Resources from ReBUILD’s work on health financing in conflict-affected and post-conflict settings

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

Download the resource list here or view the list below.

You can sort for specific ReBUILD health financing resources by country, resource type and year in our resources section.

The list below is complete as of September 2018. Further information and resources are available via the regularly updated resources page. There are further resources from ReBUILD’s work on .

For more information on ReBUILD’s work on health financing, contact:

• Sophie Witter or

• Barbara McPake

• Nick Hooton

We also have separate set of resources from ReBUILD’s research on human resources for health and health worker incentives and deployment in post-conflict and post-crisis settings.

 

 

Introduction: ReBUILD’s research on health financing in conflict-affected & post-conflict settings

ReBUILD’s research started with an overview literature review on health financing in post-conflict states, which fed into the development of research projects to fill some identified gaps, including:

• The changes in health financing policies in four countries and how they affected household access and expenditure

• A four-country study on health worker incentives post-conflict

• Social network analysis of aid actors in northern Uganda

• A review of contracting mechanisms in Cambodia

• A review of purchasing mechanisms in Zimbabwe

• A literature review and expert consultation on health financing and gender

During ReBUILD’s extension phase additional projects are looking at:

• Performance based financing (PBF) in fragile and conflict-affected settings, and how contextual factors influence adoption, adaption, implementation and integration of PBF, and how PBF programmes could be improved and ultimately strengthen health systems in FCAS.
• Demographic and distributional impacts of conflicts and implications for health systems. Building on the phase 1 research on health financing, this project aims to understand the implications of conflict-related demographic change for health financing and social protection policies intended to ensure access to healthcare without impoverishing effects. 

 

Resources:

Initial literature review

• Witter, S. (2012) Health financing in post-conflict states: what do we know and what are the gaps? Social Science and Medicine, vol. 75, p.2370-2377.

Findings on health financing policies and household effects

• Bertone MP, Jacobs E, Toonen J, Ngozi Akwataghibe, Witter S (2018) Performance-based financing in three humanitarian settings: principles and pragmatism. Conflict and Health (2018) 12:28

• Bertone MP, Falisse J-B, Russo G, Witter S (2018) Context matters (but how and why?) A hypothesis-led literature review of performance based financing in fragile and conflict-affected health systems. PLoS ONE 13(4): e0195301

• Ensor, S. Chhun, C., Kimsun, T., McPake, B and Edoka, I. Impact of health financing policies in Cambodia: A 20 year experience Social Science & Medicine, Volume 177, March 2017, Pages 118–126

• Ros, B., Le, G., McPake, B. and Fustukian, S. The commercialization of traditional medicine in modern Cambodia Health Policy and Planning, 2017, 1 - 8, czx144

• Ensor, T., So, S. and Witter, S. (2016) Exploring the influence of context and policy on health district productivity in Cambodia. Cost effectiveness and resource allocation, 14:1.

• Edoka, I., Ensor, T., McPake, B., Amara, R., Tseng, FM and Edem-Hotah, J Free health care for under-fives, expectant and recent mothers? Evaluating the impact of Sierra Leone’s free health care initiative Health Economics Review (2016) 6:19 DOI 10.1186/s13561-016-0096-4

• Edoka, I., McPake, B., Ensor, T., Amara, R., Edem-Hotah, J. (forthcoming) Changes in Catastrophic Health Expenditure in Post-Conflict Sierra Leone: An Oaxaca-Blinder Decomposition Analysis. International Journal for Equity in Health

• Buzuzi, S., Chandiwana, B., Munyati, S., Chirwa, Y., Mashange, W., Chandiwana, P., Fustukian, S. and McPake, B. (2016). Impact of user fees on health care seeking behaviour and financial protection during the crisis period in Zimbabwe: A life history approach. ReBUILD RPC Working Paper

• A strong public health sector key for health system resilience in Gulu district, northern Uganda ReBUILD RPC Brief (Uganda)

• ReBUILDing Health Systems Beyond Health Facilities ReBUILD RPC Brief (Uganda)

 

Performance-based financing

• Bertone, M., Falisse, J-B., Russo, G. and Witter S. (2018) Context matters (but how and why?) A hypothesis-led literature review of performance based financing in fragile and conflict-affected health systems. PLoS ONE 13(4): e0195301

• Bertone, M., Jacobs, E., Toonen, J., Akwataghibe, N. and Witter S. (2018) Performance-based financing in three humanitarian settings: principles and pragmatism Conflict and Health 12:28

• Performance-based financing in fragile and conflict-affected settings - a summary Witter, S. & Bertone M. (2018) ReBUILD Briefing paper

Health worker incentives

• Witter, S., Mashange, W., Namakula, J., Wurie, H.R., Ssengooba, F. and Alonso-Garbayo, A. (2017) Incentives for health workers to stay in post and in rural areas: findings from four conflict- and crisis-affected countries. ReBUILD RPC Working Paper No. 26.

