Capturing sources of health system legitimacy in fragmented conflict zones under different governance models: a case study of northwest Syria.

ABSTRACT:

Introduction

Legitimacy and trust are crucial for resilient health systems in fragmented conflict zones. This study evaluates the legitimacy of health systems in northwest Syria under different governance models.

Methods

Using a deductive and inductive mixed-methods approach, the research team developed a framework with an index, 4 sub-indices and 18 indicators to assess the legitimacy of health systems using different governance models - top-down, bottom-up, and hybrid - in the context of the response to the earthquake that hit Syria in February 2023. The study includes surveys, workshops, stakeholder consultations, and an expert panel conducted in northwest Syria and online.

Results

The findings indicate that bottom-up health governance model is perceived as the mos

SUBMITTER: Alkhalil M 

PROVIDER: S-EPMC11451179 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature