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Information Journal Paper

Title

Perspectives on Rebuilding Health System Governance in Opposition-Controlled Syria: A Qualitative Study

Pages

  233-244

Abstract

 Background: Ongoing Conflict and systematic targeting of health facilities and personnel by the Syrian regime in opposition-controlled areas have contributed to health system and governance mechanisms collapse. Health directorates (HDs) were established in opposition-held areas in 2014 by the interim (opposition) Ministry of Health (MoH), to meet emerging needs. As the local health authorities responsible for Health System Governance in opposition-controlled areas in Syria, they face many challenges. This study explores ongoing Health System Governance efforts in 5 opposition-controlled areas in Syria. Methods: A qualitative study design was selected, using in-depth key informant interviews with 20 participants purposely sampled from HDs, non-governmental organisations (NGOs), donors, and service-users. Data were analysed thematically. Results: Health System Governance elements (ie, strategic vision, participation, transparency, responsiveness, equity, effectiveness, accountability, information) were considered important, but not interpreted or addressed equally in opposition-controlled areas. Participants identified HDs as primarily responsible for Health System Governance in opposition-controlled areas. Main Health System Governance challenges identified were security (eg, targeting of health facilities and personnel), funding, and capacity. Suggested solutions included supporting HDs, addressing health-worker loss, and improving coordination. Conclusion: Rebuilding Health System Governance in opposition-controlled areas in Syria is already progressing, despite ongoing Conflict. Local health authorities need support to overcome identified challenges and build sustainable Health System Governance mechanisms.

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    Cite

    APA: Copy

    Douedari, Yazan, & Howard, Natasha. (2019). Perspectives on Rebuilding Health System Governance in Opposition-Controlled Syria: A Qualitative Study. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 8(4), 233-244. SID. https://sid.ir/paper/338704/en

    Vancouver: Copy

    Douedari Yazan, Howard Natasha. Perspectives on Rebuilding Health System Governance in Opposition-Controlled Syria: A Qualitative Study. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2019;8(4):233-244. Available from: https://sid.ir/paper/338704/en

    IEEE: Copy

    Yazan Douedari, and Natasha Howard, “Perspectives on Rebuilding Health System Governance in Opposition-Controlled Syria: A Qualitative Study,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 8, no. 4, pp. 233–244, 2019, [Online]. Available: https://sid.ir/paper/338704/en

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