How do health workers experience and cope with shocks? Learning from four fragile and conflict-affected health systems in Uganda, Sierra Leone, Zimbabwe and Cambodia

Health Policy and Planning

Volumn 32, Issue , 2017, Pages iii3-iii13

  Witter, Sophie ^a   Wurie, Haja ^b   Chandiwana, Pamela ^c   Namakula, Justine ^d   So, Sovannarith ^e   Alonso Garbayo, Alvaro ^f   Ssengooba, Freddie ^d   Raven, Joanna ^f  

^a QUEEN MARGARET UNIVERSITY   (United Kingdom)

^b ReBUILD   (Sierra Leone)

^c BIOMEDICAL RESEARCH AND TRAINING INSTITUTE   (Zimbabwe)

^d MAKERERE UNIVERSITY SCHOOL OF PUBLIC HEALTH   (Uganda)

^e Cambodian Development Research Institute   (Cambodia)

^f LIVERPOOL SCHOOL OF TROPICAL MEDICINE   (United Kingdom)

Author keywords

Cambodia; conflict; coping strategies; Ebola; economic shocks; Health workers; resilience; Sierra Leone; Uganda; Zimbabwe

Indexed keywords

ADULT; AGED; CAMBODIA; COPING BEHAVIOR; EBOLA HEMORRHAGIC FEVER; ECONOMIC RECESSION; ECONOMICS; EPIDEMIC; FEMALE; HEALTH CARE PERSONNEL; HUMAN; MALE; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PSYCHOLOGICAL RESILIENCE; PSYCHOLOGY; SIERRA LEONE; UGANDA; WAR; WORKLOAD; ZIMBABWE;

ADAPTATION, PSYCHOLOGICAL; ADULT; AGED; ARMED CONFLICTS; CAMBODIA; ECONOMIC RECESSION; EPIDEMICS; FEMALE; HEALTH PERSONNEL; HEMORRHAGIC FEVER, EBOLA; HUMANS; MALE; MIDDLE AGED; RESILIENCE, PSYCHOLOGICAL; SIERRA LEONE; UGANDA; WORKLOAD; ZIMBABWE;

EID: 85040122176     PISSN: 02681080     EISSN: 14602237     Source Type: Journal    
DOI: 10.1093/heapol/czx112     Document Type: Article

References (35)

