Tag: Sierra Leone

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

This 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


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


Gender and Intersectionality

ReBUILD, gender and intersectionality – about the health systems research programme, predecessor of ReBUILD for Resilience


Human Resources for Health

ReBUILD and human resources for health – explore the health systems research programme, predecessor of ReBUILD for Resilience


Health Systems Financing

ReBUILD and health financing – about the health systems research programme, predecessor of ReBUILD for Resilience


College of Medicine & Allied Health Sciences

About ReBUILD for Resilience partner, College of Medicine and Allied Health Sciences, Sierra Leone and its staff


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


Les systèmes de santé après un conflit – éléments probants en faveur de meilleures politiques et pratiques

Ces documents de synthèse décrivent les thèmes principaux issus des recherches de ReBUILD, ainsi qu’un aperçu du programme et de son large éventail de projets de recherche jusqu’en 2016.


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


A summary of ReBUILD’s research themes, projects and related outputs

A summary document giving an overview of the projects and research themes which have made up ReBUILD’s work.


Resources from ReBUILD’s research on gender in post-conflict health systems

Details of all outputs from ReBUILD’s work on gender and post-conflict health systems.


Video – ‘The bumpy trajectory of performance-based financing for healthcare in Sierra Leone’

Dr Maria Bertone speaks about performance-based financing for healthcare in Sierra Leone


Sustainability of health systems in crisis-affected settings: lessons for practice

This policy brief reviews key dimensions of sustainability and their relevance for crisis-affected settings, then presents lessons for encouraging sustainability in these settings.


The bumpy trajectory of performance-based financing for healthcare in Sierra Leone

A ReBUILD paper on the development of performance-based financing for healthcare in Sierra Leone


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.


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.


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


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.  


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.


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.


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


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.


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.


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

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


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

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


Incentives for health workers to stay in post and in rural areas: findings from four conflict- and crisis-affected countries

ReBUILD report presents a cross-cutting analysis into health worker incentives in post-crisis northern Uganda, Sierra Leone, Cambodia & Zimbabwe


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.


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.


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


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


Difficult Choices in Health Care Decisions Pre, During and Post Conflict in Sierra Leone

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


Becoming more effective actors for evidence-based health systems policy and practice; Experiences of research, research uptake and capacity-building from the ReBUILD research programme consortium

Poster on ReBUILD’s experiences of research uptake and capacity building at national and international levels, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada.


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


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.


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


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).


Evidence for supporting a health workforce for all in Sierra Leone

Complete presentations given by ReBUILD team at a stakeholder meeting on “Evidence for supporting a health workforce for all in Sierra Leone”, held on 28th January 2016 in Freetown


Free health care for under-fives, expectant and recent mothers? Evaluating the impact of Sierra Leone’s free health care initiative

This paper reports the findings of a study evaluating the impact of Sierra Leone’s 2010 Free Health Care Initiative (FHCI). It uses two nationally representative surveys to identify the impact of the policy on utilisation of maternal care services by pregnant women and recent mothers as well as the impact on curative health care services and out-of-pocket payments for consultation and prescription in children under the age of 5 years.


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


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


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


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.


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


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.


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


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.


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


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).


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


Sierra Leone: August 2013

ReBUILD Sierra Leone—August 2013 Newsletter Read the full newsletter   


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


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.


Building gender responsive health systems in post conflict contexts: Opportunities and challenges

Building gender responsive health systems in post-conflict contexts: Opportunities and challenges Presentation given at a Global Health, Policy and Practice session 7 March 2014 Read the full presentation


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.


Gender and health ReBUILD themes

Presentation entitled ‘ReBUILD: Gender and health theme’ by Sally Theobald of ReBUILD Consortium


Country Situation Analysis Uganda

A REBUILD consortium Country Situation Analysis for Uganda from 2011


Country Situation Analysis: Sierra Leone

A REBUILD consortium Country Situation Analysis for Sierra Leone 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).


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


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


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