Principal Investigator: Alastair Ager, Queen Margaret University
The study aimed to assess the key vulnerabilities of UNRWA health systems in the face of disruptions associated with the displacement of Palestine refugees registered in Syria. It sought to understand the mechanisms that help systems withstand and adapt to such disruptions, and establish lessons to enhance the resilience of health systems in other contexts of protracted displacement.
What makes a health system resilient?
The study documented the impact of the displacement of Palestine refugees registered in Syria on the operation of UNRWA health systems through case studies in the contexts of Lebanon, Jordan and Syria. Interviews were undertaken with key informants across UNRWA fields in Lebanon, Jordan and Syria to document the health systems challenges precipitated by the Syria crisis and strategies adopted to address them. The study team modelled the systemic linkage of factors which influence health service functioning in circumstances of adversity. Scenario-based models were developed which explored three topics: utilisation of UNRWA clinics, reproductive health and service delivery for patients with diabetes. These allowed the identification of situations/strategies where interventions by UNRWA policy makers and field managers could yield greatest positive results. Finally, the models were validated against prospective data.
Over almost 70 years, UNRWA (the United Nations Relief and Works Agency for Palestine Refugees) has provided services to one group: Palestine refugees forced to leave Palestine during the second half of the 1940s following the Arab-Israeli conflict.View
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