SlideShare a Scribd company logo
1 of 15
Download to read offline
Cross-sectoral issues between Health
and Education in Human Resources in
fragile and conflict-affected states
HEART seminar on Human
Resources in Fragile and
Conflict-affected States
Royal Society, London 9th June 2016
Introductions
 Name
 Organisation
 Role/specialism
HEART 2
NAME INSTITUTION
Alvaro Alonso-Garbayo ReBUILD team at LSTM
Chris Berry DFID
Chris Joynes EDT
Elisabeth Resch OPM
Helen Mobey EDT
Jo Keatinge DFID
Katharine Holmes EDT
Lizzie Smith DFID
Nick Hooton ReBUILD team at LSTM
Nicola Watt DFID
Nigel Pearson Independent Consultant
Patrick Douglas EDT
Peter-Sam Hill OPM
Rashid Zaman OPM
Sam Franzen OPM
Sophie Witter ReBUILD team at QMU
Susy Ndaruhutse EDT
Tim Martineau ReBUILD team at LSTM
Willy McCourt Independent Consultant
HEART Consortium Members
www.heart-resources.org
3
4
Programme
 Introduction, Tim Martineau (Liverpool School of
Tropical Medicine) and Joanna Buckley (OPM)
HEART 5
Recruitment to retention ‘pipeline’
Adapted from: Vujicic et al, 2006
• Initial posting
• Induction
• Bonding
• Career choice
• Science grades
• Capacity
• Need (quality
& quantity)
• Registration
• On payroll
• ROI
Selection
• criteria
• process
Recruitment to retention ‘pipeline’
Adapted from: Vujicic et al, 2006
• Shortage of
health workers
in Africa in
2013 = 4.2M
• Shortage of
18M health
workers to
meet SDGs
• 100M children no 1o
Education
• 18 countries with
Lower 2o pupil :
teacher ratio >30:1
Comparing HR in health and educations sectors in MLICs
Similarities
 largest public sector workforce
 difficult to staff in remotest areas
 traditionally high proportion of
females
 historically high engagement of
FBOs
 increasing privatisation of
professional training and service
delivery
 both sectors have dedicated HR
targets in their respective SDGs
 ?powerful unions
 ?use of performance-based
incentives
Differences
 complexity of cadres in health vs
simpler structure in education
 high level of international migration
of health professionals vs lower for
education sector
 less predictable workloads in health
(Hanson 2015)
 ?greater use of task-shifting in
health
HEART 8
Few examples of work across health and education
Context of fragile and conflict-affected states
 Since 2010, all major donors have published frameworks for programming in
FCAS development projects need to be sensitive to how interventions shape
the broader state-building and conflict dynamics within which they operate.
 DFID increased spending in FCAS to 30% of UK ODA by 2014-15, representing
an 86% increase since 2010. In November 2015 HMG made a commitment to
allocate 50% of all DFID’S spending to fragile states and regions.
 This commitment, combined with the reduction in number of DFID priority
countries from 43 to 28 following the 2011 Bilateral Aid Review, and
commitment to spend 0.7% GNI on ODA have led to a significant absolute
increase in DFID’s expenditure on FCAS.
 Range of scenarios of FCAS:
– Humanitarian assistance (less in education)
– Reconstruction phase
– Development phase
– Transition from one to another
Challenges of working in fragile and conflict-affected states
 Being conflict sensitive – who you engage with, how and where. Adverse
impacts of certain health interventions e.g. Taliban's offensive against the polio
vaccinations in Pakistan.
 Access – e.g attacks on hospitals in Syria and Afghanistan.
 Lack of strong institutions – gaps in regulatory, legislative and policy framework
e.g. Somalia.
 Questions of equity of access
 Limited infrastructure e.g. roads, electricity, water
Objective of the session
 explore the potential for cross-sectoral learning,
and attempt to draw out some initial lessons
about challenges and effective strategies that
could further strengthen human resources in the
fields of education and health in complex
contexts and redress the current sectoral silos
Programme
 Introduction, Tim Martineau (Liverpool School of
Tropical Medicine) and Joanna Buckley (OPM)
 The health perspective, Sophie Witter (Queen
Margaret University)
 The education perspective, Chris Joynes (Education
Development Trust)
 Tea and coffee break
 Lessons learnt (Chris Berry and Lizzie Smith, DFID)
 Floor discussion
 Wrap-up and conclusions
HEART 13
Floor discussion in HR in health and education in FCAS
 What are the most important common challenges?
 What are the differences?
 Where could there be greater collaboration
between the two sectors? (programme design,
research, etc)
 What specific help do donors and governments
want?
Thank you

More Related Content

What's hot

Health financing in post conflict settings - July 2015
Health financing in post conflict settings - July 2015Health financing in post conflict settings - July 2015
Health financing in post conflict settings - July 2015ReBUILD for Resilience
 
Understanding health system resilience to respond to COVID-19: a case study ...
Understanding health system resilience to respond to COVID-19: a case study ...Understanding health system resilience to respond to COVID-19: a case study ...
Understanding health system resilience to respond to COVID-19: a case study ...ReBUILD for Resilience
 
World health day 2018
World health day 2018World health day 2018
World health day 2018KEM Hospital
 
Renewal Of Primary Health Care
Renewal Of Primary Health CareRenewal Of Primary Health Care
Renewal Of Primary Health CareSeis Gavieros
 
ReBUILD overview presentation 3rd health researchers forum - Nick Hooton
ReBUILD overview presentation 3rd health researchers forum - Nick HootonReBUILD overview presentation 3rd health researchers forum - Nick Hooton
ReBUILD overview presentation 3rd health researchers forum - Nick HootonReBUILD for Resilience
 
The Devil is in the Details: Designing and Implementing UHC Policies that Rea...
The Devil is in the Details: Designing and Implementing UHC Policies that Rea...The Devil is in the Details: Designing and Implementing UHC Policies that Rea...
The Devil is in the Details: Designing and Implementing UHC Policies that Rea...HFG Project
 
Beryl Pilkington: Knowledge for Change: From Research to Reality
Beryl Pilkington: Knowledge for Change: From Research to RealityBeryl Pilkington: Knowledge for Change: From Research to Reality
Beryl Pilkington: Knowledge for Change: From Research to RealityAmref Health Africa in Canada
 
