Leaving no one behind: lessons on rebuilding health systems in conflict and crisis-affected states
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Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
BMJ Glob Health
Abstract
Conflict and fragility are increasing in many areas of the world. This context has been referred to as the
‘new normal’ and affects a billion people. Fragile and conflict-affected states have the worst health indicators
and the weakest health systems. This presents a major challenge to achieving universal health coverage. The
evidence base for strengthening health systems in these contexts is very weak and hampered by limited research
capacity, challenges relating to insecurity and apparent low prioritisation of this area of research by funders. This
article reports on findings from a multicountry consortium examining health systems rebuilding post conflict/crisis in
Sierra Leone, Zimbabwe, northern Uganda and Cambodia. Across the ReBUILD consortium’s interdisciplinary research programme, three cross-cutting themes have emerged through our analytic process: communities, human resources for health and institutions. Understanding the impact of conflict/crisis on the intersecting inequalities faced by households and communities is essential for developing responsive health policies. Health workers demonstrate resilience in conflict/crisis, yet need to be
supported post conflict/crisis with appropriate policies related to deployment and incentives that ensure a fair
balance across sectors and geographical distribution.
Description
Keywords
rebuilding health systems, health indicators
Citation
Martineau T, McPake B, Theobald S, et al. Leaving no one behind: lessons on rebuilding health systems in conflict- and crisis-affected states. BMJ Glob Health 2017;2:e000327. doi:10.1136/ bmjgh-2017-000327