Title: Rebuilding Health Systems – Analysing the challenges in fragile and disrupted states
Keywords: Humanitarian setting
Human Resources
Health systems
Health Policy (incl. advocacy)
Fragile environment
Conflict affected setting
Country: United Kingdom
Institution: UK - Institute for Global Health and Development, Queen Margaret University, Edinburgh
Course coordinator: Suzanne Fustukian
Date start: 2018-02-19
Date end: 2018-03-30
About duration and dates: Total number of weeks: 6 weeks: Optional pre-reading available 1 week in advance, 6 weeks active learning programme; assignment submission due last day of interactive module
Classification: advanced optional
Mode of delivery: Distance-based
Course location: Delivered electronically from IGHD, Edinburgh
ECTS credit points: 5 ECTS credits
SIT: 150 SIT:
• Self-directed individual study of web-based materials and readings: 80 hours
• Participation on moderated discussion boards: 20 hours
• Assignment (development, defence and presentation of a programme proposal): 50 hours
Language: English
On successful completion of the module the student will be able to:
• Evaluate the direct and indirect effects of complex emergencies on health and social systems in countries affected by conflict and post-conflict recovery
• Analyse the drivers and pathways (political, historical, social, cultural and economic ) that underlie contemporary conflicts, and assess how development policies contribute to instability
• Examine and assess strategies for rebuilding the health system in post-conflict states, including human resources for health and social protection and financing
• Critique the roles of the key actors and institutions involved in responding to and supporting recovery and strengthening capacity of the health system, using the principles of aid effectiveness in fragile and conflict affected states
• Critically examine the concepts of vulnerability and resilience of individuals, households, their interaction with health systems and systems responsiveness in conflict and post-conflict settings
Assessment Procedures:
The assignment requires a 3000 word written essay, choosing from:
a) Analysing current policy in meeting a health or health system challenge in a FCAS situation
b) An assessment of a current programming approach in the field involving both analysis of theory as well as evidence available for this approach. OR
c) Evaluating the strengths and weaknesses inherent in aid partnerships/collaboration in designing/implementing health system during post-conflict recovery

Students who fail their assignment can resubmit their assignment for a second reassessment. According to QMU guidelines the maximum grade that can be awarded for resubmission is 50%.
The content of the module will include:
In countries affected by political and social conflict, particularly protracted crises, health and well-being of displaced and vulnerable populations are at high risk: health systems have deteriorated and emergency assistance provided by humanitarian organisations often constitutes the main source of care. Decisions made in the early post conflict period can often set the long-term direction of development for the health system. Issues and questions around legitimacy, coherence and capacity of new governmental authorities and the changing roles of the different actors need to be understood and analysed. Hence the content will critically assess approaches to health sector reconstruction in specific contexts.
• Unit 1: Nature and causes of conflict and ‘fragility’ : political economy of war / globalisation/ ethnicity/development policies
• Unit 2: Global response system - current issues and trends; [aid architecture/aid effectiveness]
Impact and consequences
• Unit 3-4: Fragile situations and the challenges to health and health systems in disrupted settings
• Unit 5: Changing social worlds: vulnerability and inequality. Assessing impact on displaced and returning populations– coping strategies and resilience
Post-conflict responses
• Unit 6: Health systems in chronic political instability
• Unit 7: Statebuilding and health systems – perspectives and approaches
• Units 8-10: Examining approaches to policy and planning: state/non-state coordination, health financing, health workforce, service delivery
Each unit comprises approximately 8 hours of guided study material, which includes activities ranging from specified readings, through narrated PowerPoints, to videos and podcasts, each accompanied by prompting questions.

Participants have the option to document personal learning privately or, through use of the journal function, in a manner that allows course tutors to review and comment upon notes.

Additionally, participants spend approximately 2 hours per unit on reviewing and posting material on the Discussion Board, which is accessible to tutors and all participants. This varies from general reflection on the content of the unit; through specified reflection exercises on specific topics; to guided sharing of analyses with other participants for peer review and feedback.
Additionally, a range of optional readings and other forms of activity are made available within each unit for participants who want to pursue deeper or wider learning on the topic, whether related to their chosen assignment focus or otherwise.
• General admission requirements for entry onto MSc courses run at IGHD include IELTS of 6.0 OR TOEFL 580 in paper test and 237 in computer based test.
• Regular access to a computer and the internet (broadband) for the duration of the module.
• Basic computer skills, including using the world-wide web.
Typically 20-28 students enrolled; no limit for TropEd participants
Please describe how participants are selected (based on which criteria) if there are more eligible candidates than the max. number of students that can be admitted First come, first served.
GBP 700 for module (approximately 820 Euro) for 2017/18
No specific scholarship awards available for this module
tropEd accreditation:
Accredited in November 2017. This accreditation is valid until November 2022.
Each unit has set readings assigned (both required and optional). The following readings are illustrative of the range of sources used:

Duffield, M., 2001. Global governance and the new wars; the merging of development and security. London: Zed Books.
Howard, N., Sondorp, E., ter Veen, A. (editors). 2012. Conflict and health. Berkshire, Open University Press.
Keen, D., 2008. Complex emergencies. Cambridge: Polity Press.
Kruk, M. et.al. 2010. “Rebuilding health systems to improve health and promote statebuilding in post-conflict countries: a theoretical framework and research agenda,” Social Science and Medicine, vol. 70: 89-97.
Pavignani, E., Markus Michael, Maurizio Murru, Mark E. Beesley, Peter S. Hill. 2014.
“Making sense of apparent chaos: health-care provision in six country case studies.”
International Review of the Red Cross, 1 - 20
Pavignani, E. 2011. “Human resources for health through conflict and recovery: lessons from African countries,” Disasters, 35(4): 661−679
Witter, Sophie, Falisse, Jean-Benoit, Bertone, Maria Paola, Alonso-Garbayo, Alvaro, Martins, João S, Salehi, Ahmad Shah, Pavignani, Enrico, Martineau, Tim. 2015. “State-building and human resources for health in fragile and conflict-affected states: exploring the linkages,” Human Resources for Health, Vol 13, e33
Yanacopulos, H. and Hanlon, J. (eds). Civil War, Civil Peace. The Open University.
Email Address: ceyber@qmu.ac.uk
Date Of Record Creation: 2017-11-26 04:40:01 (W3C-DTF)
Date Of Record Release: 2017-11-26 09:54:28 (W3C-DTF)
Date Record Checked: 2017-11-26 (W3C-DTF)
Date Last Modified: 2017-11-26 09:54:28 (W3C-DTF)

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