Joanna Raven PERFORM2Scale presentation
Joanna Raven PERFORM2Scale presentation Joanna Raven PERFORM2Scale presentation
Joanna Raven PERFORM2Scale presentation PERFORM2Scale
 
Health system and financing
Health system and financingHealth system and financing
Health system and financingAnkita Kunwar
 
MoH MYR 2014-2015 Paying Services Reform
MoH MYR 2014-2015 Paying Services ReformMoH MYR 2014-2015 Paying Services Reform
MoH MYR 2014-2015 Paying Services Reformmohmalawi
 
Essential package of health services in Libya
Essential package of health services in LibyaEssential package of health services in Libya
Essential package of health services in LibyaReBUILD for Resilience
 
From Advocacy to Accountability: Empowering communities throughout the UHC Pr...
From Advocacy to Accountability: Empowering communities throughout the UHC Pr...From Advocacy to Accountability: Empowering communities throughout the UHC Pr...
From Advocacy to Accountability: Empowering communities throughout the UHC Pr...HFG Project
 
Ivbijaro: The Bridge of Primary Care
Ivbijaro: The Bridge of Primary CareIvbijaro: The Bridge of Primary Care
Ivbijaro: The Bridge of Primary Carehenkpar
 
APCRSHR10 Virtual abstract presentation of Dr Harjyot Khosa
APCRSHR10 Virtual abstract presentation of Dr Harjyot KhosaAPCRSHR10 Virtual abstract presentation of Dr Harjyot Khosa
APCRSHR10 Virtual abstract presentation of Dr Harjyot KhosaCNS www.citizen-news.org
 
Decentralization in the provision of health care services
Decentralization in the provision of health care servicesDecentralization in the provision of health care services
Decentralization in the provision of health care servicesAlexander Decker
 
Panel 1.Grace Mukasa, Harnessing The Critical Role Of Health Care Workers
Panel 1.Grace Mukasa, Harnessing The Critical Role Of Health Care WorkersPanel 1.Grace Mukasa, Harnessing The Critical Role Of Health Care Workers
Panel 1.Grace Mukasa, Harnessing The Critical Role Of Health Care Workersihp
 

What's hot (20)

Health financing in post conflict settings - July 2015
Health financing in post conflict settings - July 2015Health financing in post conflict settings - July 2015
Health financing in post conflict settings - July 2015
 
Understanding health system resilience to respond to COVID-19: a case study ...
Understanding health system resilience to respond to COVID-19: a case study ...Understanding health system resilience to respond to COVID-19: a case study ...
Understanding health system resilience to respond to COVID-19: a case study ...
 
31208mig
31208mig31208mig
31208mig
 
World health day 2018
World health day 2018World health day 2018
World health day 2018
 
Renewal Of Primary Health Care
Renewal Of Primary Health CareRenewal Of Primary Health Care
Renewal Of Primary Health Care
 
ReBUILD overview presentation 3rd health researchers forum - Nick Hooton
ReBUILD overview presentation 3rd health researchers forum - Nick HootonReBUILD overview presentation 3rd health researchers forum - Nick Hooton
ReBUILD overview presentation 3rd health researchers forum - Nick Hooton
 
The Devil is in the Details: Designing and Implementing UHC Policies that Rea...
The Devil is in the Details: Designing and Implementing UHC Policies that Rea...The Devil is in the Details: Designing and Implementing UHC Policies that Rea...
The Devil is in the Details: Designing and Implementing UHC Policies that Rea...
 
Beryl Pilkington: Knowledge for Change: From Research to Reality
Beryl Pilkington: Knowledge for Change: From Research to RealityBeryl Pilkington: Knowledge for Change: From Research to Reality
Beryl Pilkington: Knowledge for Change: From Research to Reality
 
crackers
crackerscrackers
crackers
 
Joanna Raven PERFORM2Scale presentation
Joanna Raven PERFORM2Scale presentation Joanna Raven PERFORM2Scale presentation
Joanna Raven PERFORM2Scale presentation
 
The ethics of electives
The ethics of electivesThe ethics of electives
The ethics of electives
 
Health system and financing
Health system and financingHealth system and financing
Health system and financing
 
MoH MYR 2014-2015 Paying Services Reform
MoH MYR 2014-2015 Paying Services ReformMoH MYR 2014-2015 Paying Services Reform
MoH MYR 2014-2015 Paying Services Reform
 
Essential package of health services in Libya
Essential package of health services in LibyaEssential package of health services in Libya
Essential package of health services in Libya
 
From Advocacy to Accountability: Empowering communities throughout the UHC Pr...
From Advocacy to Accountability: Empowering communities throughout the UHC Pr...From Advocacy to Accountability: Empowering communities throughout the UHC Pr...
From Advocacy to Accountability: Empowering communities throughout the UHC Pr...
 
Ivbijaro: The Bridge of Primary Care
Ivbijaro: The Bridge of Primary CareIvbijaro: The Bridge of Primary Care
Ivbijaro: The Bridge of Primary Care
 
APCRSHR10 Virtual abstract presentation of Dr Harjyot Khosa
APCRSHR10 Virtual abstract presentation of Dr Harjyot KhosaAPCRSHR10 Virtual abstract presentation of Dr Harjyot Khosa
APCRSHR10 Virtual abstract presentation of Dr Harjyot Khosa
 
Reframing Primary Health Care
Reframing Primary Health CareReframing Primary Health Care
Reframing Primary Health Care
 
Decentralization in the provision of health care services
Decentralization in the provision of health care servicesDecentralization in the provision of health care services
Decentralization in the provision of health care services
 
Panel 1.Grace Mukasa, Harnessing The Critical Role Of Health Care Workers
Panel 1.Grace Mukasa, Harnessing The Critical Role Of Health Care WorkersPanel 1.Grace Mukasa, Harnessing The Critical Role Of Health Care Workers
Panel 1.Grace Mukasa, Harnessing The Critical Role Of Health Care Workers
 

Viewers also liked

Cfwi sd boston v1
Cfwi sd boston v1Cfwi sd boston v1
Cfwi sd boston v1C4WI
 
Maternity Care Pathways Tool – a support to local workforce planning
Maternity Care Pathways Tool – a support to local workforce planningMaternity Care Pathways Tool – a support to local workforce planning
Maternity Care Pathways Tool – a support to local workforce planningC4WI
 
