Health financing policy & implementation in fragile & conflict-affected settings: A synthesis of evidence and policy recommendations

Abstract

This paper provides tailored guidance for policy makers tasked with developing and implementing health financing policy in fragile and conflict affected situations, as well as those who advise such policy. The document takes the perspective of public policy given its central importance for the long-term development of health systems, and as such is highly relevant to the humanitarian development nexus agenda, which aims to ensure connectivity between humanitarian and development efforts, an issue highlighted during the World Humanitarian Summit 2016.

The intention is to not to prescribe specific processes or health financing arrangement, but to guide policy makes to develop and implement policies in a way which increases resilience in the health system in both the short, medium and long-term. The recommendations are based on a review of evidence from a wide range of fragile and conflict-affected settings, as well as an extensive process of consultation with stakeholders.

The overarching recommendations are:

safeguarding the financing of critical health system functions, include population-based interventions such as disease surveillance, ensuring safe medication, water and sanitation systems, and other common goods for health. ensuring policy is consistent with a set of principles which underpin health financing in support of UHC, to avoid the development of multiple uncoordinated and incoherent schemes or sub-systems which undermines resilience in health systems. Use cash and voucher assistance (CVA) to protect human welfare to meet both health and non-health needs, but as a complement to supply-side support for the delivery of essential health services.