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Resources from ReBUILD’s work on health worker incentives and deployment in post-conflict and post-crisis settings

This document includes details and links to all outputs from ReBUILD's work on human resources for health in post-conflict and post-crisis settings. Updated versions will be posted as further resources are added. 

The list below and the downloadable PDF are complete as of August 2018. The resources listed are organised on broad thematic lines, or related to specific country contexts. They include peer-reviewed journal articles, research reports, briefs, and a selection of presentations, audio-visual resources and blogs.

Download the resource list here or view the list in your browser below.

You can sort for specific ReBUILD human resources for health (HRH) content by country, resource type and year via the resources section.

Further information and resources are available via the regularly updated resources page.  Specific pre-sorted resources from ReBUILD’s work on human resources for health can be found in our resources section.

For more information on ReBUILD’s work on human resources for health, contact:

 

Introduction: ReBUILD’s research on human resources for health in conflict and crisis affected settings

Human resources development, a very important part of health systems rebuilding after conflict or crisis, has received relatively little attention in the literature and there has been consequently little to inform decision-makers and donors. ReBUILD’s work on human resources for health (HRH) therefore focused on how the decisions made, or not made, in the post-conflict period can affect the longer term pattern of attraction, retention, distribution and performance of health workers, and thus ultimately the performance of the sector.

The work includes a large body of research on health worker incentives, which has been carried out across all four of our partner countries, and research on health worker deployment systems in two partner countries, Uganda and Zimbabwe. Further work on HRH has been done in Sierra Leone on the effects on the recent Ebola outbreak on health workers and the health system, and also by one of ReBUILD’s Affiliate research partners on Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone. Another Affiliate research partner’s work on health systems resilience in Côte d’Ivoire, northern Nigeria and South Africa is producing important findings relating to human resources for health. Running through all ReBUILD’s research has been a focus on gender and equity, and outputs from much of the specific work on gender has relevance for human resources.

Resources:

Background literature reviews on health worker incentives and deployment

Journal articles and Working Papers:

Briefs:

 

Cross-country synthesis and theoretical work on health worker incentives, deployment and HRH

Journal articles and Working Papers:

  • Witter, S, Wurie, H, Namakula, J, Mashange, W, Chirwa, Y and Alonso‐Garbayo, A (2018) Why do people become health workers? Analysis from life histories in 4 post‐conflict and post‐crisis countries. Int J Health Plann Mgmt. 2018; 1–11; http://onlinelibrary.wiley.com/doi/10.1002/hpm.2485/epdf

  • Witter, S., Wurie, H., Chandiwana, P., Namakula, J., Sovannarith, S., Alonso-Garbayo, A., Ssengooba, F and Raven, J. (2017) 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. Health Policy and Planning, Volume 32, Issue suppl_3, 1 November 2017, Pages iii3–iii13, https://doi.org/10.1093/heapol/czx112

Briefs:

Presentations:

 

Health worker incentives: Sierra Leone

Journal articles and Working Papers:

Briefs:


Presentations:

 

Health workers and Ebola in Sierra Leone

Journal articles and Working Papers:

Video:

  • Haja Wurie speaks about the health workforce and Ebola in Sierra Leone. This video was made by the COUNTDOWN RPC but covers evidence and experiences from ReBUILD’s research during the Ebola outbreak. https://youtu.be/JRNNcE8rODo

Blogs:

 

Health worker incentives and deployment: Uganda

Journal articles and Working Papers:

  • Namakula, J., Witter, S. and Ssengooba, F. (2016) Health worker experiences of and movement between public and private not-for-profit sectors - findings from post conflict Northern Uganda. Human Resources for Health, 14:18. http://www.human-resources-health.com/content/14/1/18

  • Namakula, J. and Witter, S. (2014) Living through conflict and post-conflict: experiences of health workers in northern Uganda and lessons for people-centred health systems. Health Policy and Planning Health Policy and Planning, vol. 29, pp ii6–ii14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4202915/