Health financing and Universal Health Coverage - What's gender got to do with...
Health financing and Universal Health Coverage - What's gender got to do with...Health financing and Universal Health Coverage - What's gender got to do with...
Health financing and Universal Health Coverage - What's gender got to do with...ReBUILD for Resilience
 
Human Resources of the Philippines
Human Resources of the PhilippinesHuman Resources of the Philippines
Human Resources of the Philippinesjuilian
 
Human resource management in public health ppt
Human resource management in public health pptHuman resource management in public health ppt
Human resource management in public health pptDr. Dharmendra Gahwai
 
Strategic Workforce Planning: Key Principles and Objectives, Paul Turner
Strategic Workforce Planning: Key Principles and Objectives, Paul TurnerStrategic Workforce Planning: Key Principles and Objectives, Paul Turner
Strategic Workforce Planning: Key Principles and Objectives, Paul TurnerThe HR Observer
 

Viewers also liked (8)

Cfwi sd boston v1
Cfwi sd boston v1Cfwi sd boston v1
Cfwi sd boston v1
 
Maternity Care Pathways Tool – a support to local workforce planning
Maternity Care Pathways Tool – a support to local workforce planningMaternity Care Pathways Tool – a support to local workforce planning
Maternity Care Pathways Tool – a support to local workforce planning
 
Health financing and Universal Health Coverage - What's gender got to do with...
Health financing and Universal Health Coverage - What's gender got to do with...Health financing and Universal Health Coverage - What's gender got to do with...
Health financing and Universal Health Coverage - What's gender got to do with...
 
V-health
V-healthV-health
V-health
 
Human Resource Management PPT
Human Resource Management PPTHuman Resource Management PPT
Human Resource Management PPT
 
Human Resources of the Philippines
Human Resources of the PhilippinesHuman Resources of the Philippines
Human Resources of the Philippines
 
Human resource management in public health ppt
Human resource management in public health pptHuman resource management in public health ppt
Human resource management in public health ppt
 
Strategic Workforce Planning: Key Principles and Objectives, Paul Turner
Strategic Workforce Planning: Key Principles and Objectives, Paul TurnerStrategic Workforce Planning: Key Principles and Objectives, Paul Turner
Strategic Workforce Planning: Key Principles and Objectives, Paul Turner
 

Similar to Cross-sectoral issues in Health and Education HR in fragile states

A SWOT Analysis Of The Physiotherapy Profession In Kuwait
A SWOT Analysis Of The Physiotherapy Profession In KuwaitA SWOT Analysis Of The Physiotherapy Profession In Kuwait
A SWOT Analysis Of The Physiotherapy Profession In KuwaitJim Webb
 
10h00 robin miller
10h00 robin miller10h00 robin miller
10h00 robin miller3GDR
 
Global Health Exchange Fellowship Programme EVALUATION REPORT 2016
Global Health Exchange Fellowship Programme EVALUATION REPORT 2016Global Health Exchange Fellowship Programme EVALUATION REPORT 2016
Global Health Exchange Fellowship Programme EVALUATION REPORT 2016Charlotte Tulinius
 
11.[28 37]fostering a paradigm shift in the roles of health promotion educati...
11.[28 37]fostering a paradigm shift in the roles of health promotion educati...11.[28 37]fostering a paradigm shift in the roles of health promotion educati...
11.[28 37]fostering a paradigm shift in the roles of health promotion educati...Alexander Decker
 
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docx
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docxBudget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docx
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docxAASTHA76
 
Advancing Nursing Research to Address Global Health Challenges
Advancing Nursing Research to Address Global Health ChallengesAdvancing Nursing Research to Address Global Health Challenges
Advancing Nursing Research to Address Global Health ChallengesRyan Michael Oducado
 
Doctors of Tomorrow – A Pipeline Program for Getting a Head Start in Medicine
Doctors of Tomorrow – A Pipeline Program for Getting a Head Start in MedicineDoctors of Tomorrow – A Pipeline Program for Getting a Head Start in Medicine
Doctors of Tomorrow – A Pipeline Program for Getting a Head Start in Medicineinventionjournals
 
King Holmes, MD, PhD. University Consortium for Global Health. Sept. 15, 2009.
King Holmes, MD, PhD. University Consortium for Global Health. Sept. 15, 2009.King Holmes, MD, PhD. University Consortium for Global Health. Sept. 15, 2009.
King Holmes, MD, PhD. University Consortium for Global Health. Sept. 15, 2009.UWGlobalHealth
 
Exploring the feasibilty of public private partnership in the healthcare sect...
Exploring the feasibilty of public private partnership in the healthcare sect...Exploring the feasibilty of public private partnership in the healthcare sect...
Exploring the feasibilty of public private partnership in the healthcare sect...CosmasCHIKWAWAWA1
 
ROLE OF EXTENSION EDUCATION DURING PANDEMICS: CHALLENGES AND STRATEGIES
ROLE OF EXTENSION EDUCATION DURING PANDEMICS: CHALLENGES AND STRATEGIESROLE OF EXTENSION EDUCATION DURING PANDEMICS: CHALLENGES AND STRATEGIES
ROLE OF EXTENSION EDUCATION DURING PANDEMICS: CHALLENGES AND STRATEGIESDrMahesh6
 
Telehealth NDLW Power Point Elluminate Thursday
Telehealth NDLW Power Point Elluminate ThursdayTelehealth NDLW Power Point Elluminate Thursday
Telehealth NDLW Power Point Elluminate Thursdayvideoreg
 
Corporate Engagement benchmarking study
Corporate Engagement benchmarking studyCorporate Engagement benchmarking study
Corporate Engagement benchmarking studyAmy Lavallee
 
Health Systems in Situations of Fragility
Health Systems in Situations of FragilityHealth Systems in Situations of Fragility
Health Systems in Situations of FragilityReBUILD for Resilience
 
Removing health user fees in sub-Saharan Africa: international debate, challe...
Removing health user fees in sub-Saharan Africa: international debate, challe...Removing health user fees in sub-Saharan Africa: international debate, challe...
Removing health user fees in sub-Saharan Africa: international debate, challe...Emilie Robert
 
Ethical Challenges in GH Education: David Bernard
Ethical Challenges in GH Education: David BernardEthical Challenges in GH Education: David Bernard
Ethical Challenges in GH Education: David BernardUWGlobalHealth
 
