Tag: Health systems

Health system strengthening in LMICs and fragile states – what and how?

A presentation which considers what a health system is, what makes it strong and what we know about effective strengthening interventions


Evidence review of what works for health systems strengthening, where and when?

Research from ReBUILD and partners on identifying evidence on effective health systems strengthening approaches in different contexts


Health system strengthening – reflections on its meaning, assessment and our state of knowledge

Paper reflecting on undertaking a health systems strengthening review, drawing out suggestions on definitions and approaches to assessment, plus key conclusions


Health system strengthening – what is it, how should we assess it, and does it work?

Presentation (video and slides) given by Professor Sophie Witter on a report on health systems strengthening


Health financing in fragile and conflict-affected settings: What do we know, seven years on?

Paper from ReBUILD looking at literature on health systems financing in fragile and conflict-affected settings and how it has changed in 2012-19


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.


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


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.


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.


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.


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


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.


Managing the Transition from Humanitarian to Development Aid: East African Symposium on Aid Effectiveness and Health Systems Development – Key messages brief

This brief document outlines the key messages highlighted by participants at the East African Regional Symposium on Aid Effectiveness and Health Systems, held on 15th/16th August in Kampala.


East Africa Symposium on Transitioning from Humanitarian to Development Aid. Day 2 bulletin

This bulletin presents the highlights from the second day’s proceedings at the East Africa Symposium on Transitioning from Humanitarian to Development Aid in Kampala. 15th – 16th August 2018.


Responding to humanitarian crises in ways that strengthen longer-term health systems: What do we know?

ReBUILD briefing paper summarising knowledge on responding to humanitarian crises in ways that strengthen longer-term health systems


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 bumpy trajectory of performance-based financing in Sierra Leone: agency, structure and frames shaping the policy process

Presentation given by Maria Paula Bertone at the 5th Global Symposium on Health Systems Reseach in Liverpool on Wednesday 10th 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.


Leaving no one behind; how can evidence-based approaches support progress towards UHC and global health goals during conflict and protracted crises?

This briefing paper has been produced ahead of an organised session at HSR2018, outlining the background context of health service delivery in conflict and protracted crises, current developments and initiatives to improve coordination and approaches to support both humanitarian and development objectives, and the challenges and issues for the use of evidence to support these efforts.


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


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


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


Health worker deployment policies in conflict-affected northern Uganda

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


Aid effectiveness and health systems development in post-conflict northern Uganda

Freddie Ssengooba of ReBUILD talks about the consortium’s work on aid effectiveness and health systems development in post-conflict 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.  


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


Are health systems interventions gender blind? Examining health system reconstruction in conflict affected states

ThisReBUILD paper examines if and how rebuilding health systems affected gender equity in four post-conflict contexts.


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


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.


Changes in catastrophic health expenditure in post-conflict Sierra Leone: an Oaxaca-blinder decomposition analysis

A paper from ReBUILD examining how households’ exposure to financial risks through seeking healthcare evolved in post-conflict Sierra Leone.


Resilience in health systems – responses to key questions

This briefing note provides collective responses from three health systems research consortia to some key questions on health systems resilience raised by DFID advisors.


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.


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.


Resilience of health systems during and after crises – what does it mean and how can it be enhanced?

This policy brief summarises different aspects of health system resilience, its measurement, and strategies for enhancing resilience during and after crises.


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


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


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


Health systems research in fragile and conflict-affected states: a research agenda-setting exercise

This paper reports on a research needs setting exercise carried out by the HSG Thematic Working Group on Health Systems in Fragile and Conflict Affected States (TWG-FCAS).


Health service resilience in Yobe state, Nigeria in the context of the Boko Haram insurgency: a systems dynamics analysis using group model building

This paper describes findings from a case study on the health system in Yobe state in northern Nigeria during the Boko Haram insurgency, part of the ReBUILD affiliate project on Health Systems Resilience: A Systems Analysis.


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.


Using life histories to explore gendered experiences of conflict in Gulu District, northern Uganda: Implications for post-conflict health reconstruction

This article discusses how the life histories approach was used to explore how the 20-year conflict in northern Uganda transformed people’s lives. Presenting the experiences of 47 men and women before, during and after the war in northern Uganda, and how gender and power(lessness) shaped their experiences, it explores the implications for health care reconstruction.


Using life histories to understand and support health systems and their resilience

Presentation given during a skills-building session on the use of life histories in health systems research, given at the 4th Global Symposium on Health Systems Research in VAncouver, 15th November 2016


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.


ReBUILDing Health Systems Beyond Health Facilities

This brief is one of two briefs from ReBUILD’s research on health system financing and households’ coping strategies for health care needs in post-conflict northern Uganda.


A strong public health sector key for health system resilience in Gulu district, northern Uganda

First of two briefs from ReBUILD’s research on health system financing and households’ coping strategies for health care needs in post-conflict northern Uganda.


