REAL-LIFE APPROACHES EMPLOYED BY RECOGNIZED GOVERNMENTS TO ENSURE HEALTH COVERAGE OF CITIZENS IN FRAGILE SETTINGS, INCLUDING THE POPULATION OF THE DISPUTED TERRITORIES, STRUGGLING FOR INDEPENDENCE

Abstract

The aim: To review real-life approaches employed by recognized governments to ensure health coverage of citizens in fragile settings, including the population of the disputed territories, struggling for independence. Materials and methods: Content analysis of documents, the peer-reviewed articles, open-access databases, policy documents and original sources were utilized in order to archive the study aim. Multidimensional approach to source selection was chosen for objective assessment of the current policy- and decision-making practices. Conclusions: Protracted nature of conflict leads to health system fragility resulting in adverse effects on conflict-affected population health coverage. Health policy in such settings is often externally-driven due to lack of capacities of recognized government and reliance on external funding. Safety and political concerns impede imposition of the context-specific durable solutions for the universal health coverage. Recognized governments lack access to real data to perform evidence-based decision-making.Conventional decision-making based on external demand leads to permanent underperformance of health governance.