Health Systems in Fragile and Conflict Affected States

The Health Systems in Fragile and Conflict Affected States (FCAS) TWG is an active group of researchers, policy-makers, funders and implementers working on health policy and systems research in fragile and conflict affected settings, developing research priorities and methods, advocacy for funding, capacity building, and better use of research in policy.

If you would like to find out more about the FCAS TWG, the activities we will be involved in at the Symposium, or engage in this important area of research, why not

Official TWG sessions

Session Type

Title

Short description

Date & time

Location

Business meeting

TWG business meeting: Health Systems in Fragile and Conflict-Affected States (FCAS)

Open both to existing and prospective members of the TWG-FCAS, the meeting will (i) update and inform members on the work of the group from 2016 – 2018, and (ii) engage group members in the process of implementing the strategic plan for the TWG’s ongoing and future work.

Monday October 8, 11.45 – 13.00

ACC room 3A

Organized Session

Context, gender and sustainability in introducing and scaling up essential healthcare packages in fragile and conflict affected settings

The essential package of health services is a mechanism for expanding equitable coverage of primary health care and essential hospital services in countries recovering from conflict. This session explores the evidence base on such healthcare packages in different countries, and prioritizes areas for strengthening research.

More information here.

Wednesday October 10, 16.00 – 17.30

ACC Hall 2E

Supporting documents for TWG sessions

TWG member sessions

Session Type

Title of presentation

Short description of session/presentation

Date & time

Location

Satellite

Health financing in fragile and conflict affected settings: controversies and innovations

The number of people estimated to live in fragile contexts is projected to grow to 1.9 billion by 2030. This session will discuss challenges and opportunities to ensure access to prioritised health services with protection for the most vulnerable, in contexts where typical health systems strengthening approaches have failed.

Further information here

Monday, October 8, 13:30 – 17:00

ACC Room 12

Skills building session

How to work with researchers and policy makers to adapt global evidence to define national packages of health services in low-income and crisis-affected settings.

Designing, updating and implementing a national essential health benefits package is a critical component of health systems development. We illustrate how to do this with the case of Afghanistan and Ethiopia, where policy makers and researchers worked together for this objective, and highlight challenges and lessons learned for other settings.

Further information here

Monday, October 8, 15:30 – 17:30

Exhibition Centre Room 17

Skills building session

Using participatory visual methods to understand and support health systems with a focus on marginalized populations

Visual methods are an effective way to elicit and organize local knowledge, identify priorities for action and evaluate performance of health systems, adding valuable insights, especially for marginalized populations, into health systems functioning. This session aims to build skills and stimulate discussion on using photo elicitation and photovoice.

Further information here

Tuesday, October 9, 08:00 – 12:00

Exhibition Centre Room 19

Sub-section of Satellite meeting.

Contribution of community health to the sustainability & resilience of health systems in fragile settings

Sub-session of Satellite meeting on “No longer invisible – finally bridging healthcare social and societal engagement to build systems for health”. (Save the Children and CORE Group)

Includes presentation from ReBUILD research on the changing health care needs of communities and health systems responses in fragile settings (human resource component of the health system; interactions with the community; effects of short-term external interventions on communities and subnational and national levels to develop resilient health systems for the longer term.)

Further information here

Tuesday, October 9, 11:30 – 12:30 (Sub-session of all-day Satellite 08:00 – 17:00)

ACC Room 4A

Presentation during Satellite session

Investigating results-based financing as a tool for strategic purchasing; comparing the cases of Democratic Republic of Congo, Uganda and Zimbabwe

Presentation during Satellite session on “Pay for Performance (P4P), how, why, where and what?”

Maria Bertone (Institute for Global Health and Development, Queen Margaret University, UK and the ReBUILD Consortium)

Further information here

Tuesday, October 9, 11:45 – 12:50 (sub-session of all-day satellite)

Mersey Suite, Pullman Hotel (Kings Dock, Monarchs Quay)

Skills building session

Innovative research approaches: social network analysis (SNA) for systems development – application to aid effectiveness in Uganda

Unlike the dominant health systems analytical methods that collect information about the agent or actor characteristics and behaviour, applied SNA is a useful tool to explore the interactions and links between agents. This session will introduce and create confidence in the applications of applied techniques of SNA in health systems research.

Further information here

Tuesday, October 9, 13:00 – 17:00

Exhibition Centre Room 21

Panel session

Health system resilience in the Middle East: the experience of UNRWA and regional stakeholders

This panel profiles evidence on what constitutes ‘health systems resilience’ in practice, using examples of health systems in the Middle East, including UNRWA systems in Syria, Lebanon and Jordan, and country level systems in (Lebanon Ministry of Health) challenged by continual reform and regional crisis.

