use strategies in Sierra Leone. What lessons can be learnt to design effective financial incentives?

This policy brief describes ReBUILD research to explore all of the financial incentives that make up health workers’ remuneration in Sierra Leone


Health workers’ incentives in post-conflict settings – a review of the literature and framework for research

This 2012 ReBUILD literature review identifies research gaps in relation to health worker incentives in post-conflict contexts.


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.


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


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 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


Evidence for supporting a skilled health workforce for all in Sierra Leone

This brief outlines ReBUILD’s research on health worker incentives in Sierra Leone, and gives recommendations for the post-Ebola recovery strategy, based on the research findings, focusing on the strand for in-creasing a skilled workforce, especially in under-served areas.


A Case Study of Maternal Health Service Provision in OR Tambo District, Eastern Cape, in the Context of Chronic Poor Health Performance.

Case studies produced by Health Systems Resilience: A Systems Analysis – a ReBUILD affiliate research project applying a systems dynamics approach to understand, predict and identify mechanisms that influence the resilience of health systems in contexts of adversity.


Haja Wurie speaks about Ebola in Sierra Leone

In this 2015 video Haja Wuried of the ReBUILD consortium shared her insights on post-Ebola health system reconstruction in Sierra Leone


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.


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


Performance-Based Financing in the context of the ‘complex remuneration’ of Health Workers – Findings from a mixed-methods study in rural Sierra Leone

Presentation by ReBUILD Affiliate researcher Maria Paola Bertone given at the International Health Economics Association Congress in Milan 15th July 2015


An exploration of the political economy dynamics shaping health worker incentives in three districts in Sierra Leone

This 2015 ReBUILD paper focuses on health worker incentives and payments in Sierra Leone and presents an exploration of district-level implementation processes


Human resource management in post-conflict health systems: review of research and knowledge gaps

Effective human resource management strategies and policies are critical to addressing systemic effects of conflict on the health workforce. This paper reviews published literatures across three functional areas of HRM in post-conflict settings: workforce supply, workforce distribution, and workforce performance.


The complex remuneration of human resources for health in low-income settings: policy implications and a research agenda for designing effective financial incentives

This paper argues that research focusing on the health workers’ “complex remuneration” is critical to address some of the most challenging issues affecting human resources for health. An empirical research agenda is proposed to fill the gap in our understanding.


Health worker incentives: survey report, Sierra Leone

A 2015 RBUILD report on the need to reach and maintain incentive environments for health workers to support access to equitable health services


A window of opportunity for reform? The case of policy on human resources for health in Sierra Leone after the conflict (2002-2012)

The study in this 2014 ReBUILD brief looks at the development of policies on human resources for health in Sierra Leone over the post-conflict decade


The Health Worker Incentives: Uganda Briefing

This 2013 ReBUILD brief summarises the findings from the life-histories approach used to explore health workers’ livelihoods and coping strategies in Uganda


Building a motivated health workforce – During and Post Ebola Outbreak in Sierra Leone

Drawing on ReBUILD’s research on health worker experiences and incentives in Sierra Leone, this briefing paper was produced to inform key actors involved in maintaining basic health services during the 2014-15 Ebola outbreak.


Managing the Ebola epidemic in Uganda 2000-2001

A 2014 ReBUILD brief on managing the Ebola epidemic in Uganda 2000-2001 and the importance of a holistic focus on health systems


Health worker incentive environments during and postconflict

ReBUILD presentation from 2013 on early work on health worker incentive environments during and post-conflict


Country Situation Analysis Uganda

A REBUILD consortium Country Situation Analysis for Uganda from 2011


The free health care initiative: how has it affected health workers in Sierra Leone?

In this paper published in Health Policy and Planning, ReBUILD researchers Sophie Witter, Haja Wurie and Maria Bertone explore the effects and implications for health staff of Sierra Leone’s introduction in 2010 of the Free Health Care Initiative (FHCI).


Living through conflict and post-conflict: experiences of health workers in northern Uganda and lessons for people-centred health systems

This article presents the experiences of health workers who lived through decades of conflict in four districts of northern Uganda. It is based on in-depth interviews, using a life history approach, conducted as part of ReBUILD’s wider work on health workers’ experiences, motivation and incentives during and after conflict.


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


The Free Health Care Initiative: how has it affected health workers in Sierra Leone

This 2014 ReBUILD report pulls together findings relating to the Free Health Care Initiative (FHCI), as part of ReBUILD’s wider research on the evolution of incentives for health workers in post-conflict Sierra Leone.


Staffing the public health sector in Sierra Leone, 2005‐11: findings from routine data analysis

A 2014 ReBUILD report on staffing the public health sector in Sierra Leone, 2005‐11: findings from routine data analysis


Policies to attract and retain health workers in Northern Uganda during and after conflict: findings of key informant interviews

A 2014 ReBUILD report on policies to attract and retain health workers in Northern Uganda during and after conflict


Serving through and after conflict: life histories of health workers in Sierra Leone

This 2014 ReBUILD study in Sierra Leone used a life history approach to explore health workers’ experiences over time


Health workers career paths livelihoods and coping strategies in conflict and post conflict Uganda

Report of ReBUILD’s ‘life history’ study of serving health workers in four districts of the Acholi sub-region in northern Uganda, as part of ReBUILD’s wider work on health worker experiences and incentives during and after conflict.