ArticleInternational journal of health policy and management2019
Perspectives on Rebuilding Health System Governance in Opposition-Controlled Syria: A Qualitative Study.
Article in International journal of health policy and management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of armed conflict on health professionals' education and training in Syria: a systematic review.BMJ open · 2023Pooled it
- From ground realities to policy: a framework for assessing multipolar health system governance in conflict-affected and high-risk areas.Globalization and health · 2026Article
- Assessing retention of pandemic capacities from COVID-19 in humanitarian settings: A cross-sectional retrospective study of health workers in Honduras, Syria, and South Sudan.PLOS global public health · 2026Article
- The localisation of humanitarian response to conflict and displacement: a scoping review from a health systems perspective.BMJ global health · 2025Article
- Health system governance cooperation with unrecognised health authorities: a political economy analysis in Afghanistan and Northwest Syria.Conflict and health · 2025Article
- Exploring the attitudes of healthcare professionals towards primary healthcare in northwest Syria.BMC primary care · 2025Article
- Capacity and crisis: examining the state-level policy response to COVID-19 in Tamil Nadu, India.Health policy and planning · 2025Article
- Health information management systems and practices in conflict-affected settings: the case of northwest Syria.Globalization and health · 2024Article
- The impact of humanitarian aid on financial toxicity among cancer patients in Northwest Syria.BMC health services research · 2024Article
- Individual and social determinants of COVID-19 vaccine hesitancy and uptake in Northwest Syria.BMC health services research · 2024Article
- The cascading impacts of attacks on health in Syria: A qualitative study of health system and community impacts.PLOS global public health · 2024Article
- 'BMJ global health · 2023Article
- Effects of COVID-19 on sexual and reproductive health services access in the Asia-Pacific region: a qualitative study of expert and policymaker perspectives.Sexual and reproductive health matters · 2023Article
- Road traffic death coding quality in the WHO Mortality Database.Bulletin of the World Health Organization · 2023Article
- Health system governance assessment in protracted crisis settings: Northwest Syria.Health research policy and systems · 2023Article
- Health aid displacement during a decade of conflict (2011-19) in Syria: an exploratory analysis.BMC public health · 2023Article
- Article
- Health system evaluation in conflict-affected countries: a scoping review of approaches and methods.Conflict and health · 2023Article
- Cholera outbreak in Syria amid humanitarian crisis: the epidemic threat, future health implications, and response strategy - a review.Frontiers in public health · 2023Review
- Health system to response to economic sanctions: global evidence and lesson learned from Iran.Globalization and health · 2022Review
Corrections and comments
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Authors and funding
2 authors.
Funding
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Abstract
backgroundOngoing 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 oppositioncontrolled areas in Syria.
methodsA 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.
resultsHealth 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.
conclusionRebuilding 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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