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dc.rights.licenseCreative Commons Attribution Non Commercial (CC BY-NC 4.0) license
dc.contributor.authorMartineau, Tim
dc.contributor.authorMcPake, Barbara
dc.contributor.authorTheobald, Sally
dc.contributor.authorRaven, Joanna
dc.contributor.authorEnsor, Tim
dc.contributor.authorFustukian, Suzanne
dc.contributor.authorSsengooba, Freddie
dc.contributor.authorChirwa, Yotamu
dc.contributor.authorVong, Sreytouch
dc.contributor.authorWurie, Haja
dc.contributor.authorHooton, Nick
dc.contributor.authorWitter, Sophie
dc.identifier.citationMartineau, 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, 2(2), p. e000327. Available at:
dc.description.abstractConflict and fragility are increasing in many areas of the world. This context has been referred to as the 'new normal' and affects a billion people. Fragile and conflict-affected states have the worst health indicators and the weakest health systems. This presents a major challenge to achieving universal health coverage. The evidence base for strengthening health systems in these contexts is very weak and hampered by limited research capacity, challenges relating to insecurity and apparent low prioritisation of this area of research by funders. This article reports on findings from a multicountry consortium examining health systems rebuilding post conflict/crisis in Sierra Leone, Zimbabwe, northern Uganda and Cambodia. Across the ReBUILD consortium's interdisciplinary research programme, three cross-cutting themes have emerged through our analytic process: communities, human resources for health and institutions. Understanding the impact of conflict/crisis on the intersecting inequalities faced by households and communities is essential for developing responsive health policies. Health workers demonstrate resilience in conflict/crisis, yet need to be supported post conflict/crisis with appropriate policies related to deployment and incentives that ensure a fair balance across sectors and geographical distribution. Postconflict/crisis contexts are characterised by an influx of multiple players and efforts to support coordination and build strong responsive national and local institutions are critical. The ReBUILD evidence base is starting to fill important knowledge gaps, but further research is needed to support policy makers and practitioners to develop sustainable health systems, without which disadvantaged communities in postconflict and postcrisis contexts will be left behind in efforts to promote universal health coverage.
dc.relation.ispartofBMJ Global Health
dc.rights© The Author(s) 2017
dc.titleLeaving no one behind: Lessons on rebuilding health systems in conflict- and crisis-affected states
qmu.authorWitter, Sophie
qmu.authorMcPake, Barbara
qmu.authorFustukian, Suzanne
qmu.centreInstitute for Global Health and Development
dc.description.number2 [e000327]

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Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license
Except where otherwise noted, this item's license is described as Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license