Further information here

Wednesday, October 10, 11:00 – 12.30

ACC Hall 2E

Participatory session

Revisiting health systems to ensure Universal Health Coverage during humanitarian crises

Conflict and forced displacement are complex and have complex consequences on health systems. Deliberate attacks on health infrastructure and personnel are increasing. There is need for newer concepts and mechanisms (e.g. systems thinking, culturally appropriate care, innovative financing mechanisms) to strengthen health systems to ensure Universal Health Coverage for nationals and displaced persons.

Further information here

Wednesday, October 10, 11:00 – 12:30

ACC Room 1B

Participatory session

Leaving no one behind; how can evidence-based approaches support progress towards UHC and global health goals during conflict and protracted crises?

How do we ensure evidence-based approaches in protracted crises, incorporating a long-term view towards UHC, while providing immediate health needs? Aimed at those working in both humanitarian and development roles, this participatory session will collate experiences and insights, and develop recommendations for better evidence use for long-term, equitable health outcomes.

Further details here

Thursday, October 11, 11:00 – 12:30

ACC Room 2L

Individual Oral presentations:

 

 

  

Lightning oral session

Health service delivery in fragile and conflict-affected settings: challenges and lessons

Fragile and conflict-affected settings lag behind more stable contexts in progress towards international health goals. Delivery of services proves even more difficult in fragile and conflict-affected settings than in other equally poor but more stable countries. Lessons learned from delivering services in these contexts are explored, including in areas of performance-based financing, disability, rehabilitation care, malnutrition treatment, mobile clinics and district-wide approaches to maternal and newborn health care.

  • The bumpy trajectory of performance-based financing in Sierra Leone: unpacking the role of external actors.
  • Systematic Approach to Guide the Lancet Commission on Syria: The Case of Healthcare Workers in Conflict Setting 
  • Adapting acute malnutrition treatment protocols in fragile and conflict-affected settings to reach every child
  • A situational analysis of the rehabilitation sector in Cambodia: how to improve government expenditures efficiency and accessibility for persons with disabilities.
  • Effectiveness of mobile clinics in delivering Primary Health Care (PHC) in Conflict Affected Rural South Sudan- an Operational Research
  • Stepping away from fragility towards resilience: Tracking those left behind by health services in South Sudan
  • The Impacts of Conflict on Access to Health Care: Missing Generation and Disability in Cambodia 
  • Adopting a district wide systematic approach to strengthening maternal and newborn health services in post-disaster context: experiences from Nepal.

Further information here

Wednesday, October 10, 11:00 – 12:30

ACC Room 11C

Presentation during Oral session

Session: Partnerships for research, capacity development and policy: challenges and opportunities

Building capacity in health systems research in post-Ebola Sierra Leone (Haja Wurie, ReBUILD Research Consortium, COMAHS, Sierra Leone)

Wednesday, October 10, 14:00-15:30

ACC Room 11A

Presentation during Oral session

Session: Tapping into the private sector: private providers and private finance for the SDGs

Half a loaf is better than none: coverage, capacity and constraints of private sector health facilities in Somalia. (Rashid Zaman, Oxford Policy Management, UK)

Wednesday, October 10, 14:00-15:30

ACC Room 11C

Oral presentation session

Health systems in post-conflict and fragile settings

This session explores the challenges of health system development in fragile and post-conflict settings, addressing issues of ensuring access to services, financial protection, and the transition from humanitarian crisis to health systems strengthening.

  • Changes in out of pocket payments and health seeking behaviours in the Gaza strip; examples from a mixed methods research.
  • “If this place is secure, I will give them what they want”: Experiences of users and providers of maternal and child health services in Nigeria
  • The challenge of transitioning humanitarian health services to health systems; experiences from northern Syria
  • Rebuilding health post-conflict; case studies, reflections and a revised framework

Further information here

Thursday, October 11, 11:00 – 12:30

ACC Room 11A

Presentations during Oral session

Session: Health justice for marginalized populations

  • Health justice for all: the development of alternative health system capabilities in the conflict-affected context of Shan State, Myanmar. (Sharon Bell, Massey University, New Zealand)
  • Red Mesoamericana de Salud de los Migrantes: Mejoanda la coordinacion entre paises ara no dejar a nadie atras [Mesoamerican Network of Migrants’ Health: Improving the coordination between countries so as not to leave anyone behind] (Maria Acuna Diaz, Organizacion Panamericana de la Salud / Organizacion Mundial de la Salud-Mexico, Mexico.)

