HLSP has worked in many countries that face
challenges in healthcare provision
Fragile states are rising up the political agenda as their
importance in reaching the MDGs and their relevance to geopolitical
stability is realised.
There are many classifications of fragile states by different
actors, but real world examples tend to fall into four fragile
environments: deteriorating states; post conflict transition;
arrested development; and early recovery. The basic parameters of
these environments include state and societal capacity, state
legitimacy, political will for delivery services, and experience
with violence (OECD 2005).
The international development community is increasingly aware that
the challenges of fragile states are too big to ignore and we are
seeing more engagement and potential support to different sectors.
However, achieving health outcomes in these environments is
challenging. Despite additional resources, international consensus
on the most effective ways to intervene remains elusive.
HLSP has considerable experience of working in fragile
states.
Over the last decade we have worked in fragile states in Europe,
Africa, South Asia, and South East Asia. Our work supports
international bodies such as the UN in carrying out their mandates.
Our experience includes sector analysis and sector planning
(developing frameworks for health systems in the early stages of
reconstruction e.g. Kosovo), strengthening financial management
systems (Albania), support to contracting with the private sector
(Cambodia and Afghanistan), and facilitating harmonisation
(Bangladesh). In addition, we are currently managing a long term
DFID funded
health
systems development programme in Nigeria where we work at
federal level and have a presence and programmes in five states.
