‘They say we are money minded’ exploring experiences of formal private for-profit health providers towards contribution to pro-poor access in post conflict Northern Uganda

This chapter introduces the concept of extralegal groups and a theoretical framework for analyzing them—how they emerge, develop, and become entrenched over time. It explores their dual nature as threats to the state and as local statebuilders. Formally, an extralegal group is defined as a set of individuals with a proven capacity for violence who work outside the law for profit and provide basic governance functions to sustain its business interests. This framing shows how political authority can develop as a by-product of the commercial environment, even where the state has little or no presence. In post-conflict societies, the predatory nature and historical abuses of citizens conducted in the name of the state means that government is not always more trusted or better able to look after the interests of local populations than an extralegal group. Ultimately, extralegal groups blur the lines between the formal and informal; the licit and illicit.

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Wartime Captivity and Homecoming: Culture, Stigma and Coping Strategies of Formerly Abducted Women in Post‐conflict Northern Uganda

Disasters ◽

10.1111/disa.12505 ◽

2021 ◽

Author(s):

Allen Kiconco ◽

Martin Nthakomwa

Keyword(s):

Coping Strategies ◽

Northern Uganda ◽

Post Conflict ◽

And Coping

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Private sector, for-profit health providers in low and middle income countries: can they reach the poor at scale?

Globalization and Health ◽

10.1186/1744-8603-10-52 ◽

2014 ◽

Vol 10 (1) ◽

pp. 52 ◽

Cited By ~ 9

Author(s):

Elizabeth Tung ◽

Sara Bennett

Keyword(s):

Private Sector ◽

Health Providers ◽

Middle Income ◽

For Profit ◽

Middle Income Countries ◽

The Poor ◽

Low And Middle Income

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Age at menarche in relation to nutritional status and critical life events among rural and urban secondary school girls in post-conflict Northern Uganda

BMC Women s Health ◽

10.1186/1472-6874-14-66 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 19

Author(s):

Beatrice Odongkara Mpora ◽

Thereza Piloya ◽

Sylvia Awor ◽

Thomas Ngwiri ◽

Paul Laigong ◽

...

Keyword(s):

Secondary School ◽

Nutritional Status ◽

Life Events ◽

Age At Menarche ◽

Northern Uganda ◽

Critical Life Events ◽

Post Conflict ◽

Rural And Urban ◽

School Girls ◽

Urban Secondary School

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Conflict affected, parallel health systems: challenges to collaboration between ethnic and government health systems in Kayin State, Myanmar

Conflict and Health ◽

10.1186/s13031-021-00396-z ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Colette Pang Biesty ◽

Aung Ja Brang ◽

Barry Munslow

Keyword(s):

Health System ◽

Health Systems ◽

Health Workers ◽

Health Providers ◽

Peace Accord ◽

Government Health ◽

Peace Processes ◽

Post Conflict ◽

Observation Methods ◽

Minority Ethnic Groups

Abstract Background Myanmar has had a long history of civil wars with its minority ethnic groups and is yet to see a sustainable peace accord. The conflicts have had a significant impact on health in Myanmar, with ethnic populations experiencing inequitable health outcomes. Consequently, to meet the health needs of ethnic people, Ethnic Health Organisations and Community-Based Health Organisations (EHO/CBHOs) created their own health system. The EHO/CBHO and Government health systems, provided by the Myanmar Ministry of Health and Sports (MoHS), remain parallel, despite both stakeholders discussing unification of the health systems within the context of ongoing but unresolved peace processes. EHO/CBHOs discuss the ‘convergence’ of health systems, whilst the MoHS discuss the integration of health providers under their National Health Plan. Methods A qualitative study design was used to explore the challenges to collaboration between EHO/CBHOs and the MoHS in Kayin state, Myanmar. Twelve health workers from different levels of the Karen EHO/CBHO health system were interviewed. Semi-structured, in-depth interviews were digitally recorded, transcribed, and coded. Data was analysed thematically using the Framework method. Topic guides evolved in an iterative process, as themes emerged inductively from the transcripts. A literature review and observation methods were also utilised to increase validity of the data. Results The challenges to collaboration were identified in the following five themes: (1) the current situation is not ‘post conflict’ (2) a lack of trust (3) centralised nature of the MoHS (4) lack of EHO/CBHO health worker accreditation (5) the NHP is not implemented in some ethnic areas. Conclusions Ultimately, all five challenges to collaboration stem from the lack of peace in Myanmar. The health systems cannot be ‘converged or ‘integrated’ until there is a peace accord which is acceptable to all actors. EHO/CBHOs want a federal political system, where the health system is devolved, equitable and accessible to all ethnic people. External donors should understand this context and remain neutral by supporting all health actors in a conflict sensitive manner.

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