Student Electives in Low-resource Countries: Ethical Considerations: Eiman A....
Student Electives in Low-resource Countries: Ethical Considerations: Eiman A....Student Electives in Low-resource Countries: Ethical Considerations: Eiman A....
Student Electives in Low-resource Countries: Ethical Considerations: Eiman A....UWGlobalHealth
 

Similar to Cross-sectoral issues in Health and Education HR in fragile states (20)

A SWOT Analysis Of The Physiotherapy Profession In Kuwait
A SWOT Analysis Of The Physiotherapy Profession In KuwaitA SWOT Analysis Of The Physiotherapy Profession In Kuwait
A SWOT Analysis Of The Physiotherapy Profession In Kuwait
 
10h00 robin miller
10h00 robin miller10h00 robin miller
10h00 robin miller
 
Global Health Exchange Fellowship Programme EVALUATION REPORT 2016
Global Health Exchange Fellowship Programme EVALUATION REPORT 2016Global Health Exchange Fellowship Programme EVALUATION REPORT 2016
Global Health Exchange Fellowship Programme EVALUATION REPORT 2016
 
11.[28 37]fostering a paradigm shift in the roles of health promotion educati...
11.[28 37]fostering a paradigm shift in the roles of health promotion educati...11.[28 37]fostering a paradigm shift in the roles of health promotion educati...
11.[28 37]fostering a paradigm shift in the roles of health promotion educati...
 
01. international cooperation for health professions education
01. international cooperation for health professions education01. international cooperation for health professions education
01. international cooperation for health professions education
 
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docx
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docxBudget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docx
Budget RESEARCHBudget Template - page 1 of 2GRANT(For Internal Use.docx
 
Advancing Nursing Research to Address Global Health Challenges
Advancing Nursing Research to Address Global Health ChallengesAdvancing Nursing Research to Address Global Health Challenges
Advancing Nursing Research to Address Global Health Challenges
 
Doctors of Tomorrow – A Pipeline Program for Getting a Head Start in Medicine
Doctors of Tomorrow – A Pipeline Program for Getting a Head Start in MedicineDoctors of Tomorrow – A Pipeline Program for Getting a Head Start in Medicine
Doctors of Tomorrow – A Pipeline Program for Getting a Head Start in Medicine
 
pepe371
pepe371pepe371
pepe371
 
King Holmes, MD, PhD. University Consortium for Global Health. Sept. 15, 2009.
King Holmes, MD, PhD. University Consortium for Global Health. Sept. 15, 2009.King Holmes, MD, PhD. University Consortium for Global Health. Sept. 15, 2009.
King Holmes, MD, PhD. University Consortium for Global Health. Sept. 15, 2009.
 
CHWs_Report_2016
CHWs_Report_2016CHWs_Report_2016
CHWs_Report_2016
 
Exploring the feasibilty of public private partnership in the healthcare sect...
Exploring the feasibilty of public private partnership in the healthcare sect...Exploring the feasibilty of public private partnership in the healthcare sect...
Exploring the feasibilty of public private partnership in the healthcare sect...
 
ROLE OF EXTENSION EDUCATION DURING PANDEMICS: CHALLENGES AND STRATEGIES
ROLE OF EXTENSION EDUCATION DURING PANDEMICS: CHALLENGES AND STRATEGIESROLE OF EXTENSION EDUCATION DURING PANDEMICS: CHALLENGES AND STRATEGIES
ROLE OF EXTENSION EDUCATION DURING PANDEMICS: CHALLENGES AND STRATEGIES
 
Telehealth NDLW Power Point Elluminate Thursday
Telehealth NDLW Power Point Elluminate ThursdayTelehealth NDLW Power Point Elluminate Thursday
Telehealth NDLW Power Point Elluminate Thursday
 
Corporate Engagement benchmarking study
Corporate Engagement benchmarking studyCorporate Engagement benchmarking study
Corporate Engagement benchmarking study
 
Health Systems in Situations of Fragility
Health Systems in Situations of FragilityHealth Systems in Situations of Fragility
Health Systems in Situations of Fragility
 
Removing health user fees in sub-Saharan Africa: international debate, challe...
Removing health user fees in sub-Saharan Africa: international debate, challe...Removing health user fees in sub-Saharan Africa: international debate, challe...
Removing health user fees in sub-Saharan Africa: international debate, challe...
 
Ethical Challenges in GH Education: David Bernard
Ethical Challenges in GH Education: David BernardEthical Challenges in GH Education: David Bernard
Ethical Challenges in GH Education: David Bernard
 
Student Electives in Low-resource Countries: Ethical Considerations: Eiman A....
Student Electives in Low-resource Countries: Ethical Considerations: Eiman A....Student Electives in Low-resource Countries: Ethical Considerations: Eiman A....
Student Electives in Low-resource Countries: Ethical Considerations: Eiman A....
 
110614 tim warren presentation
110614   tim warren presentation110614   tim warren presentation
110614 tim warren presentation
 

More from ReBUILD for Resilience

Exploratory review of financial autonomy at primary care level
Exploratory review of financial autonomy at primary care levelExploratory review of financial autonomy at primary care level
Exploratory review of financial autonomy at primary care levelReBUILD for Resilience
 
Governance, health system strengthening and the private sector
Governance, health system strengthening and the private sectorGovernance, health system strengthening and the private sector
Governance, health system strengthening and the private sectorReBUILD for Resilience
 
The comparative agility of the community health worker cadre in fragile & con...
The comparative agility of the community health worker cadre in fragile & con...The comparative agility of the community health worker cadre in fragile & con...
The comparative agility of the community health worker cadre in fragile & con...ReBUILD for Resilience
 
Health system strengthening evidence review – A summary of the 2021 update
Health system strengthening evidence review – A summary of the 2021 updateHealth system strengthening evidence review – A summary of the 2021 update
Health system strengthening evidence review – A summary of the 2021 updateReBUILD for Resilience
 
Paying for performance to improve the delivery of health interventions in LMICs
Paying for performance to improve the delivery of health interventions in LMICsPaying for performance to improve the delivery of health interventions in LMICs
Paying for performance to improve the delivery of health interventions in LMICsReBUILD for Resilience
 
Performance-based financing presentation to the Health Financing Accelerator
Performance-based financing presentation to the Health Financing AcceleratorPerformance-based financing presentation to the Health Financing Accelerator
Performance-based financing presentation to the Health Financing AcceleratorReBUILD for Resilience
 
