Research for stronger health systems during and after crisis

Blog entries 2018

Community Health Workers and Gender
17 July 2018

The findings of the ReBUILD Community Health Worker (CHW) project from three fragile and conflict-affected African countries were shared and discussed at a one-day dissemination meeting in Freetown, Sierra Leone recently. The ReBUILD research, led by Joanna Raven at Liverpool School of Tropical Medicine (in collaboration with RinGs), used a gender lens to try to identify how CHW cadres in Liberia, Sierra Leone and the Democratic Republic of Congo can be better supported to play an effective and long-term role in broader health systems in fragile contexts. During each country’s presentation sensitive issues surrounding gender surfaced and are reflected on here.

Midwives and traditional birth attendants collaborate in DR Congo
06 June 2018

Liverpool School of Tropical Medicine PhD candidate, Amuda Baba, describes some of his work in mainly rural and peri-urban Democratic Republic of Congo which includes looking at the changing role and impact of traditional birth attendants. He considers a collaboration between midwives and traditional birth attendants to improve maternal health in the rural north-east of the country where there is a shortage of qualified midwives.

Women working in health in fragile and conflict-affected contexts
22 May 2018

The global health world does not do a good job of celebrating woman leaders. In their excellent Lancet article Rosemary Morgan and colleagues explained that of seven public health and medicine awards from diverse countries, the chances of a woman receiving a prize was nine out of 100 since their inception. Bearing this in mind, Research in Gender and Ethics: Building Stronger Health Systems (RinGs) was proud co-sponsor of the Heroines of Health Awards, held in Geneva on 20th May, during the week of the 71st World Health Assembly. Among the many people attending the event was Dr Tedros Adhanom Ghebreyesus, Director General of the WHO.

Performance based financing in fragile and conflict affected health systems_Context matters, but how and why?
03 May 2018

Last year, members of the Community of Practice on performance-based financing (PBF) were consulted to share documents and reports on PBF in fragile settings to help carry out a literature review by the ReBUILD project. The objective of the review was to understand the specificity of PBF schemes in fragile and conflict affected states, and how the broader context can influence PBF introduction, design and implementation, and mediates PBF’s effects on the health system. In this post, they share some reflections on their work.

Health workers – the bedrock of healthcare during conflict, and central for rebuilding health systems
06 April 2018

For World Health Worker Week and World Health Day we should not simply recognise and celebrate the work of health workers in the most challenging human situations in our world. We must also commit to action to support, protect and enable health workers, managers and all involved in supporting access to essential health care during conflict and protracted crises, and in the lengthy and uncertain periods of recovery after. Blogpost by Nick Hooton, Research, Policy and Practice Advisor

International Womens Day _spotlight on women in fragile and conflict affected settings
08 March 2018

On International Women’s Day we need to shine a spotlight on women in fragile and conflict-affected settings. Attention to these states is critical to achieving universal health coverage, along with progress on other Sustainable Development Goals on gender equity and social justice. We need to ensure that women’s needs are met during and after war, and that we join up action here with longer term, sustainable solutions. Sally Theobald, Valerie Percival and Kate Hawkins highlight the impact on and role of women in rebuilding health systems in post-crisis states.