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This working group is focused on developing guidance for coordination and health systems strengthening in countries faced with a fragile or challenging operating environment. The guidelines will have specific considerations for three scenarios. Firstly low capacity in the health system, secondly a lack of meaningfully representative government, and thirdly countries experiencing conflict or emergencies. 

The guidelines will promote and facilitate situation analysis, coordination of development and humanitarian partners and coordinated support for health systems strengthening. This will be piloted in two to three countries with fragile or challenging environments.

A first step is a literature review of health systems strengthening, health service delivery and coordination between different actors in countries under stress, with a synthesis of lessons on coordination of partners and health systems interventions. The literature review was after a competitive process awarded to Institute of Tropical Medicine, Antwerp, and is expected to be finalised by mid October 2017. Please see a preliminary list of relevant literature in the TOR for the working group below. See also the Methodological Inception Report.


The working group will:

1. Develop guidance for improved coordination of development and humanitarian partners and other agencies around resilient health systems strengthening in countries characterised by fragility, conflict, emergencies and/or a challenging operational environment, developed and promoted. 

2. Situation analysis and assessment as well as coordination of Development and Humanitarian Partners and support for health systems strengthening piloted in two to three countries with fragile or challenging environments.

Terms of reference 

Meeting notes for the record

7 July 2017

27 February 2017

21 January 2017 

21 December 2016

6 December 2016

Members are: 

UHC2030 Core Team: Finn Schleimann, Senior Health Advisor, HGF, WHO; providing the secretariat. 

Development Partners: 

Amelia Peltz, Senior Gender Advisor, Bureau of Global Health, USAID – Co-Chair

Andre Griekspoor, Technical Officer, ERM, WHO 

Denis Porignon, Technical Officer, HGF, WHO 

Dirk Horemans, Programme Officer, SDS, WHO

Anshu Banerjee, Director (Global Coordination), FWA, WHO

Tekabe Belay, Senior Economist, WB

Amy Kay, Senior Health Advisor, Middle East Bureau USAID

Satoko Horii, Senior Researcher, NIPH, Japan

Noriko Fujita, Director Division of Global Health Programs, National Center for Global Health and Medicine, Japan

Holger Thies, Advisor, GIZ 

Olga Bornemisza, Technical Advisor, Health Systems, GFATM 

To be confirmed, DEVCO, EC

Ian van Engelghem, Global Health Advisor, ECHO, EC 

Judith Kallenberg, Head of Policy, GAVI

Montasser Kamal, Program Leader, International Development Research Centre, Canada

Taraneh Shojaei, Head of Global Health Policy Division French Ministry of Foreign Affairs and International Development Emergency/humanitarian agencies

Julie Hall, Director Health Care, IFRC

Claudia Vivas, Health Specialist, Health Systems Strengthening, UNICEF

Humanitarian assistance organisations 

Mit Philips, Analysis & Advocacy Unit- Health Access Team, MSF (Observer) 

Lara Ho, Senior Technical Advisor for Health Research, International Rescue Committee

Other organisations:

Rachel Scott, Team Leader Conflict, Fragility & Resilience, OECD Kristina Yarrow, Director for Policy and Strategy Global Health (involved with EWEC & PMNCH), UNF

Egbert Sondorp, Senior Advisor Health Systems, KIT (representing the Health Systems Global Thematic Working Group on Fragile and Conflict Affected States)

Countries with fragile or challenging environment:

Abdul Qadir, General Director for Policy and Planning, Ministry of Public Health, Afghanistan; 

Benedict Harris, Asst. Minister, MoH Liberia 

Joy Waya, NPO HSS, South Sudan WCO


Kaosar Afsana, Director HNP, BRAC – Co-Chair

Guy Aho Tete Benisan, Regional Coordinator, REPAOC

Maarten Oranje, Expert on UHC, Cordaid 

Consultant(s): Enrico Pavignani, Public Health Consultant 

For further information or to express interest in joining the group please contact: 

Finn Schleimann, WHO and UHC2030 Core Team schleimannf@who.org