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.


‘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’


Can donors really build institutions? Reflections on recent health sector experiences in Sierra Leone

Presentation made by Dr Sophie Witter at World Bank Fragility Forum panel session on “Can donors really build institutions?”. The presentation was based on experiences and research findings from ReBUILD and others from Sierra Leone’s health sector. The 2016 World Bank Fragility Forum was held in Washington on 1st-3rd March 2016. You can access and… 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


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


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 


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


Organizational Infrastructure for Service Delivery: A Case Study of Post-conflict Northern Uganda

ReBUILD poster presented at the Third Global Symposium on Health Systems Research in Cape Town 2014: Study of the multitude of non-state agencies involvement in the health system, in post-conflict Northern Uganda


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.


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.


Scripts to Support Group Model Building; A Guide for Participatory Systems Analysis

This Guide for Participatory Systems Analysis documents twelve of the specific guides or ‘scripts’ that were found most valuable during the three case studies for ReBUILD’s affiliate research project on health systems resilience conducted by Mailman School of Public Health, Columbia University.


Joint submission to APPG-Africa Inquiry into Community-led health systems and the Ebola outbreak

ReBUILD, together with the REACHOUT and COUNTDOWN RPC, produced this joint submission of evidence in response to a call from the UK All Party Parliamentary Group on Africa’s Inquiry on community-led health systems and the Ebola outbreak.


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


Mental health and psychosocial service provision for adolescent girls in post-conflict settings

Literature review on methodologies & understanding mental health & psychosocial services for adolescent girls in post-conflict settings


Adolescent psychosocial wellbeing in the post conflict context of Sri Lanka – Summary country report: stage 1

Phase 1 report of a 2015 ReBUILD study of post conflict mental & psychosocial health problems experienced by adolescent girls in Sri Lanka.


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


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


Ebola in the context of conflict affected states and health systems: case studies of Northern Uganda and Sierra Leone

Ebola seems to be a particular risk in conflict affected settings. This paper compares the experience of Northern Uganda and Sierra Leone in the emergence and management of Ebola outbreaks in 2000-1 and in 2014-15 respectively, and how elements of these conflict affected societies affected the disease outbreak and the response.


Fragile and conflict affected states: report from the Consultation on Collaboration for Applied Health Research and Delivery

Fragile and Conflict Affected States present difficult contexts to achieve health system outcomes and are neglected in health systems research. This report presents key debates from the Consultation of the Collaboration for Applied Health Research and Delivery, Liverpool, June, 2014.


Health worker incentives: stakeholder mapping report (Sierra Leone)

Report of a Sierra Leone stakeholder mapping exercise from 2012 to understand the actors who influence policy and practices in human resources for health


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.


A window of opportunity for reform in post-conflict settings? The case of Human Resources for Health policies in Sierra Leone, 2002–2012

This paper draws on ReBUILD’s research to look at the development of policies on human resources for health (HRH) in Sierra Leone over the decade after the conflict (2002–2012).


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


Short introduction to our work in Uganda, July 2011

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


Short introduction to our work in Sierra Leone, July 2011

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


Short introduction to ReBUILD project November 2012

A 2012 short introduction to ReBUILD’s research programme to support health system development in post-conflict settings


Update on work in Uganda, April 2013

An update on ReBUILD’s work in Uganda from April 2013


The policy brief on Benefits of Social Network Analysis for District Performance Assessment

A 2014 ReBUILD brief on an overview of how social network analysis has been used to explore service delivery networks and resource sharing


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


Working towards Universal Health Coverage in post-conflict environments

Produced to coincide with Universal Health Coverage (UHC) day 2014, this briefing note outlines the importance of better understanding health systems in post-conflict settings, and how ReBUILD’s work in this area can contribute towards achieving UHC


ReBUILD presents: How can we help?

A 2014 ReBUILD presentation from Haja Wurie on her first-hand experience of how Ebola has impacted on the health system in Sierra Leone.


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 post conflict settings – are they different from other low and middle income countries?

ReBUILD presentation on health systems in conflict-affected states – are they different from in other low and middle income countries? 2013


Health systems in conflict affected states

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


Use of qualitative research methods and health systems research in post conflict contexts

Notes from a 2013 ReBUILD meeting on the challenges encountered when undertaking qualitative research in post-conflict contexts


Country Situation Analysis Uganda

A REBUILD consortium Country Situation Analysis for Uganda from 2011


A case study of health service provision in Yobe State, Nigeria in the context of the Boko Haram insurgency

A 2014 ReBUILD case study of health service provision in Yobe State, Nigeria in the context of the Boko Haram insurgency


A Case Study of Technical Assistance to HIV Services in Cote d’Ivoire in the Context of Civil Unrest Following the Disputed Presidential Election of 2010

A 2014 ReBUILD case study of technical assistance to HIV services in Cote d’Ivoire in the during civil unrest


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.