Health System Strengthening in Fragile States
Approximately two billion people live in fragile and conflict-affected situations, according to recent figures from the World Bank. None of these low-income, fragile countries was able to achieve a single Millennium Development Goal and progress towards achieving the Sustainable Development Goals remains elusive.
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Project
Afghan Health: Monitoring and Evaluation
The Afghan Ministry of Public Health requested a third party monitoring & evaluation of its national health services. It was assigned to KIT Royal Tropical Institute by means of a health facility functionality assessment, drug quality assessment, health management information system verification, household surveys and results-based financing assessment.
Read more about Afghan Health: Monitoring and Evaluation -
Project
Health Pooled Fund
South Sudan has experienced significant levels of fragility, conflict and violence for nearly half a century. It is estimated that over 400,000 lives have been lost since 2013 due to conflict and millions more have been displaced. With limited access to basic health services, it has some of the worst health indicators in the world, with mainly women and children affected.
Read more about Health Pooled Fund -
Project
Sexual Violence in Humanitarian Settings: Nigeria, Yemen and Haiti
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Project
Psychological First Aid: A Crash Course
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Project
STRENGTHS Project: Scaling Up Psychological Interventions with Syrian Refugees
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Project
Helping Rohingya Refugees in Bangladesh
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Study program
Analysing Disrupted Health Systems (ADHS)
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Project
South Sudan Health Action and Research Project (SHARP)
Health in Fragile and Conflict-Affected Situations
Fragile states are generally defined as states with a weak capacity to carry out basic state functions such as service delivery. They lack the ability or political will to develop mutually constructive relations with society. This impairs the functioning of a country’s health system, its ability to change, and its capacity to extend access to health care services to its whole population.
In order to be effective, health programming in fragile situations must take context into account. Health governance can be improved and relations between the state and its citizens strengthened through, for example, social accountability mechanisms.
Like KIT, most development agencies now give more priority to fragile states and increasingly realise that standard approaches to development do not yield sufficient results. Policy and practice in this area are still evolving and our health professionals monitor developments continuously in order to enhance the effectiveness of our interventions, in tandem with our partners.
WHO Collaborating Centre
The World Health Organisation (WHO) has designated KIT Health as WHO Collaborating Centre for health systems in fragile and conflict affected contexts.
Our Services
KIT’s assistance on behalf of fragile countries and situations takes several forms:
- We provide technical expertise to governments and international agencies on strengthening health systems in fragile states
- We conduct operational research with an eye towards improved practices and innovation in health programming
- We coordinate the integration of service delivery with health system strengthening and operational research, translating into improved policies and practices
- We engage in networks to share ideas for context-specific solutions for fragile states
These experiences inform KIT’s health education activities, which include the training of higher-level management and policy staff in fragile states, as well as our tailor-made training programmes.