Reflections from fragile and conflict-affected settings
Reflections from fragile and conflict-affected settingsReflections from fragile and conflict-affected settings
Reflections from fragile and conflict-affected settingsReBUILD for Resilience
 
Health system strengthening in LMICs and fragile states – what and how?
 Health system strengthening in LMICs and fragile states – what and how? Health system strengthening in LMICs and fragile states – what and how?
Health system strengthening in LMICs and fragile states – what and how?ReBUILD for Resilience
 
political economy approaches to explore performance based-financing’s adoptio...
political economy approaches to explore performance based-financing’s adoptio...political economy approaches to explore performance based-financing’s adoptio...
political economy approaches to explore performance based-financing’s adoptio...ReBUILD for Resilience
 
Understanding Iraq’s BHSP: Examining the Domestic and External Politics of Po...
Understanding Iraq’s BHSP: Examining the Domestic and External Politics of Po...Understanding Iraq’s BHSP: Examining the Domestic and External Politics of Po...
Understanding Iraq’s BHSP: Examining the Domestic and External Politics of Po...ReBUILD for Resilience
 
Context, gender and sustainability in introducing and scaling-up essential he...
Context, gender and sustainability in introducing and scaling-up essential he...Context, gender and sustainability in introducing and scaling-up essential he...
Context, gender and sustainability in introducing and scaling-up essential he...ReBUILD for Resilience
 
The changing health care needs of communities and health systems responses in...
The changing health care needs of communities and health systems responses in...The changing health care needs of communities and health systems responses in...
The changing health care needs of communities and health systems responses in...ReBUILD for Resilience
 
The changing health care needs of communities and health system responses in ...
The changing health care needs of communities and health system responses in ...The changing health care needs of communities and health system responses in ...
The changing health care needs of communities and health system responses in ...ReBUILD for Resilience
 
Performance based financing as a way to build strategic purchasing in fragile...
Performance based financing as a way to build strategic purchasing in fragile...Performance based financing as a way to build strategic purchasing in fragile...
Performance based financing as a way to build strategic purchasing in fragile...ReBUILD for Resilience
 
Etat des connaissances sur le renforcement des systèmes de santé dans les con...
Etat des connaissances sur le renforcement des systèmes de santé dans les con...Etat des connaissances sur le renforcement des systèmes de santé dans les con...
Etat des connaissances sur le renforcement des systèmes de santé dans les con...ReBUILD for Resilience
 
The bumpy trajectory of performance-based financing in Sierra Leone _ agency,...
The bumpy trajectory of performance-based financing in Sierra Leone _ agency,...The bumpy trajectory of performance-based financing in Sierra Leone _ agency,...
The bumpy trajectory of performance-based financing in Sierra Leone _ agency,...ReBUILD for Resilience
 
Investigating results based financing as a tool for strategic purchasing _ Co...
Investigating results based financing as a tool for strategic purchasing _ Co...Investigating results based financing as a tool for strategic purchasing _ Co...
Investigating results based financing as a tool for strategic purchasing _ Co...ReBUILD for Resilience
 
Impacts of conflict on access to healthcare missing generation and disability...
Impacts of conflict on access to healthcare missing generation and disability...Impacts of conflict on access to healthcare missing generation and disability...
Impacts of conflict on access to healthcare missing generation and disability...ReBUILD for Resilience
 

More from ReBUILD for Resilience (20)

Exploratory review of financial autonomy at primary care level
Exploratory review of financial autonomy at primary care levelExploratory review of financial autonomy at primary care level
Exploratory review of financial autonomy at primary care level
 
Gender and health financing
Gender and health financingGender and health financing
Gender and health financing
 
Financial protection in Uganda
Financial protection in UgandaFinancial protection in Uganda
Financial protection in Uganda
 
Governance, health system strengthening and the private sector
Governance, health system strengthening and the private sectorGovernance, health system strengthening and the private sector
Governance, health system strengthening and the private sector
 
The comparative agility of the community health worker cadre in fragile & con...
The comparative agility of the community health worker cadre in fragile & con...The comparative agility of the community health worker cadre in fragile & con...
The comparative agility of the community health worker cadre in fragile & con...
 
Health system strengthening evidence review – A summary of the 2021 update
Health system strengthening evidence review – A summary of the 2021 updateHealth system strengthening evidence review – A summary of the 2021 update
Health system strengthening evidence review – A summary of the 2021 update
 
Paying for performance to improve the delivery of health interventions in LMICs
Paying for performance to improve the delivery of health interventions in LMICsPaying for performance to improve the delivery of health interventions in LMICs
Paying for performance to improve the delivery of health interventions in LMICs
 
Performance-based financing presentation to the Health Financing Accelerator
Performance-based financing presentation to the Health Financing AcceleratorPerformance-based financing presentation to the Health Financing Accelerator
Performance-based financing presentation to the Health Financing Accelerator
 
Reflections from fragile and conflict-affected settings
Reflections from fragile and conflict-affected settingsReflections from fragile and conflict-affected settings
Reflections from fragile and conflict-affected settings
 
Health system strengthening in LMICs and fragile states – what and how?
 Health system strengthening in LMICs and fragile states – what and how? Health system strengthening in LMICs and fragile states – what and how?
Health system strengthening in LMICs and fragile states – what and how?
 
political economy approaches to explore performance based-financing’s adoptio...
political economy approaches to explore performance based-financing’s adoptio...political economy approaches to explore performance based-financing’s adoptio...
political economy approaches to explore performance based-financing’s adoptio...
 
Understanding Iraq’s BHSP: Examining the Domestic and External Politics of Po...
Understanding Iraq’s BHSP: Examining the Domestic and External Politics of Po...Understanding Iraq’s BHSP: Examining the Domestic and External Politics of Po...
Understanding Iraq’s BHSP: Examining the Domestic and External Politics of Po...
 
Context, gender and sustainability in introducing and scaling-up essential he...
Context, gender and sustainability in introducing and scaling-up essential he...Context, gender and sustainability in introducing and scaling-up essential he...
Context, gender and sustainability in introducing and scaling-up essential he...
 
The changing health care needs of communities and health systems responses in...
The changing health care needs of communities and health systems responses in...The changing health care needs of communities and health systems responses in...
The changing health care needs of communities and health systems responses in...
 