• Bertone MP, Lagarde M, Witter S, (2016) Performance-Based Financing in the context of the complex remuneration of health workers: findings from a mixed-method study in rural Sierra Leone. BMC Health Services Research 16:286

• Bertone, M. and Lagarde, M. (2016) Sources, determinants and utilization of health workers’ revenues: evidence from Sierra Leone Health Policy & Planning (2016) doi: 10.1093/heapol/czw031

• Bertone, M. and Witter, S. (2015) An exploration of the political economy dynamics shaping health worker incentives in three districts in Sierra Leone. Social Science and Medicine, volume 141, pp56-63.

• Bertone, M. and Witter, S. (2015) The complex remuneration of Human Resources for Health in low income settings: policy implications and a research agenda for designing effective financial incentives. Human Resources for Health, 13; 62.

• Witter, S., Wurie, H. And Bertone, M. (2015) The Free Health Care Initiative: how has it affected health workers in Sierra Leone? Health Policy and Planning journal, 1-9

Social network analysis

• Ssengooba, S., Namakula, J., Kawooya, V. and Fustukian, S. (2017) Sub-national assessment of aid effectiveness: A case study of post-conflict districts in Uganda. Globalization and Health 2017, 13:32

• Ssengooba, F., Kawooya, V., Namakula, J. and Fustukian, S. Application of social network analysis in the assessment of organization infrastructure for service delivery: a three district case study from post-conflict northern Uganda Health Policy and Planning, 2017, 1–10

Contracting in Cambodia

• Vong, S., Raven, J. and Newlands, D. (2018) Internal contracting of health services in Cambodia: drivers for change and lessons learned after a decade of external contracting BMC Health Services Research 18:375

• Vong, S., Raven, J. and Newlands, D. 2015. Understanding contracting in Cambodia: the performance of contracting and non-contracting districts in extending primary health coverage: analysis of secondary data. ReBUILD RPC Research Report

• Vong, S., Raven, J. and Newlands, D. 2015. Understanding contracting in Cambodia: findings from interviews with key informants and health service managers and providers. ReBUILD RPC Research Report

Purchasing in Zimbabwe

• MoHCC, NIHR, TARSC (2015) National Research Forum: Evidence for advancing Universal Health Coverage in Zimbabwe, Conference Report, 19 -20 March 2015, Harare

• Gwati G MoHCC (2013) Desk Review for Purchasing Arrangements for Public Health Services in Zimbabwe Harare, MoHCC, with TARSC Zimbabwe

• ZEPARU (2014) Desk Review of institutional arrangements for health financing in Zimbabwe,

  ZEPARU, TARSC, MoHCC, EQUINET in the ReBUILD project: Harare

• Vaughan K, Toonen J, Berghuis-Mutubuki E, Dieleman M (2014) Desk Review of institutional arrangements for health financing in selected African countries, KIT Netherlands with TARSC, MoHCC Zimbabwe

Health financing and gender

• Witter, S., Govender, V., Ravindran, S. and Yates, R. (2017) Minding the gaps: health financing, universal health coverage and gender. Special edition on gender and ethics, Health Policy and Planning.

• Ssali, S. and Theobald, S. (2016) Using life histories to explore gendered experiences of conflict in Gulu District, northern Uganda: Implications for post-conflict health reconstruction South African Review of Sociology Volume 47, Issue 1, 2016

Cross-cutting materials

• Nine briefs on priority research topics for crisis-affected contexts, ReBUILD, 2017/18.

• Resilience of health systems during and after crises – what does it mean and how can it be enhanced?

• Developing inclusive health systems in crisis-affected settings

• How to move towards universal health coverage in crisis-affected settings: lessons from research

• How do different types of provider affect access to effective and affordable healthcare during and after crises?

• The political economy of crisis-affected settings: what does it mean for investments in health systems?

• Do health systems contribute to reduced fragility and state-building during and after crises?

• Sustainability of health systems in crisis-affected settings: lessons for practice

• Developing health system research capacity in crisis-affected settings: why and how?

• What do we know about how to respond to humanitarian crises in ways that also contribute to subsequent stronger health systems?

 

• Ager, A., Lembani, M., Mohammed, A., Ashir, GM., Abdulwahab, A., de Pinho, H., Delobelle, P. and Zarowsky, C. (2015) Health service resilience in Yobe state, Nigeria in the context of the Boko Haram insurgency: a systems dynamics analysis using group model building. Conflict and Health 2015 9:30

• 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)

• Health financing policy in conflict-affected settings: lessons from ReBUILD research. ReBUILD briefing paper (2016)

• Woodward, A., Sondorp, E., Witter, S. and Martineau, M. (2016) Health systems research in fragile and conflict affected states: a research agenda-setting exercise. Health Research Policy & Systems.

• Universal health coverage amid conflict and fragility: ten lessons from research. (Witter, S., Dec 2015, Lancet Global Health blog)

• 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.

• Percival, V., Richards, E., MacLean, T. and Theobald, S. (2014) Health systems and gender in post-conflict contexts: building back better? Conflict and Health 2014, 8:19

• 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.