1. Ager AK, Lembani M, Mohammed A et al. 2015. Health service resilience in Yobe state, Nigeria in the context of the Boko Haram insurgency: a systems dynamics analysis using group model building. Conflict and Health 30.
2. Brunsdon D, Dalziell E. 2004. Making organisations resilient: understanding the reality of the challenge. International Forum for Engineering Decision Making, http://www.resorgs.org.nz/images/stories/pdfs/resilient-infrastruc-ture-brunsdon%20dalziell.pdf. Conference was in Stoos in Switzerland, December 6-8 2004, accessed 24 August 2017.
3. Campbell J, Cometto G, Rasanathan K et al. 2015. Improving the resilience and workforce of health systems for women's, children's, and adolescents' health. British Medical Journal 351.
4. Chirwa Y, Chandiwana P, Pepukai M et al. 2016a. Deployment of Human Resources for Health in Zimbabwe: Synthesis report, ReBUILD RPC Research Report, Liverpool.
5. Chirwa Y, Mashange W, Chandiwana P et al. 2016b. Understanding Health Worker Incentives in Post-Crisis Settings: Policies to Attract and Retain Health Workers in Zimbabwe Since 1997: Findings from In-Depth Interviews and Life Histories with Health Workers. Liverpool: ReBUILD.
6. Dalziell EP, McManus ST. 2004. Resilience, vulnerability, and adaptive capacity: implications for system performance. International Forum for Engineering Decision Making, http://www.resorgs.org.nz/images/stories/pdfs/journal/ifed-dec04-edsm.pdf.
7. Denzin NK. 2014. Interpretive Autoethnograph, London: Sage.
8. Government of Zimbabwe 2010. Medium Term Plan (2010-2015): Towards Sustainable Inclusive Growth, Human-cantered Development, Transformation and Poverty Reduction. Harare: Government of Zimbabwe.
9. Kamal-Yanni M. 2015. Never Again. Building Resilient Health Systems and Learning from the Ebola Crisis. Oxford: OXFAM.
10. Kruk M, Myers M, Varpilah S, Dahn B. 2015. What is a resilient health system? Lessons from Ebola. The Lancet 385: 1910-2.
11. Lanjouw S, Macrae J, Zwi A. 1999. Rehabilitating health services in Cambodia: the challenges of coordination in chromic political emergencies. Health Policy and Planning 14: 229-42.
12. Lindborg N. 2016. Presentation to the World Bank Group Fragility, Conflict and Violence Forum 2016. Washington, DC: World Bank.
13. Maunder R, Peladeau N, Leszcz M. et al. 2008. Applying the lessons of SARS to pandemic influenza: an evidence-based approach to mitigating the stress experienced by healthcare workers. Canadian Journal of Public Health 99: 486-8.
14. McKenzie A, Abdulwahab A, Sokpo E, Mecaskey J. 2016. Creating the foundation for health system resilience in northern Nigeria. Health Systems and Reform 2: 357-66.
15. McMahon S, Ho L, Brown H. et al. 2016. 1.Healthcare providers on the front-lines: a qualitative investigation of the social and emotional impact of delivering health services during Sierra Leone's Ebola epidemic. Health Policy and Planning 31; 1232-9.
16. Ministry of Health and Child Welfare & Health Services Board. 2010. Human Resources for Health Strategic Plan 2010-2014. Harare: MoHCW & HSB.
17. Mysliwiec E. 1988, Punishing the Poor: the International Isolation of Kampuchea. Southampton: Oxfam.
18. Namakula J, Witter S. 2014a. Health Worker Incentives Policies During and After the Conflict in Northern Uganda: A Document Review. Kampala: ReBUILD.
19. Namakula J, Witter S. 2014b. Living through conflict and post-conflict: experiences of health workers in northern Uganda and lessons for people-centred health systems. Health Policy and Planning 29(Suppl. 2): ii6-14.
20. Namakula J, Witter S, Ssengooba F, Ssali S. 2013. Health Worker's Career Paths, Livelihoods and Coping Strategies in Conflict and Post-Conflict Northern Uganda. Kampala: ReBUILD.
21. OECD. 2014, Guidelines for Resilience Systems Analysis: How to Analyse Risk and Build a Roadmap for Resilience. Paris: Organisation for Economic Cooperation and Development.
22. Ritchie J, Lewis J, Elam G. 2003. Designing and selecting samples. In: Ritchie J, Lewis J (eds). Qualitative Research Practice: A guide for Social Science Students and Researchers. London: Sage, 77-84.
23. Rowley E, Altaras R, Huff K. 2006. Health in Fragile States, Country Case Study: Northern Uganda. Arlington, Virginia: Basic Support for Institutionalizing Child Survival (BASICS) for the United States Agency for International Development (USAID).
24. Smilie I, Minear L. 2004. The Charity of Nations: Humanitarianism in a Calculating World. Bloomfield: Kumarian Press.
25. So S, Alonso-Garbayo A, Witter S. 2016. Learning from the Experiences of Health Workers in Conflict-Affected Cambodia to Improve Motivation and Retention: Analysis of Life Histories. Liverpool: ReBUILD.
26. So S, Witter S. 2016. The Evolution of Human Resources for Health Policies in Post-Conflict Cambodia: Findings From Key Informant Interviews and Document Reviews. Liverpool: ReBUILD.
27. Sull A, Harland N, Moore A. 2015. Resilience of health-care workers in the UK; a cross-sectional survey. Journal of Occupational Medicine and Toxicology 10.
28. Van Leberghe W, Conceicao C, Van Damme W, Ferrinho P. 2002. When staff is underpaid: dealing with the individual coping strategies of health personnel. WHO Bulletin 80: 581-4.
29. Witter S, Bertone M, Chirwa Y. et al. 2017. Evolution of policies on human resources for health: opportunities and constraints in four post-conflict and post-crisis settings. Conflict and Health 10: 31.
30. Witter S, Chirwa Y, Namakula J, Samai M, So S. 2012. Understanding Health Worker Incentives in Post Conflict Settings: Research Protocol. Liverpool: ReBUILD consortium.
31. Witter S, Namakula J, Alonso-Garbayo A. et al. 2017a. Experiences of using life histories with health workers in post-conflict and crisis settings: methodological reflections. Health Policy and Planning 32: 595-601.
32. Witter S, Namakula J, Wurie H. et al. 2017b. The gendered health workforce: mixed methods analysis from four post-conflict contexts. Health Policy and Planning. Submitted to special edition on gender and ethics.
33. Witter S, Pavignani E. 2016. Review of Global Fund Investments in Resilient and Sustainable Systems for Health in Challenging Operating Environments. Geneva: Global Fund for AIDS, Tuberculosis and Malaria.
34. Wurie H, Raven J, Witter S. 2016. Ebola in Sierra Leone: Effects on Health Workers and the Health System and Lessons for Future Health System Reconstruction. Liverpool: ReBUILD.
35. Wurie H, Witter S. 2014. Serving Through and After Conflict: Life Histories of Health Workers in Sierra Leone. Freetown: ReBUILD.