Research for stronger health systems during and after crisis

African mothers and their babies

What is ReBUILD?

The ReBUILD Consortium was an international health systems research partnership which between 2011 and early 2019 addressed the previously neglected area of health systems research in fragile and conflict-affected settings (FCAS). Through new research and the support of evidence-based policy and practice, ReBUILD's partners aimed to help some of the world's poorest and most vulnerable people access effective health care and reduce health costs burdens, in these highly challenging conflict and crisis-affected settings.

ReBUILD has established itself as a leading source of expertise in health systems research in these settings. Working with research collaborators, policy makers, international & local organisations and networks, the consortium members have produced an extensive body of high quality, policy-relevant research, and supported its use in policy and practice (a summary of that work can be found here). The themes of ReBUILD's research include:

Working with national partners in a number of core countries, the team has also successfully built capacity at individual and organisational levels and helped inform the activities of a wide range of national and international actors.

Why is this work important?

Conflict continues to affect the lives and health of huge numbers of the world’s poorest people. Increasing numbers of protracted crises, instability and record levels of population displacement, overlaid on already highly fragile systems, mean that the need for evidence about what works in strengthening health systems in these settings is growing. Demand for ReBUILD's work is higher than ever before.

The team is therefore keen to continue to share the knowledge and insights it has gained so that others might learn from and act on the findings of this programme. Access an overview of all ReBUILD's research here, and the complete set of resources here.


What key themes emerged from ReBUILD's work?

ReBUILD's initial research identified three cross-cutting and interlinked themes which are introduced in the video above and examined in the briefing papers below:

  • Institutions – the organisations, rules and relationships that apply to health systems

  • Health workers - the most expensive, complex, politically charged and critical health system pillar

  • Communities - ensuring that households, communities and societies are not permanently scarred by conflict

ReBUILD explored further aspects of all these themes through a series of additional projects between 2017 and 2019, and in a series of cross-cutting briefings.

Continuing the work


ReBUILD has been an active member of working groups and coalitions that share the programme’s objectives. These groups continue to work actively towards improved health systems in fragile settings, and will be of relevance to anybody working in this field:

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