Category: Uganda
Learning sites for health systems research: Reflections on five programs in Africa, Asia, and Central America
Paper draws from learning over three continents and five research and community engagement programs to reflect on the challenges and benefits of doing embedded research in learning sites
Financial protection in Uganda
Presentation given by Sophie Witter at the 2023 IHEA conference entitled ‘Financial protection in Uganda: Reflections from an HFPM assessment’
Monitoring Menstrual Health Knowledge: Awareness of Menstruation at Menarche as an Indicator
Paper which looks at monitoring menstrual health knowledge as an indicator to provide important feedback to direct policies and program
‘They say we are money minded’ – exploring experiences of formal private for-profit health providers towards contribution to pro-poor access in post-conflict Northern Uganda
This paper seeks to understand how the private for-profit health sector continues to thrive in settings with high poverty levels and a history of conflict, such as Northern Uganda.
Maintains programme: Research supporting social services’ adaptation to external shocks
A summary of the Maintains programme (2018-21) and its outputs: research supporting social services’ adaptation to external shocks
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
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.
“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.
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.
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.
Developing health system research capacity in crisis-affected settings: why and how?
This brief outlines the meaning of health system research capacity, the particular needs for such research capacity in crisis-affected settings, and key lessons for future policy, building on the broad experience of the ReBUILD Consortium and tacit knowledge of the ReBUILD partnership as well as wider literature
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.
How do different types of provider affect access to effective and affordable healthcare during and after crises?
This brief summarises the key characteristics of the different types of providers and the health services they offer, and discusses their involvement in health crises and possible interventions that can increase access to effective and affordable healthcare during and after crises.
How to move towards universal health coverage in crisis-affected settings: lessons from research
This policy brief reviews the meaning of universal health coverage (UHC) and summarises lessons for achieving UHC in crisis-affected settings.
Developing inclusive health systems in crisis-affected settings
This policy brief highlights the ways in which health systems reinforce the marginalisation of some social groups, and then summarises the effects of crises on inclusiveness and the interventions that can protect and enhance equity for those marginalised.
Institutions for strong and equitable health systems after conflict and crisis – lessons from ReBUILD research
This brief outlines the findings from ReBUILD’s phase 1 research informing the theme of institutions in 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.
Les systèmes de santé pendant et après une crise : éléments probants en faveur de meilleures politiques et pratiques
Cette série de documents de synthèse, fruit des recherches menées par ReBUILD, aborde un nombre de questions clés concernant le renforcement des systèmes de santé dans les contextes affectés par un conflit ou une crise.
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
ReBUILD briefings addressing gender, vulnerable groups and intersectionality
ReBUILD briefing papers addressing issues around gender, vulnerable groups and intersectionality in health systems in a range of countries
Health systems during and after crisis: evidence for better policy and practice
This series of ReBUILD briefing papers addresses some key questions related to health systems strengthening in settings affected by conflict or crisis.
Managing the Transition from Humanitarian to Development Aid: East African Symposium on Aid Effectiveness and Health Systems Development – Key messages brief
This brief document outlines the key messages highlighted by participants at the East African Regional Symposium on Aid Effectiveness and Health Systems, held on 15th/16th August in Kampala.
East Africa Symposium on Transitioning from Humanitarian to Development Aid. Day 2 bulletin
This bulletin presents the highlights from the second day’s proceedings at the East Africa Symposium on Transitioning from Humanitarian to Development Aid in Kampala. 15th – 16th August 2018.
East Africa Symposium on Transitioning from Humanitarian to Development Aid. Day 1 bulletin
This bulletin presents the highlights from the first day’s proceedings at the East Africa Symposium on Transitioning from Humanitarian to Development Aid in Kampala.
Managing the transition from humanitarian to development aid – symposium briefing
Briefing booklet and programme produced for the East African Regional Symposium on Aid Effectiveness and Health Systemson
Webinar – Performance-based financing in fragile and conflict-affected settings: from research to practice
Recording of a webinar on the impact of PBF research on practice in fragile and conflict-affected settings
Performance-based financing as a way to build strategic purchasing in fragile and conflict affected settings: potential and pitfalls
Presentation given by Sophie Witter at a Satellite Session on “Payment for Performance, how, why, where and what?”, at the Fifth Global Symposium on Health Systems Research in Liverpool, on 9th October 2018.
The changing health care needs of communities and health system responses in fragile settings
Presentation on the changing health care needs of communities and health system responses in fragile settings by Tim Martineau at the Fifth Global Symposium on Health Systems Research in Liverpool, October 2018.
Etat des connaissances sur le renforcement des systèmes de santé dans les contextes fragiles
Presentation (French language) on the state of knowledge on health systems in fragile contexts, given by Professor Sophie WItter at an International Workshop at the Institute of Tropical Medicine in Antwerp on 16th October 2018.