Briefs:

 

Health worker incentives and deployment: Zimbabwe

Journal articles and Working Papers:

  • Chirwa, Y, Witter, S, Munjoma, M, Mashange, W, McPake, B and Munyati, S. (2013) The human resource implications of improving financial risk protection for mothers and newborns in Zimbabwe. BMC Health Services Research 2013 13:197 http://bit.ly/HRHUserFeesinZim

Briefs:

 

Health worker incentives: Cambodia

Journal articles and Working Papers:

 

Gender and human resources for health

Journal articles and Working Papers:

  • Witter, S., Namakula, J., Wurie, H., Chirwa, Y., So, S., Vong, S., Ros, B., Buzuzi, S. and Theobald, S; The gendered health workforce: mixed methods analysis from four fragile and post-conflict contexts Health Policy and Planning, 32, suppl 5, 1 December 2017 pp v52–v62, https://doi.org/10.1093/heapol/czx102

  • Sarah N. Ssali, Sally Theobald, Justine Namakula and Sophie Witter (2016) Building post-conflict health systems: a gender analysis from Northern Uganda. Chapter 20 in the Handbook on Gender and Health, edited by Jasmine Gideon and published by Edward Elgar 27 May 2016. (Part of the International Handbooks on Gender series) ISBN: 9781784710859  DOI: http://dx.doi.org/10.4337/9781784710866

  • Dhatt, S. Theobald, S. Buzuzi, et al. (2017) The role of women's leadership and gender equity in leadership and health system strengthening. Global Health, Epidemiology and Genomics (2017), 2, e8, page 1 of 9. doi:10.1017/gheg.2016.22

Specific resources on gender and equity in post-conflict health systems:

The outputs from ReBUILD’s collaborative work with the Gender Working Group of the Stockholm International Peace Research Institute (SIPRI) Global Health and Security Programme has now been developed into 'Building Back Better' - a set of resources, including case studies, on gender in post-conflict health systems. www.buildingbackbetter.org

Briefs:

  • Hyde S. and Buzuzi S. (2017) “How gender roles and relations affect health workers’ training opportunities and career progression in post-crisis rural Zimbabwe.” buildingbackbetter.org.

  • Vong, S., Hyde S. and Hawkins K. (2017) “Promoting women’s leadership in the post-conflict health system in Cambodiabuildingbackbetter.org.

 

Cross-cutting and general health systems articles:

Journal articles and Working Papers:

  • Martineau, T., McPake, B., Theobald, S., Raven, J., Ensor, T., Fustukian, S., Ssengooba, F., Chirwa, Y., Vong, S., Wurie, H, Hooton, N and Witter, S. (2017) Leaving no one behind: lessons on rebuilding health systems in conflict and crisis-affected states. BMJ Global Health Jul 2017, 2 (2) http://gh.bmj.com/content/2/2/e000327

  • McPake, B., Witter, S., Ssali, S., Wurie, H., Namakula, J. and Ssengooba, F. (2015) Ebola in the context of conflict affected states and health systems: case studies of Northern Uganda and Sierra Leone. Conflict and Health; 9; 23. http://www.conflictandhealth.com/content/9/1/23

  • McPake, B., Witter, S., Ensor, T., Fustukian, S., Newlands, D., Martineau, T. and Chirwa, Y. (2013) Removing financial barriers to access reproductive, maternal and newborn health services: the challenges and policy implications for human resources. Human Resources for Health, 11(1):46. http://www.human-resources-health.com/content/11/1/46/abstract

Presentations:

Blogs:

 

ReBUILD’s general briefs and issue briefs on health systems in conflict and crisis affected settings:

Health systems after conflict; evidence for better policy and practice

A series of four overview briefs on ReBUILD’s phase 1 research, cross-cutting findings and lessons, ReBUILD, 2016

 

 

Health systems during and after crisis; evidence for policy and practice

 

A series of nine briefs on priority research topics for crisis-affected contexts, ReBUILD, 2017/18.