Research for stronger health systems during and after crisis

Recognising and celebrating women working in health in fragile and conflict-affected contexts

Posted on Tuesday, 22 May 2018


By Professor Sally Theobald & Kate Hawkins

A smiling woman in black hijab with the words "I love kids and I cant bear the thought that anythin could hurt them. So I decided to work for them". Najla Al-Sonboli

The global health world does not do a good job of celebrating woman leaders. In their excellent Lancet article, Rosemary Morgan and colleagues explained that of seven public health and medicine awards from diverse countries, the chances of a woman receiving a prize was nine out of 100 since their inception. Bearing this in mind, Research in Gender and Ethics: Building Stronger Health Systems (RinGs) was proud co-sponsor of the Heroines of Health Awards, held in Geneva on 20th May, during the week of the 71st World Health Assembly. Among the many people attending the event was Dr Tedros Adhanom Ghebreyesus, Director General of the WHO.

In their introduction to the event Women in Global Health and GE Health Care wrote that:

“Women are the future. Today, women make up 75 percent of the global healthcare workforce and contribute nearly $3 trillion to the industry. But too often their contributions go unpaid and unrecognized – and their stories of impact go untold.”

Through research conducted by the ReBUILD programme and RinGs, we know that woman health workers play critical roles in fragile and conflict-affected contexts (read our paper on the issue). The use of qualitative research methods, including life histories as in the paper, has enabled a rich understanding of the experiences of such health workers, and helped ensure that their voices are heard. And the case studies in the Building Back Better resource have further expanded our knowledge of gender in post conflict health systems. So, we were particularly pleased that of the nine Heroines of Health honoured this week, four of them were recognised for their work in challenging contexts of conflict or fragility. Their stories are inspiring.


Working with Yemen's children

Yemen has endured more than 1,000 days of war at high cost to civilians and health workers. Professor Najla Al-Sonboli is a leading researcher and Head of Paediatrics at Al-Sabeen Hospital in Sana’a and was one of the honourees.  Al-Sabeen remains the only centre in Yemen with a functioning Paediatric Intensive Care Unit, at a time when war has brought extreme poverty and hardship to the population of Sana’a, with children particularly vulnerable to new outbreaks of cholera and diphtheria as well as injuries. With her colleagues, Professor Al-Sonboli has worked tirelessly to provide essential care to babies and children at an incredibly difficult time. She said:

“For me, I had the chance to fly out of Yemen as many did but I preferred to stay and help my people. I thought, “if I run away and I am the head of the department, then who will stay? No one will come to work.” So I decided to go to my hospital under fire and to try to encourage my colleagues to come, too.”


Other worthy winners

A smiling African woman in a yellow dress with the words "Women in global health are key to the success and wellbeing of fellow women who need health serivices" Anne Kinuthia


Also honoured was Anne Kinuthia who is the IntraHealth International country representative for South Sudan. She has supported the Ministry of Health and the South Sudan AIDS Commission to develop the necessary guidelines and strategic plan to inform HIV programming in the country. In the interactive panel of honourees, she shared her previous experiences of working in maternal health in the Democratic Republic of Congo, helping women to give birth amidst rebel fire.

The Dean and the head of research from BRAC James P. Grant School of Public Health in Bangladesh, Professors Sabina Rashid and Malabika Sarker, were honoured for their work promoting sexual reproductive health and rights within a context of fragility and unpredictability. In 2008, Sabina established a Centre for Gender and Sexual and Reproductive Health and Rights with seed funding from an UN organisation, pushing for evidence-based research, laws to stop child marriage, providing a safe space for LGBTQI communities and working to develop online resources on sensitive topics.


Two Indian women speaking with the words "Their research has offered the world invauable learning on topics suhch as community health workers, sexual and reproductive health, non-communicable disease, urban health , health systems, HIV and beyond" 

Learning lessons

Sadly, war and fragility are not going away, and it is projected that the share of global poor living in fragile and conflict-affected situations will reach 46% by 2030. We need to recognise, honour, support and learn from Najla, Ann, Sabina and Malabika and all the others that work alongside them, in continuing their efforts to bring hope, health and well-being in challenging contexts. These awards reflect the respect and support from the global health community for all that they do.

Images are used with the permission of Women in Global Health