Investigating results-based financing as a tool for strategic purchasing: comparing the cases of the Democratic Republic of Congo, Zimbabwe and Uganda
Presentation given by Maria Paula Bertone at a Satellite session of the 5th Global Symposium on Health Systems Reseach, on “Payment for Performance, how, why, where and what? Learning from research across income settings. Tuesday 9th 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.
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
Video on gender in post-conflict health systems with a focus on Northern Uganda
Professor Sarah Ssali speaks about gender in post-conflict health systems with a focus on Northern Uganda.
Health worker deployment policies in conflict-affected northern Uganda
Richard Mangwi Ayiasi 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
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
This ReBUILD paper examines if and how rebuilding health systems affected gender equity in four post-conflict contexts.
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
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
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
Minding the gaps: health financing, universal health coverage and gender
This ReBUILD paper reflects on why we need to focus on gender when moving towards Universal Health Coverage
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
Application of social network analysis in the assessment of organization infrastructure for service delivery: a three district case study from post-conflict northern Uganda
This 2017 paper reports on ReBUILD’s research on aid effectiveness in northern Uganda in the post-conflict reconstruction phase
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
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.
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
Evidence submitted to High Level Commission on Health Employment and Economic Growth
In June 2016 ReBUILD submitted evidence to the High Level Commission on Health Employment and Economic Growth, based on the findings and experience on human resources for health from the research team, especially related to fragile and conflict affected settings. You can access the submitted evidence here.
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.
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.
A strong public health sector key for health system resilience in Gulu district, northern Uganda
First 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
Benefits of Social Network Analysis for District Performance Assessment
This brief gives an overview and an assessment of the Social Network Analysis tool for assessing district health sector performance in Uganda.
Aid Effectiveness assessment
This brief outlines the approach used and conclusions from part of the ReBUILD’s Aid Effectiveness research in northern Uganda. It concludes that the tool developed for sub-national assessment of aid effectiveness is fit for the purpose. Negotiating priorities and clear communication especially between fundholders and service providers are areas that still need attention if the alignment… Read more
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.
Health financing and UHC – what’s gender got to do with it?
Presentation made by Sophie Witter at DFID lunchtime seminar 19th January 2016
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
‘Leaving no one behind’: protecting vulnerable groups in fragile and conflict-affected situations
Poster from ReBUILD’s cross-country study on people’s health needs and health seeking behaviour before, during and after conflict. This poster was presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada
Adapting official deployment policies for staffing rural areas to build resilient health systems during conflict: lessons from northern Uganda
Poster from ReBUILD’s health worker deployment study in Uganda, 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
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.
Human Resources in Fragile and Conflict-Affected settings – cross sectoral issues between health and education
A 2016 overview presentation on human resources in health and education in fragile and conflict-affected settings
Application of Social Network Analysis in the Assessment of Organizational Infrastructure for Service Delivery: A Case Study From Post-conflict Northern Uganda
A 2016 draft paper on ReBUILD research into the link between governance and aid effectiveness in post-conflict health systems in Uganda
Maintaining an effective health workforce during and after conflict: Evidence from ReBUILD’s research in northern Uganda
This research brief gives an overview and key findings/recommendations from ReBUILD’s research on health worker incentives in northern Uganda
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
Gendered Health Care Coping In Northern Uganda: What Are The Gender And Equity Considerations In Post Conflict Health System Strengthening?
Poster presented at the Third Global Symposium on Health Systems Research in Cape Town 2014: A study of the extent to which gender is a factor in post conflict health systems
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 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
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.
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
Fragile and conflict affected states: report from the Consultation on Collaboration for Applied Health Research and Delivery
Fragile and Conflict Affected States present difficult contexts to achieve health system outcomes and are neglected in health systems research. This report presents key debates from the Consultation of the Collaboration for Applied Health Research and Delivery, Liverpool, June, 2014.
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.
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
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
Managing the Ebola epidemic in Uganda 2000-2001
A 2014 ReBUILD brief on managing the Ebola epidemic in Uganda 2000-2001 and the importance of a holistic focus on health systems
ReBUILD Progress Update February 2015
This briefing note provides a summary update of ReBUILD’s progress across the whole range of its research themes and focus countries, as of February 2015.
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
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’
Gender and health ReBUILD themes
Presentation entitled ‘ReBUILD: Gender and health theme’ by Sally Theobald of ReBUILD Consortium
Health worker incentive environments during and postconflict
ReBUILD presentation from 2013 on early work on health worker incentive environments during and post-conflict
Country Situation Analysis Uganda
A REBUILD consortium Country Situation Analysis for Uganda from 2011
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.
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
Policies to attract and retain health workers in Northern Uganda during and after conflict: findings of key informant interviews
A 2014 ReBUILD report on policies to attract and retain health workers in Northern Uganda during and after conflict
Health workers career paths livelihoods and coping strategies in conflict and post conflict Uganda
Report of ReBUILD’s ‘life history’ study of serving health workers in four districts of the Acholi sub-region in northern Uganda, as part of ReBUILD’s wider work on health worker experiences and incentives during and after conflict.