The changing health care needs of communities and health system responses in ...
The changing health care needs of communities and health system responses in ...The changing health care needs of communities and health system responses in ...
The changing health care needs of communities and health system responses in ...
 
Performance based financing as a way to build strategic purchasing in fragile...
Performance based financing as a way to build strategic purchasing in fragile...Performance based financing as a way to build strategic purchasing in fragile...
Performance based financing as a way to build strategic purchasing in fragile...
 
Etat des connaissances sur le renforcement des systèmes de santé dans les con...
Etat des connaissances sur le renforcement des systèmes de santé dans les con...Etat des connaissances sur le renforcement des systèmes de santé dans les con...
Etat des connaissances sur le renforcement des systèmes de santé dans les con...
 
The bumpy trajectory of performance-based financing in Sierra Leone _ agency,...
The bumpy trajectory of performance-based financing in Sierra Leone _ agency,...The bumpy trajectory of performance-based financing in Sierra Leone _ agency,...
The bumpy trajectory of performance-based financing in Sierra Leone _ agency,...
 
Investigating results based financing as a tool for strategic purchasing _ Co...
Investigating results based financing as a tool for strategic purchasing _ Co...Investigating results based financing as a tool for strategic purchasing _ Co...
Investigating results based financing as a tool for strategic purchasing _ Co...
 
Impacts of conflict on access to healthcare missing generation and disability...
Impacts of conflict on access to healthcare missing generation and disability...Impacts of conflict on access to healthcare missing generation and disability...
Impacts of conflict on access to healthcare missing generation and disability...
 

Recently uploaded

Subconjunctival Haemorrhage,causes,treatment..pptx
Subconjunctival Haemorrhage,causes,treatment..pptxSubconjunctival Haemorrhage,causes,treatment..pptx
Subconjunctival Haemorrhage,causes,treatment..pptxvideosfildr
 
CASE STUDY ON CHRONIC KIDNEY DISEASE.pptx
CASE  STUDY ON CHRONIC KIDNEY DISEASE.pptxCASE  STUDY ON CHRONIC KIDNEY DISEASE.pptx
CASE STUDY ON CHRONIC KIDNEY DISEASE.pptxdrsriram2001
 
EHR Market Growth is The Boom Over - Jasper Colin
EHR Market Growth is The Boom Over - Jasper ColinEHR Market Growth is The Boom Over - Jasper Colin
EHR Market Growth is The Boom Over - Jasper ColinJasper Colin
 
Understanding Cholera: Epidemiology, Prevention, and Control.pdf
Understanding Cholera: Epidemiology, Prevention, and Control.pdfUnderstanding Cholera: Epidemiology, Prevention, and Control.pdf
Understanding Cholera: Epidemiology, Prevention, and Control.pdfSasikiranMarri
 
Family Adoption Programme first year mbbs.pptx
Family Adoption Programme first year mbbs.pptxFamily Adoption Programme first year mbbs.pptx
Family Adoption Programme first year mbbs.pptxKritikaMishra43
 
2024 Medicare AEP Shopping Experience: Consumer Insight Survey
2024 Medicare AEP Shopping Experience: Consumer Insight Survey2024 Medicare AEP Shopping Experience: Consumer Insight Survey
2024 Medicare AEP Shopping Experience: Consumer Insight SurveyMedia Logic
 
X-Ray Beam Restrictors/Beam Modifying devices.pptx
X-Ray Beam Restrictors/Beam Modifying devices.pptxX-Ray Beam Restrictors/Beam Modifying devices.pptx
X-Ray Beam Restrictors/Beam Modifying devices.pptxDr. Dheeraj Kumar
 
Emergency ambulance portal-PPT-3g2pqy.pptx
Emergency ambulance portal-PPT-3g2pqy.pptxEmergency ambulance portal-PPT-3g2pqy.pptx
Emergency ambulance portal-PPT-3g2pqy.pptxdragonaklevel7
 
The Best Diet for Preventing and Managing Kidney Stones .pptx
The Best Diet for Preventing and Managing Kidney Stones .pptxThe Best Diet for Preventing and Managing Kidney Stones .pptx
The Best Diet for Preventing and Managing Kidney Stones .pptxBarshaBarsha6
 
AI in Pediatrics: Taking Baby Steps in the Big World of Data
AI in Pediatrics: Taking Baby Steps in the Big World of DataAI in Pediatrics: Taking Baby Steps in the Big World of Data
AI in Pediatrics: Taking Baby Steps in the Big World of DataIris Thiele Isip-Tan
 
COP NCM 122. Intensive nursing practicum course outline presentation pptx
COP NCM 122. Intensive nursing practicum course outline presentation pptxCOP NCM 122. Intensive nursing practicum course outline presentation pptx
COP NCM 122. Intensive nursing practicum course outline presentation pptxCarolyn Calupitan
 
Immediate care of newborn, midwifery and obstetrical nursing
Immediate care of newborn, midwifery and obstetrical nursingImmediate care of newborn, midwifery and obstetrical nursing
Immediate care of newborn, midwifery and obstetrical nursingNursing education
 
Enhancing Health Through Personalized Nutrition
Enhancing Health Through Personalized NutritionEnhancing Health Through Personalized Nutrition
Enhancing Health Through Personalized NutritionNeighborhood Trainer
 
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptx
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptxLipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptx
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptxRajendra Dev Bhatt
 
Presentation for Alzheimers Disease.pptx
Presentation for Alzheimers Disease.pptxPresentation for Alzheimers Disease.pptx
Presentation for Alzheimers Disease.pptxravisutar1
 
Nursing Diagnosis: The Second Phase of The Nursing Process
Nursing Diagnosis: The Second Phase of The Nursing ProcessNursing Diagnosis: The Second Phase of The Nursing Process
Nursing Diagnosis: The Second Phase of The Nursing ProcessRommel Luis III Israel
 
Preventing Common Nutritional Deficiencies In Poultry Flocks (PPT).pdf
Preventing Common Nutritional Deficiencies In Poultry Flocks (PPT).pdfPreventing Common Nutritional Deficiencies In Poultry Flocks (PPT).pdf
Preventing Common Nutritional Deficiencies In Poultry Flocks (PPT).pdfAditiAlishetty
 
