Category: 2016
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.
Challenges and progress in implementing the women, peace and security agenda: two case studies
This section from the 2016 SIPRI yearbook highlights the challenges and progress in implementing the women, peace and security agenda
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
Health systems research in fragile and conflict-affected states: a research agenda-setting exercise
This paper reports on a research needs setting exercise carried out by the HSG Thematic Working Group on Health Systems in Fragile and Conflict Affected States (TWG-FCAS).
Synthesis report research tools – Rebuilding adolescent girls lives: mental health and psychosocial support in conflict-affected Gaza Liberia and Sri Lanka
This output details the data collection instruments relating to the ReBUILD synthesis report with the same title
Retention of health workers in rural Sierra Leone: findings from life histories
This article, published in Human Resources for Health, reports the findings from ReBUILD’s qualitative work in Sierra Leone on health worker incentives.
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.
Impact of user fees on health care seeking behaviour and financial protection during the crisis period in Zimbabwe: A life history approach
This report presents the findings and recommendations from part of ReBUILD’s qualitative health financing research in Zimbabwe, using the life histories approach.
Using life histories to understand and support health systems and their resilience
Presentation given during a skills-building session on the use of life histories in health systems research, given at the 4th Global Symposium on Health Systems Research in VAncouver, 15th November 2016
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.
Deployment of Human Resources for Health in Zimbabwe: Synthesis report
Report from ReBUILD’s research into deployment systems for health workers in remote and rural areas in Zimbabwe. Download the full report here.
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
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
Can positive inquiry strengthen obstetric referral systems in Cambodia?
This paper draws on ReBUILD’s Responsive Fund project “Obstetric Referral in the Cambodian Health System – What Works?” This project was conducted by the Nuffield Centre for International Health & Development, University of Leeds and Cambodian Development Research Institute.
‘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
What do health workers do, and why? A study of the activities performed by primary healthcare workers in Sierra Leone
Poster from ReBUILD/LSHTM affiliate study on Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada
Outputs from the project Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone
This page lists all outputs from the project Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone
Why aren’t women rising to the top? Gender in Cambodia’s Health Workforce and Leadership
Poster from RinGs small grant project in Cambodia, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada
Data collection on rural posting /deployment of health workers in post crisis settings: A case of rural Zimbabwe
Poster from ReBUILD’s health worker deployment study in Zimbabwe, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada
Impact of the policy to freeze posts on the deployment of health workers after the crisis in rural Zimbabwe
Poster from ReBUILD’s health worker deployment study in Zimbabwe, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada
More flexibility in the use of deployment policies: the challenge of retaining health workers in post crisis settings in remote areas of Zimbabwe
Poster from ReBUILD’s health worker deployment study in Zimbabwe, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada Authors: Wilson Mashange, Yotamu Chirwa, Pamela Chandiwana, Mildred Pepukai, Shungu Munyati, Tim Martineau & Alvaro Alonso-Garbayo Click on the poster image to download the poster.
Difficult Choices in Health Care Decisions Pre, During and Post Conflict in Sierra Leone
Poster from ReBUILD’s health financing study in Sierra Leone, 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
Understanding factors that can promote resilience during and after economic crises: how to retain and motivate health workers at rural health facilities in Zimbabwe
Poster from ReBUILD’s health worker incentives study in Zimbabwe, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada.
Fostering development of sustainable incentive policies for a resilient health workforce: lessons from post crisis Zimbabwe
Poster from ReBUILD’s health worker incentives study in Zimbabwe, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada.
Building a resilient health system post Ebola: voices of health workers from Sierra Leone
Poster from ReBUILD’s study on health worker experiences of the Ebola outbreak in Sierra Leone, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada
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.
The evolution of human resources for health policies in post-conflict Cambodia: findings from key informant interviews and document reviews
ReBUILD Working Paper 19. Sovonarith So and Sophie Witter. February 2016. This working paper was an output of ReBUILD’s research into the evolution of health worker incentives in four post-conflict contexts (Cambodia, Sierra Leone, Uganda and Zimbabwe) in order to understand how to establish equitable access to quality health care in these health systems. The… Read more
‘Fighting a battle’: Ebola, health workers and the health system in Sierra Leone
A working paper on the ReBUILD study ‘Fighting a battle: Ebola, health workers and the health system in Sierra Leone’
Report of Sierra Leone Human Resources for Health Summit 2-3 June 2016
A ReBUILD consortium report from the Sierra Leone Human Resources for Health Summit 2016
Performance-based financing in the context of the complex remuneration of health workers: findings from a mixed-method study in rural Sierra Leone
The study investigates the absolute and relative contribution of performance-based financing (PBF) to health workers’ income and explores their views on PBF bonuses, in comparison to and interaction with other incomes. The study confirms the complex and interrelated nature of health workers’ remuneration and that the different financial incentives cannot be examined independently from one. It also shows that the way PBF schemes are implemented has an impact on health worker motivation.
Can donors really build institutions? Reflections on recent health sector experiences in Sierra Leone
Presentation made by Dr Sophie Witter at World Bank Fragility Forum panel session on “Can donors really build institutions?”. The presentation was based on experiences and research findings from ReBUILD and others from Sierra Leone’s health sector. The 2016 World Bank Fragility Forum was held in Washington on 1st-3rd March 2016. You can access and… Read more
Health workforce recruitment and financing – selected issues for consideration
Presentation given by Tim Martineau at the Human Resources for Health Summit in Freetown, Sierra Leone, 2nd June 2016.
Evidence for supporting a health workforce for all in Sierra Leone
Complete presentations given by ReBUILD team at a stakeholder meeting on “Evidence for supporting a health workforce for all in Sierra Leone”, held on 28th January 2016 in Freetown
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
Free health care for under-fives, expectant and recent mothers? Evaluating the impact of Sierra Leone’s free health care initiative
This paper reports the findings of a study evaluating the impact of Sierra Leone’s 2010 Free Health Care Initiative (FHCI). It uses two nationally representative surveys to identify the impact of the policy on utilisation of maternal care services by pregnant women and recent mothers as well as the impact on curative health care services and out-of-pocket payments for consultation and prescription in children under the age of 5 years.
Sources, determinants and utilization of health workers’ revenues: evidence from Sierra Leone
This 2016 ReBUILD paper investigates the formal and informal payments available to health workers in Sierra Leone
Emergency Obstetric Referral in Cambodia: A Teaching Case study
A Case Study for District Referral Systems: Critical Emergency Obstetric Referral in Cambodia
Exploring the influence of context and policy on health district productivity in Cambodia
Despite gains in life expectancy and increased health expenditure, Cambodia still lags behind neighbours in many health indicators. This article aims to understand variations in efficiency of public health services, and the extent to which changes in efficiency are associated with key health policies that have been introduced to strengthen access to health services over the past decade.
The free health care initiative: how has it affected health workers in Sierra Leone?
In this paper published in Health Policy and Planning, ReBUILD researchers Sophie Witter, Haja Wurie and Maria Bertone explore the effects and implications for health staff of Sierra Leone’s introduction in 2010 of the Free Health Care Initiative (FHCI).