We are Elrha, a force for change in the humanitarian community. The research and innovation we support equips the humanitarian community with the knowledge of what works, so people affected by crises get the right help when they need it most.
Our purpose is clear: to empower the humanitarian community to improve humanitarian response. We make this happen by supporting and championing the outcomes of robust research and proven innovations.
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How to maintain effective health service delivery in the face of crises, shocks and stressors has long been debated. Health systems which can do this – as well as learn from this experience and strengthen their services, structures and organisations – are labelled resilient. However, it is still unclear what builds and enables resilience, especially in the face of unprecedented global

This study found that an open culture of learning, sensitivity and commitment towards beneficiaries, and autonomous decision making are critical for meeting population needs. In addition, being historically present, providing services and interventions that are contextually relevant, builds trust with the community.

While this research was conducted within a specific health system, lessons may be widely useful to other systems dealing with a long-term humanitarian crisis.

This snapshot contains key messages, findings, implications for humanitarian policymakers and practitioners and recommendations for further research.

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