HRH Global Resource Center - Fragile Environments

Indigenous Peoples’ Access to Health Services

Thu, 13 Aug 2015 12:48:24 +0000

This publication sets out to examine the major challenges for indigenous peoples to obtain adequate access to and utilization of quality health care services. It provides an important background to many of the health issues that indigenous peoples are currently facing. Improving indigenous peoples’ health remains a critical challenge for indigenous peoples, States and the United Nations. [from forward]

Human Resources for Health in Six Healthcare Arenas Under Stress: A Qualitative Study

Wed, 08 Apr 2015 15:29:04 +0000

Research on “human resources for health” (HRH) typically focuses on the public health subsector, despite the World Health Organization’s inclusive definition to the contrary. This qualitative research examines the profile of HRH in six conflict-affected contexts where the public health subsector does not dominate healthcare service provision and HRH is a less coherent and cohesive entity: Afghanistan, the Central African Republic (CAR), the Democratic Republic of Congo (DR Congo), Haiti, the Occupied Palestinian Territories and Somalia. [from abstract]

Exploring the Influence of the Global Fund and the GAVI Alliance on Health Systems in Conflict-Affected Countries

Mon, 02 Mar 2015 19:00:36 +0000

Global Health Initiatives (GHIs) respond to high-impact communicable diseases in resource-poor
countries, including health systems support, and are major actors in global health. GHIs could play an important role
in countries affected by armed conflict given these countries commonly have weak health systems and a high
burden of communicable disease. The aim of this study is to explore the influence of two leading GHIs, the Global
Fund and the GAVI Alliance, on the health systems of conflict-affected countries. [from abstract]

Quality of Intrapartum Care by Skilled Birth Attendants in a Refugee Clinic on the Thai-Myanmar Border: A Survey Using WHO Safe Motherhood Needs Assessment

Wed, 11 Feb 2015 02:49:37 +0000

This manuscript describes the quality of intrapartum care provided by SBAs [Skilled Birth Attendants] in Mae La camp, a low resource, protracted refugee context on the Thai-Myanmar border. [from abstract]

The Free Health Care Initiative: How Has it Affected Health Workers in Sierra Leone

Wed, 11 Feb 2015 01:39:21 +0000

No study to date has focused on how the decisions made, or not made, in the post-conflict
period can affect the longer term pattern of attraction, retention, distribution and
performance of health workers, and thus ultimately the performance of the sector. [from abstract]

Evaluations of Reproductive Health Programs in Humanitarian Settings: A Systematic Review

Mon, 09 Feb 2015 16:23:08 +0000

Provision of reproductive health (RH) services is a minimum standard of health care in humanitarian settings; however access to these services is often limited. This systematic review, one component of a global evaluation of RH in humanitarian settings, sought to explore the evidence regarding RH services provided in humanitarian settings and to determine if programs are being evaluated. [from abstract]

Health Systems and Gender in Post-Conflict Contexts: Building Back Better?

Tue, 03 Feb 2015 16:39:22 +0000

As part of a larger research project that explores whether and how gender equity considerations are taken into account in the reconstruction and reform of health systems in conflict-affected and post conflict countries, we undertook a narrative literature review based on the questions “How gender sensitive is the reconstruction and reform of health systems in post conflict countries, and what factors need to be taken into consideration to build a gender equitable health system?” We used the World Health Organisation’s (WHO) six building blocks as a framework for our analysis; these six b

Violence Against Healthcare Workers

Fri, 19 Dec 2014 18:43:12 +0000

The objective of SICOT is “to promote the advancement of the science and art of orthopaedics and traumatology at international level in particular for the improvement of patient care; to foster and develop teaching, research and education; to facilitate and encourage exchange of professional experience and to promote good fellowship among its members.” [from introduction]

The “Empty Void” is a Crowded Space: Health Service Provision at the Margins of Fragile and Conflict Affected States

Tue, 28 Oct 2014 14:55:38 +0000

Definitions of fragile states focus on state willingness and capacity to ensure security and provide essential
services, including health. Conventional analyses and subsequent policies that focus on state-delivered essential services miss many developments in severely disrupted healthcare arenas. The research seeks to gain insights about the large sections of the health field left to evolve spontaneously by the absent or diminished state. ]from abstract]

Public Health in the Age of Ebola in West Africa

Wed, 15 Oct 2014 23:37:59 +0000

The world is witnessing the unprecedented unfolding of the West African Ebola epidemic. The epidemic could have major ramifications for global public health in ways that no other modern infectious disease has, perhaps including AIDS, and can be viewed as a “Black Swan” event. What we call here a Black Swan (and capitalize it) is an event with the following three attributes. First, it is an outlier, as it lies outside the realm of regular expecta- tions, because nothing in the past can convincingly point to its possibility.