Health Systems
The purpose of this assignment was to support the Human Resources for Health (HRH) Donor Working Group to review the implications of the introduction of the medium-level pay scale for health workers on each of the programmes they fund in Somalia (with a focus on the Global Fund, GAVI, JHNP, Health Consortium for the Somali… Read more
This publication is about 24 developing countries that have embarked on the long journey toward universal health coverage (UHC) following a bottom-up approach, with a special focus on the poor and vulnerable. The publication documents and analyses the experiences of these countries based on a systematic data collection effort that sought to capture in great… Read more
Mozambique health system reconstruction supports the conclusion that the reconstruction of health systems is mainly “gender blind”. Policy-makers in Mozambique have not adequately considered the role of gender in contributing to health or addressed women’s and men’s different health needs. Despite government commitment to gender mainstreaming, the health system is far from gender equitable. Donors… Read more
This case study highlights that despite the challenges in integrating gender equity concerns into the health system in Timor-Leste, overall, the reform of the health system since conflict ended has benefited women’s health. In some areas, Timor-Leste has achieved some key targets, for example the proportion of births attended by a skilled health worker and… Read more
This case study examines whether health system reconstruction in northern Uganda has promoted equality and created a health system that is gender equitable. Measuring the health system against the World Health Organization’s six health system building blocks, the case study highlights that northern Uganda needs a post-conflict recovery plan which is sensitive to gender concerns…. Read more
Sierra Leone is almost at the bottom in the Human Development Index, ranking 180th out of 187 countries. There is significant gender inequality where a mere 23% of women are literate, half the rate among men, while domestic violence is widespread. In addition, infectious diseases such as malaria, TB and HIV/ AIDS are the leading… Read more
A common assumption is that strengthening the health system will automatically lead to better health for men and women. However, health systems are not neutral: they reflect gender norms, and as such, can reinforce gender inequalities and discrimination. Health system reform has largely paid little attention to how health service integration, human resource policies, information… Read more
The period just after conflict is a time of turmoil when social norms are in a state of flux, donor funds are available and there is often a political will for change. A window of opportunity for reform in public sector institutions can open, offering a chance to “build back better” in health and gender… Read more
The post-conflict or post-crisis period provides the opportunity for wide-ranging public sector reforms; social norms are in a state of uncertainty, donor funds are available and there is often a political will for change and to ‘build back better’. Health system reform can improve the quality and accessibility of health care; increase the effectiveness and… Read more
The single biggest barrier for countries in sub-Saharan Africa to achieving Universal Health Coverage is the lack of an adequate and well-performing health workforce. This deficit can be addressed by training more new health personnel and/or by improving the performance of the existing health workforce. So far efforts have mostly focused on training new staff… Read more
This spring, when my team from the Ebola Response Anthropology Platform evaluated Community-Based Ebola Care Centres (CCCs) in Sierra Leone, one thing we constantly heard complaints about was human-resource management. Residents of the communities where the Centres were located grumbled about favouritism: well-paying jobs in the Centres were given to friends and family of the… Read more