Tag: Post-conflict

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


The Impact of Leaving Camps on Well‐being of Internally Displaced Persons in Northern Uganda

Paper that explores the estimated changes in internally displaced persons’ well‐being having left transit camps in 2006 following armed conflict in Northern Uganda.


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.


(How) does RBF strengthen strategic purchasing of health care? Comparing the experience of Uganda, Zimbabwe and the Democratic Republic of the Congo

Results-Based Financing has proliferated in health sectors of low and middle income countries, especially fragile and conflict-affected ones, and has been presented as a way of reforming and strengthening strategic purchasing. However, few studies have empirically examined how RBF impacts on health care purchasing in these settings. This article examines the effects of several RBF programmes on health care purchasing functions
the past decade.


Videos – performance-based financing presentations from HSR 2018

Three presentations on performance-based financing filmed during the 2018 Fifth Global Symposium on Health Systems Research


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.


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.


Psychosocial support for adolescent girls in post-conflict settings: beyond a health systems approach

ReBUILD research paper focusing on the importance of psychosocial support services for adolescent girls in fragile contexts


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.


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.


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.


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


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.


Performance-based financing in three humanitarian settings: principles and pragmatism

A paper from ReBUILD’s study exploring how performance-based financing emerged and was adapted in three humanitarian settings.


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.


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

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


The commercialization of traditional medicine in modern Cambodia

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


Assessing aid effectiveness: a case study of post-conflict northern Uganda

Presentation on ReBUILD’s research into aid effectiveness and health system actors and networks in post-conflict northern Uganda. Given to ReBUILD Researchers’ Forum meeting on 28th September 2017


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

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


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

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


Sub-national assessment of aid effectiveness: A case study of post-conflict districts in Uganda

This 2017 paper reports on ReBUILD’s research in northern Uganda, undertaken to assess the aid-effectiveness in post-conflict districts of the country


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


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


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

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


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.


Retention of health workers in rural Sierra Leone: findings from life histories

This article, published in Human Resources for Health, reports the findings from ReBUILD’s qualitative work in Sierra Leone on health worker incentives.


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.


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 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


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.


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.


Key messages from ReBUILD research in Uganda

This brief outlines the key messages which have come from ReBUILD’s research on health financing, health workforce and aid effectiveness 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.


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


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.


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 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.


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


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


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


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 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.


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.


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


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


The fallout of rape as a weapon of war

2014 ReBUILD report on emerging research findings on patterns & consequences of sexual violence in post-conflict settings, from communities in Liberia.


Key health and conflict related indicators in Liberia and Sri Lanka: background report

ReBUILD report from 2015 on the broader impact of conflicts on health & health service provision for adolescent girls in Liberia & Sri Lanka.


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.


Mental health and psychosocial support service provision for adolescent girls in post-conflict settings, a culturally sensitive response

Report of 2nd stage of a 2015 ReBUILD study of mental & psychosocial problems & health sevices for adolescent girls in post conflict Sri Lanka.


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.


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.


Failing Adolescents: Social Control, Political Economy & Human Development in post-war Sri Lanka

In post-war societies adolescents occupy liminal spaces and present a particular challenge for post-war communities as well as service providers. This paper draws on a study from two war-affected villages in Sri Lanka, examining the multi-faceted challenges that adolescents face in communities attempting to retain and redefine boundaries, identities, and social and moral regulation in a post-war context.


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


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.


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).


Health financing in post-conflict settings – a literature review

A 2011 ReBUILD analysis of thinking, approaches, themes and findings of writing on health financing in post-conflict or fragile health systems


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


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


Managing the health workforce after a conflict: a review of research and knowledge gaps

A 2014 briefing paper. During conflict, health systems can break down, with clinics and hospitals destroyed and medicine in short supply, leaving people at high risk of disease. Health workers can be targets and many leave the conflict zone. Managing human resources well can help overcome shortages in the health workforce, as well as other… Read more


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


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


Capacity building in post conflict settings

A 2015 ReBUILD presentation ‘Capacity building for health systems research and knowledge translation in post conflict contexts’


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


Health worker incentive environments during and postconflict

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


Contracting in conflict affected settings: evidence from Cambodia

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


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


Health financing in fragile and post-conflict states: What do we know and what are the gaps?

As part of ReBUILD’s wider work on health financing, this paper presents an exploratory literature review to analyse the themes and findings of recent writing on health financing in fragile and post-conflict settings.


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.


Health worker incentives during and after the conflict in Northern Uganda: A document review

This 2014 ReBUILD study examines the evolution of government and donor policies supporting health workers during and after conflict in Uganda


The development of HRH policy in Sierra Leone, 2002-2012 – a document review

This ReBUILD document review summarises the human resources for health context in Sierra Leone in 2013 and post-conflict policies introduced


The development of HRH policy in Sierra Leone, 2002-2012 – report on key informant interviews

A ReBUILD consortium report on the he development of humna resources for health policy in Sierra Leone, 2002-2012


Human Resources for Health in Post Conflict Settings – A Literature Review

A 2011 ReBUILD scoping review to identify the then current knowledge about human resources for health in post-conflict settings