Governance of the private sector in fragile, conflict-affected and vulnerable settings

Overview

Within fragile, conflict-affected and vulnerable settings (FCVs), health system governance arrangements have evolved in response to conflict, creating a complex foundation for service provision. Service provision is often pluralist in nature comprising state actors, foreign operators and local private-not-for-profit and for-profit providers. This brief focuses on this wide terrain of governance interaction and the effects this has on health service delivery and access for conflict affected populations. It outlines three strategies for policy response and associated tools. Country cases reviewed for the brief have focused on well-known FCVs and those suffering from a confluence of crises related to security, humanitarian, political, and economic factors.