An introduction to ReBUILD in Northern Uganda


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This presentation was given at our launch meeting in Uganda which took place in July 2011. It provides an introduction to the research work we are planning in Northern Uganda.

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An introduction to ReBUILD in Northern Uganda

  1. 1. ReBUILD Launch Re search for Build ing Pro-poor Health Systems during the Recovery from Conflict Serena Hotel, Kampala 28 July 2011
  2. 2. Meeting objective <ul><li>Increase the relevance of the ReBUILD programme to stakeholders involved in health programmes in post-conflict northern Uganda: </li></ul><ul><ul><li>Share ReBUILD objectives among key agencies working in post-conflict northern Uganda; </li></ul></ul><ul><ul><li>Receive stakeholders’ views related to ReBUILD research questions and overall purpose. </li></ul></ul>
  3. 3. Mother and baby at the mass immunisation campaign in ConerKilk Camp in Pader District Northern Uganda <ul><li>PETER BUSOMKE </li></ul>
  4. 4. Key messages about ReBUILD <ul><li>Decisions made in the early post-conflict period can set the direction of development for the system </li></ul><ul><li>There are particular opportunities to set health systems in a pro-poor direction in the immediate post-conflict period </li></ul><ul><li>The partner countries enable us to look from distance (Cambodia and Sierra Leone) and up close (Northern Uganda and Zimbabwe) at the post-conflict period </li></ul><ul><li>Main body of health systems research has tended to neglect post-conflict settings </li></ul><ul><li>Affiliate strategy enables us to gain from wider expertise than the consortium’s partner institutions </li></ul>
  5. 5. ReBUILD partners <ul><li>Liverpool School of Tropical Medicine </li></ul><ul><li>Queen Margaret University, Edinburgh </li></ul><ul><li>School of Public Health and Department of Gender and Women’s Studies, Makerere </li></ul><ul><li>The Biomedical and Training Institute, Harare </li></ul><ul><li>The College of Medicine and Allied Health Sciences, Freetown, Sierra Leone </li></ul><ul><li>The Cambodian Development Research Institute, Phnom Penh </li></ul>
  6. 6. Overall purpose and research themes of ReBUILD <ul><li>Purpose: to deliver new knowledge to inform the development and implementation of pro-poor health systems in countries recovering from political and social conflict </li></ul><ul><li>Research themes: </li></ul><ul><ul><li>Health financing </li></ul></ul><ul><ul><li>Human resources </li></ul></ul>
  7. 7. Development of ReBUILD <ul><li>DFID call for research on health systems (1+5 yrs) </li></ul><ul><li>Selection of post-conflict perspective; planning workshop in Liverpool (Jan 2010) </li></ul><ul><li>Project inception year starts (Feb 2011) </li></ul><ul><li>First consortium workshop to select initial projects (March 2011) </li></ul><ul><li>Country-level stakeholder meetings (July-Sep 2011) </li></ul><ul><li>Draft research plans and strategies (affiliate, research uptake and capacity building) reviewed at second consortium workshop in Kampala (Oct 2011) </li></ul>
  8. 8. ReBUILD in Uganda
  9. 9. Dynamic situations in post conflict reconstruction phase <ul><li>Resettlements of the population from IDP (Internally Displaced Persons) camps; </li></ul><ul><li>Re-institutionalisation of community structures </li></ul><ul><ul><li>Markets & production </li></ul></ul><ul><ul><li>Civic leadership </li></ul></ul><ul><ul><li>Community level organisations </li></ul></ul><ul><ul><li>Collective governance and accountable systems to the communities vs. to funding agencies. </li></ul></ul>
  10. 10. Multiple funding opportunities <ul><li>$133 million – Northern Uganda Social Action Fund (NUSAF-I) </li></ul><ul><li>$ 100 million – Northern Uganda Social Action Fund (NUSAF-II) </li></ul><ul><li>$98.2 million – Northern Uganda Rehabilitation program (NUREP) from 1992-1998 </li></ul><ul><li>$606.5 million - Peace Recovery and Development Plan (PRDP) </li></ul><ul><li>£91.5 million – Post-conflict development in Northern Uganda (DFID) </li></ul><ul><li>€ 20 million from European Union </li></ul><ul><li>Others include mainstream programs such as </li></ul><ul><ul><li>NUMAT (Northern Uganda Malaria, AIDS and TB program </li></ul></ul><ul><ul><li>National Agricultural Advisory Services (NAADS), </li></ul></ul><ul><ul><li>Universal Primary Education (UPE) and </li></ul></ul><ul><ul><li>Universal Secondary Education (USE) </li></ul></ul>
  11. 11. New power structures and inter-dependences for service delivery <ul><li>Donors and government relationships </li></ul><ul><ul><li>More project support with multilateral leadership </li></ul></ul><ul><ul><ul><li>UNICEF leads the response from UN family </li></ul></ul></ul><ul><ul><ul><li>World Bank initiates to support local Govt. and CBOs </li></ul></ul></ul><ul><ul><ul><li>DIFD Programmes (health, microfinance, etc) </li></ul></ul></ul><ul><li>Donor-donor relationships and coordination </li></ul><ul><ul><li>Pooling of funds – UN family </li></ul></ul><ul><ul><li>Also multiple charitable NGOs </li></ul></ul><ul><li>Local governments and different partners </li></ul><ul><ul><li>Decision space for local leadership may broaden </li></ul></ul><ul><li>Opportunity to assess the governance of health systems within dynamic power relationships </li></ul>
  12. 12. Research topics in Uganda <ul><li>How have the incentive environments evolved in the shift away from conflict? </li></ul><ul><li>How do state and non-state system get and keep staff in post conflict settings? </li></ul><ul><li>What post conflict implications arise from changes in the health financing policy and expenditure patterns? </li></ul><ul><li>How effective are the program designs, mechanisms and benefits in addressing health system development in post conflict setting? </li></ul>
  13. 13.