2024 Compliatric Webinar Series - OSV Overview and Panel Discussion April 202...
2024 Compliatric Webinar Series - OSV Overview and Panel Discussion April 202...2024 Compliatric Webinar Series - OSV Overview and Panel Discussion April 202...
2024 Compliatric Webinar Series - OSV Overview and Panel Discussion April 202...Compliatric Where Compliance Happens
 
Weighing the Risks and Benefits: Angioplasty at Gokuldas Hospitals
Weighing the Risks and Benefits: Angioplasty at Gokuldas HospitalsWeighing the Risks and Benefits: Angioplasty at Gokuldas Hospitals
Weighing the Risks and Benefits: Angioplasty at Gokuldas HospitalsGokuldas Hospital
 
Disseminated Intravascular Coagulation.ppt
Disseminated Intravascular Coagulation.pptDisseminated Intravascular Coagulation.ppt
Disseminated Intravascular Coagulation.pptSameer Jain
 

Recently uploaded (20)

Subconjunctival Haemorrhage,causes,treatment..pptx
Subconjunctival Haemorrhage,causes,treatment..pptxSubconjunctival Haemorrhage,causes,treatment..pptx
Subconjunctival Haemorrhage,causes,treatment..pptx
 
CASE STUDY ON CHRONIC KIDNEY DISEASE.pptx
CASE  STUDY ON CHRONIC KIDNEY DISEASE.pptxCASE  STUDY ON CHRONIC KIDNEY DISEASE.pptx
CASE STUDY ON CHRONIC KIDNEY DISEASE.pptx
 
EHR Market Growth is The Boom Over - Jasper Colin
EHR Market Growth is The Boom Over - Jasper ColinEHR Market Growth is The Boom Over - Jasper Colin
EHR Market Growth is The Boom Over - Jasper Colin
 
Understanding Cholera: Epidemiology, Prevention, and Control.pdf
Understanding Cholera: Epidemiology, Prevention, and Control.pdfUnderstanding Cholera: Epidemiology, Prevention, and Control.pdf
Understanding Cholera: Epidemiology, Prevention, and Control.pdf
 
Family Adoption Programme first year mbbs.pptx
Family Adoption Programme first year mbbs.pptxFamily Adoption Programme first year mbbs.pptx
Family Adoption Programme first year mbbs.pptx
 
2024 Medicare AEP Shopping Experience: Consumer Insight Survey
2024 Medicare AEP Shopping Experience: Consumer Insight Survey2024 Medicare AEP Shopping Experience: Consumer Insight Survey
2024 Medicare AEP Shopping Experience: Consumer Insight Survey
 
X-Ray Beam Restrictors/Beam Modifying devices.pptx
X-Ray Beam Restrictors/Beam Modifying devices.pptxX-Ray Beam Restrictors/Beam Modifying devices.pptx
X-Ray Beam Restrictors/Beam Modifying devices.pptx
 
Emergency ambulance portal-PPT-3g2pqy.pptx
Emergency ambulance portal-PPT-3g2pqy.pptxEmergency ambulance portal-PPT-3g2pqy.pptx
Emergency ambulance portal-PPT-3g2pqy.pptx
 
The Best Diet for Preventing and Managing Kidney Stones .pptx
The Best Diet for Preventing and Managing Kidney Stones .pptxThe Best Diet for Preventing and Managing Kidney Stones .pptx
The Best Diet for Preventing and Managing Kidney Stones .pptx
 
AI in Pediatrics: Taking Baby Steps in the Big World of Data
AI in Pediatrics: Taking Baby Steps in the Big World of DataAI in Pediatrics: Taking Baby Steps in the Big World of Data
AI in Pediatrics: Taking Baby Steps in the Big World of Data
 
COP NCM 122. Intensive nursing practicum course outline presentation pptx
COP NCM 122. Intensive nursing practicum course outline presentation pptxCOP NCM 122. Intensive nursing practicum course outline presentation pptx
COP NCM 122. Intensive nursing practicum course outline presentation pptx
 
Immediate care of newborn, midwifery and obstetrical nursing
Immediate care of newborn, midwifery and obstetrical nursingImmediate care of newborn, midwifery and obstetrical nursing
Immediate care of newborn, midwifery and obstetrical nursing
 
Enhancing Health Through Personalized Nutrition
Enhancing Health Through Personalized NutritionEnhancing Health Through Personalized Nutrition
Enhancing Health Through Personalized Nutrition
 
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptx
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptxLipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptx
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptx
 
Presentation for Alzheimers Disease.pptx
Presentation for Alzheimers Disease.pptxPresentation for Alzheimers Disease.pptx
Presentation for Alzheimers Disease.pptx
 
Nursing Diagnosis: The Second Phase of The Nursing Process
Nursing Diagnosis: The Second Phase of The Nursing ProcessNursing Diagnosis: The Second Phase of The Nursing Process
Nursing Diagnosis: The Second Phase of The Nursing Process
 
Preventing Common Nutritional Deficiencies In Poultry Flocks (PPT).pdf
Preventing Common Nutritional Deficiencies In Poultry Flocks (PPT).pdfPreventing Common Nutritional Deficiencies In Poultry Flocks (PPT).pdf
Preventing Common Nutritional Deficiencies In Poultry Flocks (PPT).pdf
 
2024 Compliatric Webinar Series - OSV Overview and Panel Discussion April 202...
2024 Compliatric Webinar Series - OSV Overview and Panel Discussion April 202...2024 Compliatric Webinar Series - OSV Overview and Panel Discussion April 202...
2024 Compliatric Webinar Series - OSV Overview and Panel Discussion April 202...
 