Further information here

Thursday, October 11, 16:00 – 17:30

ACC Room 3B

Presentation during Oral session

Session: Systems thinking as a lens for analysing health and other sectors

Ethnic health systems strengthening in post-conflict ethnic regions of Northeastern Myanmar: a qualitative study. (Yingxi Zhao, University of Washington, USA)

Thursday, October 11, 11:00-12:30

ACC Room 3A

Presentation during Oral session

Session: Methodological approaches to understanding complex realities

Understanding therapeutic geographies in the context of the Boko Haram insurgency: a systems dynamics analysis using group model building (Louise Kengne, Research for Development International, Yaoundé, Cameroon)

Thursday, October 11, 11:00 – 12:30

ACC Room 11C

Presentation during Oral session

Session: Integrating health services to better meet patient needs

 

The synergic effect of integrating mental health support to the physical health promotion program among Syrian refugees and Jordanians in host communities. (Shang-Ju Li, Americares Foundation, USA)

Thursday, October 11, 14:00 – 15:30

ACC Room 11B

Presentation during Oral session

Session: Scaling up health systems interventions

 

Scaling up community health: prioritization and costing of the community health service packages in Madagascar and South Sudan (David Collins, management Sciences for Health, USA)

Thursday, October 11, 16:00 – 17:30

ACC Room 11A

Presentation during Oral session

Session: Improving access to health services through community approaches

Acceptability, feasibility and effectiveness of low-literate community health workers delivering treatment to children with severe acute malnutrition in Aweil South County, South Sudan (Naoko Kozuki, International Rescue Committee, USA)

Thursday, October 11, 16:00 – 17:30

ACC Room 11C

Presentation during Oral session

Session: Governance and accountability for strong community health systems

Governing health systems response to emergencies: community connections and disconnections in managing Sierra Leone’s Ebola crisis. (Susannah Mayhew, London School of Hygiene and Tropical Medicine, UK)

Friday, October 12, 09:00 – 10:30

ACC Room 3A

Presentation during Oral session

Session: Engaging the private sector in service delivery

A reproductive health voucher scheme can support the public health system and reach the most vulnerable in conflict setting: lessons from Yemen  (Majed Alsharjabi, Options Consultancy Services, UK)

Friday, October 12,

09:00 – 10:30

ACC Room 4A

Posters:

 

 

  

Posters

Poster sessions (see program once announced)

  • The cost of implementing universal health coverage in fragile states: study results from Afghanistan and Syria [Poster 76]
  • Supporting community health workers in fragile settings: evidence from Sierra Leone, Liberia and Democratic Republic of Congo [Poster 97]
  • Productivity of Community-Based Health Workers for Integrated Malaria and TB Services in Ethnic Areas of Myanmar: A time-motion study protocol [Poster 98]
  • Effectiveness of strategies for implementing childhood vaccination programs in fragile countries [Poster 99]
  • Purchasing Health Services from Ethnic Health Organizations: A new way to provide health coverage and peace to those forgotten in Myanmar’s civil war [Poster 100]
  • Healthcare provision under siege: Health care workers’ strategies to cope with siege challenges in Syria – A qualitative study [Poster 101]
  • Using a systems approach to improve newborn care at the community and facility level among displaced populations in South Sudan [Poster 102]
  • Dying in the Margins: Palliative Care, Humanitarian Crises and the Intersection of Global and Local Health Systems  [Poster 103]
  • Tackling post-Ebola health recovery: strengthening health system capacity to ensure Ebola Survivors and other vulnerable groups have access to appropriate care [Poster 104]
  • Family Planning During Ebola: Perspectives on access and provision in Sierra Leone [Poster105]
  • Evaluating health systems resilience using real-world indicators from South Sudan (2011-2015) [Poster 106]
  • Mobilizing health systems to protect rural households in conflict-affected states: lessons learned from a mixed methods impact evaluation in the Democratic Republic of Congo [Poster 107]
  • Understanding the causes of under-five mortality in a humanitarian emergency using verbal autopsy: evidence from Internally Displaced Persons (IDP) camps in Afgooye Corridor, Mogadishu, Somalia [Poster 108]
  • The political economy of results-based financing: examining the experience of the health system in Zimbabwe. [Poster 182]
  • Challenges and approaches to strengthen Humanitarian Health Information Systems: Experiences from an MSF mission in the field. [Poster 199]
  • What makes the public health system resilient? A set of indicators to guide multisectoral health system emergency/disaster management and risk reduction [Poster 229]
  • Health systems that deliver for all during pandemics in the SDG era: Time-series analyses of primary healthcare delivery before and after Ebola in Liberia [Poster 233]
  • Health systems and the humanitarian-development nexus in protracted displacement – Perspectives on the Rohingya refugee crisis in Bangladesh [Poster 349]
  • A mixed-methods research on health services utilization of the elderly migrants in Shanghai, China [Poster 350]
  • Are health systems inclusive of displaced health workers more likely to deliver for left behind refugee communities? The case of Syrian doctors in Lebanon [Poster 352]
  • City life: A qualitative exploration of health service accessibility for Syrian refugees in urban Jordan [poster 353]
  • The woes and aspirations of local health systems at national borders in East Africa: Stakeholders’ reflections on experience serving cross border communities [Poster 354]

October 10 – 12

You can locate the relevant poster session and location using the poster number listed, once this session information is available.