The UHC2030 Working Group on UHC in Fragile Settings aims to encourage the adoption of better-suited policies and practices for health systems strengthening in fragile, conflict-affected and vulnerable settings to accelerate progress towards UHC. Here is the current terms of reference and workplan for UHC in Fragile Settings, which was refined for 2019..

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

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

As outlined in the ToRs, the objectives of the UHC in Fragile Settings 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 UHC in Fragile Settings endeavours to be dynamic and inclusive, with a hands-on Core Group to provide strategic direction and oversee implementation of the workplan, active time-bound Task Teams to pursue deliverables, and a wider UHC in Fragile Settings - or community - to solicit inputs from and disseminate outputs to. The UHC2030 Core Team provides secretariat support to the Core Group.

The ToRs/workplan remains a living document, and is updated by the Core Group as necessary.

UNGA side event on UHC in Emergencies September 2018

UNGA high-level event launching the Call to Action on UHC in Emergencies article

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:

Shana Dorr, World Health Organization

Kazumi Inden, The World Bank Group 

Core Group Members: 

Amy Kay/Sonia Walia, USAID/OFDA

Andre Griekspoor, WHO WEP

Barni Nor, SIDA

Claudia Vivas, UNICEF

Dirk Horemans/Ben Lane, WHO

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

Emanuele Capobianco, IFRC

Fiona Campbelle, DFID

Hala Abou-Taleb/Ali Ardalan, 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, The Global Fund

Tim Martineau, Liverpool School of Tropical Medicine

Abir Shady/Diana Estevez, PMNCH observers – for coordination purposes



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