Peer-Reviewed Publication
BMJ Glob Health2026;11(2)February 27, 2026Journal Article
Getting unstuck: reframing health systems strengthening and resilience in fragile and conflict-affected settings.
Claudia Truppa1,2, Dell D Saulnier3, Maria Paola Bertone4,5, Nyo Yamonn6, Sali Hafez7, Sophie Witter8,5, Bruno Marchal9
1CRIMEDIM, University of Eastern Piedmont Amedeo Avogadro School of Medicine, Novara, Italy.
2University of Geneva, Geneva Centre of Humanitarian Studies, Geneva, GE, Switzerland.
3Global Public Health, Karolinska Institute, Stockholm, Sweden.
4Institute for Global Health and Development, Queen Margaret University Edinburgh, Edinburgh, UK mbertone@qmu.ac.uk.
5ReBuild for Resilience Research Consortium, Edinburgh, UK.
6Back Pack Health Worker Team, Mae Sot, Thailand.
7London School of Hygiene & Tropical Medicine, London, UK.
8Institute for Global Health and Development, Queen Margaret University Edinburgh, Edinburgh, UK.
9Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium.
Abstract
The concepts of health systems strengthening and health systems resilience are conceptually different but often used interchangeably in health policy and systems research and practice. Operationalising them can be difficult, but both are particularly relevant in contexts of conflict, violence and institutional fragility. In the current landscape of increasing complexity of humanitarian crises and…
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