Health and fragile states
With some of the worst health indicators and the least adequate health services in the world, providing health services and rebuilding health systems in fragile states is a complex undertaking. This health and fragile states dossier highlights the challenges and approaches to delivering health services in fragile states.
The dossier covers a number of issues, including: what are fragile states? How can the health-related Millennium Development Goals be met in these states? What are the best approaches for delivering health services in fragile states? How can the World Health Organization’s (WHO) six building blocks for health systems strengthening be used as a framework for planning and priority-setting in fragile states? What are the implications of the international aid effectiveness agenda for the building of resilient and responsive states to deliver basic services?
Introduction: health in fragile states
Health in fragile states is not a concept that can be easily described in a single paragraph. With some of the worst health indicators and the least adequate health services in the world, providing health services and rebuilding health systems in fragile states is a complex undertaking. More...
Delivering health services in fragile states
Governments in fragile states are, by definition, unable or unwilling to deliver core services to their entire population. Human, material and financial resources for the implementation of health services are limited. More...
WHO health systems building blocks
Simple and affordable technologies can prevent or cure the majority of the diseases contributing to high mortality rates. But especially in fragile states, acquiring drugs, vaccines, information and other forms of prevention, care or treatment – on time, reliably, in sufficient quantity and at reasonable cost – for those who need them is the major problem. More...
Aid effectiveness in fragile states
The broader framework for the aid effectiveness agenda was set by the OECD-DAC Paris Declaration of Aid Effectiveness (2005) and includes five principles: ownership, mutual accountability, harmonisation between donors, alignment between donors and national governments, and managing for results. More...
Health and the governance agenda
There are increasing attempts to link development aid with the need for improved stability and security at the national, regional and international levels. Building resilient and responsive states in fragile environments is central to this agenda. More...
