Skip to main content


Filling the void: Health systems in fragile and conflict-affected states

New Content ItemEdited by Bayard Roberts, Egbert Sondorp and Suzanne Fustukian
Conflict and Health

Healthcare in fragile and conflict-affected states remains critical and it is becoming increasingly evident that this cannot be improved without special attention, policies and programming. This series aims to provide evidence on health policies and programs that work in fragile and conflict-affected states.

This collection of articles has not been sponsored and articles have undergone the journal’s standard peer-review process. The Editors declare no competing interests.

Read the associated blog: "Success! Tweet chat on health workers in fragile and conflict affected states" and Storify of our Twitter chat here.

View all collections published in Conflict and Health

  1. Research

    Family planning in refugee settings: findings and actions from a multi-country study

    To address family planning for crisis-affected communities, in 2011 and 2012, the United Nations High Commissioner for Refugees and the Women’s Refugee Commission undertook a multi-country assessment to docume...

    Mihoko Tanabe, Anna Myers, Prem Bhandari, Nadine Cornier, Sathyanarayanan Doraiswamy and Sandra Krause

    Conflict and Health 2017 11:9

    Published on: 31 May 2017

  2. Research

    Evolution of policies on human resources for health: opportunities and constraints in four post-conflict and post-crisis settings

    Few studies look at policy making in the health sector in the aftermath of a conflict or crisis and even fewer specifically focus on Human Resources for Health, which is a critical domain for health sector per...

    Sophie Witter, Maria Paola Bertone, Yotamu Chirwa, Justine Namakula, Sovannarith So and Haja R. Wurie

    Conflict and Health 2017 10:31

    Published on: 18 January 2017

  3. Research

    Effects of a community scorecard on improving the local health system in Eastern Democratic Republic of Congo: qualitative evidence using the most significant change technique

    More than a decade of conflict has weakened the health system in the Democratic Republic of Congo and decreased its ability to respond to the needs of the population. Community scorecards have been conceived a...

    Lara S. Ho, Guillaume Labrecque, Isatou Batonon, Viviana Salsi and Ruwan Ratnayake

    Conflict and Health 2015 9:27

    Published on: 3 September 2015

  4. Case study

    Ebola in the context of conflict affected states and health systems: case studies of Northern Uganda and Sierra Leone

    Ebola seems to be a particular risk in conflict affected contexts. All three of the countries most affected by the 2014-15 outbreak have a complex conflict-affected recent history. Other major outbreaks in the...

    Barbara McPake, Sophie Witter, Sarah Ssali, Haja Wurie, Justine Namakula and Freddie Ssengooba

    Conflict and Health 2015 9:23

    Published on: 8 August 2015

  5. Research article

    A cross-case comparative analysis of international security forces’ impacts on health systems in conflict-affected and fragile states

    Destruction of health systems in fragile and conflict-affected states increases civilian mortality. Despite the size, scope, scale and political influence of international security forces intervening in fragil...

    Margaret Bourdeaux, Vanessa Kerry, Christian Haggenmiller and Karlheinz Nickel

    Conflict and Health 2015 9:14

    Published on: 13 April 2015

  6. Case study

    Implementing people-centred health systems governance in 3 provinces and 11 districts of Afghanistan: a case study

    Previous studies show that health systems governance influences health system performance and health outcomes. However, there are few examples of how to implement and monitor good governing practices in fragil...

    Zelaikha Anwari, Mahesh Shukla, Basir Ahmad Maseed, Ghulam Farooq Mukhlis Wardak, Sakhi Sardar, Javid Matin, Ghulam Sayed Rashed, Sayed Amin Hamedi, Hedayatullah Sahak, Abdul Hakim Aziz, Mariah Boyd-Boffa and Reshma Trasi

    Conflict and Health 2015 9:2

    Published on: 7 January 2015

  7. Research

    Evaluating the use of locally-based health facility assessments in Afghanistan: a pilot study of a novel research method

    Through the Balanced Scorecard program there have been independent, annual and nationwide assessments of the Afghan health system from 2004 to 2013. During this period, Afghanistan remained in a dynamic state ...

    Jack S Rowe, Kayhan Natiq, Olakunle Alonge, Shivam Gupta, Anubhav Agarwal and David H Peters

    Conflict and Health 2014 8:24

    Published on: 25 November 2014

  8. Case study

    Engaging frontline health providers in improving the quality of health care using facility-based improvement collaboratives in Afghanistan: case study

    Access to health services in Afghanistan has expanded in the last decade; however, gaps in care quality and outcomes of care remain a challenge. Recognizing these gaps, in 2009 the USAID Health Care Improvemen...

    Mirwais Rahimzai, Ahmad Jan Naeem, Silvia Holschneider and Ahmad Kamran Hekmati

    Conflict and Health 2014 8:21

    Published on: 22 October 2014

  9. Review

    Health systems and gender in post-conflict contexts: building back better?

    The post-conflict or post-crisis period provides the opportunity for wide-ranging public sector reforms: donors fund rebuilding and reform efforts, social norms are in a state of flux, and the political climat...

    Valerie Percival, Esther Richards, Tammy MacLean and Sally Theobald

    Conflict and Health 2014 8:19

    Published on: 22 October 2014

  10. Meeting report

    Fragile and conflict affected states: report from the Consultation on Collaboration for Applied Health Research and Delivery

    Fragile and Conflict Affected States present difficult contexts to achieve health system outcomes and are neglected in health systems research. This report presents key debates from the Consultation of the Col...

    Joanna Raven, Tim Martineau, Eleanor MacPherson, Amuda Baba Dieu-Merci, Sarah Ssali, Steve Torr and Sally Theobald

    Conflict and Health 2014 8:15

    Published on: 8 September 2014

  11. Research

    A window of opportunity for reform in post-conflict settings? The case of Human Resources for Health policies in Sierra Leone, 2002–2012

    It is recognized that decisions taken in the early recovery period may affect the development of health systems. Additionally, some suggest that the immediate post-conflict period may allow for the opening of ...

    Maria Paola Bertone, Mohamed Samai, Joseph Edem-Hotah and Sophie Witter

    Conflict and Health 2014 8:11

    Published on: 23 July 2014