Weighing the Risks and Benefits: Angioplasty at Gokuldas Hospitals
Weighing the Risks and Benefits: Angioplasty at Gokuldas HospitalsWeighing the Risks and Benefits: Angioplasty at Gokuldas Hospitals
Weighing the Risks and Benefits: Angioplasty at Gokuldas Hospitals
 
Disseminated Intravascular Coagulation.ppt
Disseminated Intravascular Coagulation.pptDisseminated Intravascular Coagulation.ppt
Disseminated Intravascular Coagulation.ppt
 

Cross-sectoral issues in Health and Education HR in fragile states

  • 1. Cross-sectoral issues between Health and Education in Human Resources in fragile and conflict-affected states HEART seminar on Human Resources in Fragile and Conflict-affected States Royal Society, London 9th June 2016
  • 2. Introductions  Name  Organisation  Role/specialism HEART 2 NAME INSTITUTION Alvaro Alonso-Garbayo ReBUILD team at LSTM Chris Berry DFID Chris Joynes EDT Elisabeth Resch OPM Helen Mobey EDT Jo Keatinge DFID Katharine Holmes EDT Lizzie Smith DFID Nick Hooton ReBUILD team at LSTM Nicola Watt DFID Nigel Pearson Independent Consultant Patrick Douglas EDT Peter-Sam Hill OPM Rashid Zaman OPM Sam Franzen OPM Sophie Witter ReBUILD team at QMU Susy Ndaruhutse EDT Tim Martineau ReBUILD team at LSTM Willy McCourt Independent Consultant
  • 4. 4
  • 5. Programme  Introduction, Tim Martineau (Liverpool School of Tropical Medicine) and Joanna Buckley (OPM) HEART 5
  • 6. Recruitment to retention ‘pipeline’ Adapted from: Vujicic et al, 2006 • Initial posting • Induction • Bonding • Career choice • Science grades • Capacity • Need (quality & quantity) • Registration • On payroll • ROI Selection • criteria • process
  • 7. Recruitment to retention ‘pipeline’ Adapted from: Vujicic et al, 2006 • Shortage of health workers in Africa in 2013 = 4.2M • Shortage of 18M health workers to meet SDGs • 100M children no 1o Education • 18 countries with Lower 2o pupil : teacher ratio >30:1
  • 8. Comparing HR in health and educations sectors in MLICs Similarities  largest public sector workforce  difficult to staff in remotest areas  traditionally high proportion of females  historically high engagement of FBOs  increasing privatisation of professional training and service delivery  both sectors have dedicated HR targets in their respective SDGs  ?powerful unions  ?use of performance-based incentives Differences  complexity of cadres in health vs simpler structure in education  high level of international migration of health professionals vs lower for education sector  less predictable workloads in health (Hanson 2015)  ?greater use of task-shifting in health HEART 8
  • 9. Few examples of work across health and education
  • 10. Context of fragile and conflict-affected states  Since 2010, all major donors have published frameworks for programming in FCAS development projects need to be sensitive to how interventions shape the broader state-building and conflict dynamics within which they operate.  DFID increased spending in FCAS to 30% of UK ODA by 2014-15, representing an 86% increase since 2010. In November 2015 HMG made a commitment to allocate 50% of all DFID’S spending to fragile states and regions.  This commitment, combined with the reduction in number of DFID priority countries from 43 to 28 following the 2011 Bilateral Aid Review, and commitment to spend 0.7% GNI on ODA have led to a significant absolute increase in DFID’s expenditure on FCAS.  Range of scenarios of FCAS: – Humanitarian assistance (less in education) – Reconstruction phase – Development phase – Transition from one to another
  • 11. Challenges of working in fragile and conflict-affected states  Being conflict sensitive – who you engage with, how and where. Adverse impacts of certain health interventions e.g. Taliban's offensive against the polio vaccinations in Pakistan.  Access – e.g attacks on hospitals in Syria and Afghanistan.  Lack of strong institutions – gaps in regulatory, legislative and policy framework e.g. Somalia.  Questions of equity of access  Limited infrastructure e.g. roads, electricity, water
  • 12. Objective of the session  explore the potential for cross-sectoral learning, and attempt to draw out some initial lessons about challenges and effective strategies that could further strengthen human resources in the fields of education and health in complex contexts and redress the current sectoral silos
  • 13. Programme  Introduction, Tim Martineau (Liverpool School of Tropical Medicine) and Joanna Buckley (OPM)  The health perspective, Sophie Witter (Queen Margaret University)  The education perspective, Chris Joynes (Education Development Trust)  Tea and coffee break  Lessons learnt (Chris Berry and Lizzie Smith, DFID)  Floor discussion  Wrap-up and conclusions HEART 13
  • 14. Floor discussion in HR in health and education in FCAS  What are the most important common challenges?  What are the differences?  Where could there be greater collaboration between the two sectors? (programme design, research, etc)  What specific help do donors and governments want?

Editor's Notes

  1. Shortage of health workers in Africa in 2013 = 4.2M (GHWA strategy) Conversely, there will be a projected shortage of 18 million health workers to achieve the Sustainable Development Goals, mostly in low- and lower-middle income countries. Source: High-Level Commission on Health Employment and Economic Growth http://www.who.int/hrh/com-heeg/com-heeg-meeting-chair/en/
  2. Since 2010, all major donors have published frameworks for programming in FCAS. This is in response to research that emphasises the feedback loops between inclusive political settlements, core state capacity, and legitimacy in forming a social contract that is the basis of sustainable development.   Donors reason that development projects need to be sensitive to how interventions shape the broader statebuilding and conflict dynamics within which they operate.   DFID increased spending in FCAS to 30% of UK ODA by 2014-15, representing an 86% increase since 2010. In November 2015 HMG made a commitement to allocate 50% of all DFID’S spending to fragile states and regions.   This commitment, combined with the reduction in number of DFID priority countries from 43 to 28 following the 2011 Bilateral Aid Review, and commitment to spend 0.7% GNI on ODA have led to a significant absolute increase in DFID’s expenditure on FCAS .   Range of scenarios of FCAS Hummanitarian assistance eg. for IDPs Reconstruction phase Development phase Transition from one to another  Add something about staff in gaps in eduction and health
  3. Since 2010, all major donors have published frameworks for programming in FCAS. This is in response to research that emphasises the feedback loops between inclusive political settlements, core state capacity, and legitimacy in forming a social contract that is the basis of sustainable development.   Donors reason that development projects need to be sensitive to how interventions shape the broader statebuilding and conflict dynamics within which they operate.   DFID increased spending in FCAS to 30% of UK ODA by 2014-15, representing an 86% increase since 2010. In November 2015 HMG made a commitement to allocate 50% of all DFID’S spending to fragile states and regions.   This commitment, combined with the reduction in number of DFID priority countries from 43 to 28 following the 2011 Bilateral Aid Review, and commitment to spend 0.7% GNI on ODA have led to a significant absolute increase in DFID’s expenditure on FCAS .   Range of scenarios of FCAS Hummanitarian assistance eg. for IDPs Reconstruction phase Development phase Transition from one to another  Add something about staff in gaps in eduction and health