Analysing disrupted health sectors: a toolkit
Module 12: Formulating strategies for the recovery of a disrupted health sector
Bower H. Reconstructing Afghanistan’s health system: Are lessons being learned from the past? MSc. Dissertation. London School of Hygiene and Tropical Medicine. 2002.
A brilliant inquiry into the complexities of the Afghan health sector at a time of dramatic changes. Very perceptive discussion of policy making and coordination in an extremely disrupted context. The relevance and applicability of experiences from abroad to the Afghan situation is realistically appraised.
Macrae J. Zwi A. B. Birungi H. A Healthy Peace? Rehabilitation and Development of the Health Sector in a ‘Post’-Conflict Situation. The case of Uganda. London School of Hygiene and Tropical Medicine. 1994.
A classic report, groundbreaking and very influential. Several of the patterns shaping transitional situations are described and critically discussed. A synthesis of the report’s main themes is given by Macrae J. Zwi A. B. Gilson L. A Triple Burden for Health Sector Reform: ‘Post’-Conflict Rehabilitation in Uganda. Soc. Sci. Med. Vol. 42, No. 7, pp. 1095-1108. 1996.
Noormahomed A. R. Segall M. The Public Health Sector in Mozambique: A post-war strategy for rehabilitation and sustained development (Portuguese original, 1992; English translation, WHO 1994, Macroeconomics, health and development series; no. 14).
This reconstruction strategy, developed before the end of the war by the Ministry of Health of Mozambique, was published by WHO as ‘best practice’. One decade later, it still deserves this title. Resulting from three years of studies and discussions and largely conceived by insiders, this document set a clear resource constraint for health sector recovery, planning what was at the time considered affordable in the long term. Its influence on the reconstruction process was vast. If the reconstruction of the health sector resulted in a (qualified) success, it was also because many autonomous actors tried vigorously to materialise the vision laid down in this document. Despite its age, recommended reading to every practitioner involved in a recovery process.