Paper details

Paper authors	Clare SHORTALL
In panel on	Managing governance of forced displacement and refugee crises: can lessons be learned from the host communities?
Paper presenter(s) will be presenting	In-Person / Online

Abstract

Nearly eleven years from the start of the Syrian Crisis, Lebanon remains a fragile and conflict-affected setting and host to the largest refugee population per capita in the world. Since 2019 the situation has rapidly deteriorated towards economic collapse with unprecedented political, infrastructural, fuel and economic challenges creating huge barriers to accessing healthcare.
Première Urgence Internationale developed with European Union support the Flat Fee Model, which provides a way to reimburse and hold accountable Primary Healthcare Centres within the Ministry of Public Health’s (MoPH) network. The model was designed to be used by host communities in protracted emergencies to ensure equity of access to quality healthcare and financial risk protection, core tenants of Universal Health Coverage. Developed in strong partnership with the MoPH, supporting their legitimacy and efficacy of governance, this model has been used by PUI to provide 843,301 consultations across 40 PHCCs. This paper will explore the role that INGOs can play in fragile conflict-affected contexts to meet the immediate humanitarian needs of host and refugee communities while supporting health system development by shifting models from traditional service delivery and financing to ones that have engrained within them public health principles and a human rights and people-centred approach.

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