Health System Fragmentation and the Syrian Conflict

Abstract

This chapter takes the analysis of the politics of health care further by exploring the way in which Syrian health care fragmented during the civil war. It reviews how Syria’s health system has been devastated by a protracted conflict that has left it politicized and fragmented, with multiple subnational health systems functioning within the country’s borders. It also cites four health systems that have emerged as a result of various geopolitical, fiscal, and humanitarian drivers, making the case for increased collaboration among the various fragments of the Syrian health system. The chapter covers the evolution of the subnational health systems and factors influencing the delivery of health care across the country. It uses the COVID-19 pandemic as a lens to highlight crucial challenges for all Syrian health systems.