The UHC2030 Technical Working Group (TWG) on support to countries with fragile or challenging operating environments aims to encourage the adoption of better-suited policies and practices for health system strengthening in fragile, conflict-affected, vulnerable and/or challenging operational environments that will accelerate progress towards UHC. Here are the current terms of reference (ToRs) for this TWG (2018-2019).

The TWG was established in 2016 with these original ToRs (2017). A first deliverable of the TWG was a literature review which was produced by the Institute of Tropical Medicine. 

Following the completion of the literature review, the TWG met face-to-face to reflect on the findings of the literature review, and refine the ToRs for the TWG for 2018-19. Read more about this first face-to-face meeting.

As outlined in the ToRs, the objectives of the TWG are as follows:

  1. Strengthen the evidence-base, technical tools/approaches, and knowledge sharing on specific considerations for policies and programmatic approaches to address the challenges of delivering health services while strengthening health systems and accelerating progress towards UHC  in fragile, conflict-affected, vulnerable and/or challenging operational environments;
  2. Bring these specific considerations to the attention of key stakeholders for action and financial support; and 
  3. Foster and support collaboration between humanitarian and development action, among local, national and international stakeholders and authorities, including governments, to enhance the appropriateness, effectiveness and efficiency of support for health system strengthening and UHC in selected contexts. 

The WG endeavours to be dynamic and inclusive, with leadership from Co-Chairs, a hands-on Core Group to provide strategic direction and oversee implementation, active time-bound Task Teams to pursue deliverables, Focal People to engage in other UHC2030 TWGs/related networks, and a wider TWG - or community - to solicit inputs from and disseminate outputs to. The UHC2030 Core Team provides secretariat support to the Co-Chairs and Core Group.

The ToRs remain a living document, and may be revised as deemed necessary by the Core Group. 

WHA 71 side event on UHC and Emergencies May 2018

WHA71 side event on UHC and emergencies meeting summary

WHA71 side event on UHC and emergencies report

First face-to-face meeting November 2017

Final report

Read about the first face-to-face meeting of this group here.

Meeting notes for the record

14 September 2017

7 July 2017

27 February 2017

21 January 2017 

21 December 2016

6 December 2016

Secretariat - UHC2030 Core Team:

Lara Brearley, World Health Organization

Kazumi Inden, The World Bank Group 

Core Group Members: 

Amy Kay, USAID

Andre Griekspoor, WHO WEP

Barni Nor, SIDA

Claudia Vivas, UNICEF

Dirk Horemans, WHO

Egbert Sondorp, Royal Tropical Institute, KIT & Health Systems Global Thematic Working Group on Health System in FCAS

Emanuele Capobianco, IFRC

Hala Abou-Taleb, WHO/EMRO

Harriet Adong, Foundation for Integrated Rural Development – CSEM representative

Jacob Hughes, MSH

Karl Blanchet, LSHTM

Marwin Meier, World Vision – CSEM representative

Olga Bornemisza, Global Fund

Tim Martineau, Liverpool School of Tropical Medicine

Abir Shady/Mehr Shah, PMNCH observers for coordination purposes

If you would like to be on the wider working group distribution list, please contact Lara ( and Kazumi ( 

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