A global organisation that finds solutions to complex humanitarian problems through research and innovation..
Our purpose is clear: we work in partnership with a global community of humanitarian actors, researchers and innovators to improve the quality of humanitarian action and deliver better outcomes for people affected by crises.
We empower the humanitarian community. Find out how we can support you...

Principal Investigators: Dr Rosalind Parkes-Ratanshi (PI) and Dr Tendongfor Nicolas (Co-PI)


There is sparse evidence to guide the selection and design of primary health care (PHC) services that improve and maintain quality care in humanitarian settings. The Northwest and Southwest regions of Cameroon, and Northeast Nigeria have protracted humanitarian crises. Various models of PHC are used in these settings; ensuring quality of PHC models of care is essential to improve health outcomes. We aim to explore how PHC models are selected by humanitarian organizations and through stakeholder engagement design a toolkit for evaluation of quality in PHC delivery across different models.

Lundi-Anne Omam

University of Cambridge

Increasingly, there is pressure for humanitarian organisations to deliver evidence-based models of health care using limited resources. Thus creating the need to conduct studies to generate evidence needed to inform humanitarian health programming efforts. This research will explore how primary health care delivery models are selected/designed by humanitarian organizations, and design a framework to guide the selection of primary health care delivery models in conflict settings.

Yanu Pride

Reach Out Cameroon

In conflict settings, the need for healthcare becomes more urgent. The delivery of essential health care can indeed be a matter of life and death. As a humanitarian organization, we care not only about how primary healthcare is delivered to conflict-affected populations but also more importantly that the approaches used to deliver health care are effective, of good quality, accessible and can be sustainable. This study will contribute to unpack how models of care are chosen by humanitarian organisations and develop a framework to guide the use of different approaches in delivering health care models in conflict settings.

Mohammed Hassan


Among the numerous challenges faced by the over 1.7 million internally displaced persons in Northeast Nigeria are access to health care Services, Nutrition, protection and education. Of these, access to health care presents one of the most difficult challenges faced by both the humanitarians and beneficiaries. Herwa Community Development Initiative (Herwa CDI) is happy to be part of this research funded by Elrha which envisages to fill existing knowledge gap in understanding how delivery approaches are designed and selected in conflict-affected areas of Nigeria and Cameroon. Herwa CDI believes that recommendations from this research will contribute in improving service delivery and reduce human suffering in these settings.

Expected Outcomes

The formative research is exploratory in nature and will generate learning on the range of PHC services offered using different models of care, key drivers behind the selection of models of care and quality interventions applicable to models of care in conflict settings of Cameroon and Nigeria.

Research findings will be shared to stakeholders in an advocacy workshop. This workshop will collaboratively develop a framework to guide humanitarian organizations in the selection of PHC models. It will also inform design of an “oversight toolkit” for selecting models of care and monitoring a pragmatic set of quality interventions (QI).

Related Resources

Article, Peer Reviewed Health Systems & Services

Primary healthcare delivery models in African conflict-affected settings: a systematic review

Article, Peer Reviewed Health Systems & Services

Exploring factors influencing the selection of primary health care delivery models in conflict-affected settings of North West and South West regions of Cameroon and North-East Nigeria: A study protocol

Latest Updates

Paper published in PLOS One

3 May 2023

Paper published in PLOS One


Stakeholder engagement workshop

Jun 2023

The team prepare for a stakeholder engagement workshop in Nigeria and Cameroon

Mobile clinic, South West Cameroon

Partner Logos

Subscribe to our newsletters....

Elrha © 2018 - 2023 Elrha is a registered charity in England and Wales (1177110). KEEP IN TOUCH Want to stay up to date with our latest updates? Sign up to our newsletters
Elrha Please upgrade your browser

You are seeing this because you are using a browser that is not supported. The Elrha website is built using modern technology and standards. We recommend upgrading your browser with one of the following to properly view our website:

Windows Mac

Please note that this is not an exhaustive list of browsers. We also do not intend to recommend a particular manufacturer's browser over another's; only to suggest upgrading to a browser version that is compliant with current standards to give you the best and most secure browsing experience.