ReBUILD for Resilience: Strengthening Health Systems in Fragile Settings
- Video
10 June 2026
How do you deliver healthcare in places shaped by conflict, climate crises, and health outbreaks? For six years, the ReBUILD for Resilience programme set out to answer exactly that. Funded by the UK Foreign, Commonwealth and Development Office, ReBUILD generated evidence on what actually works to strengthen health systems in some of the world’s most fragile settings.
This short film brings together voices from across the programme, spanning work in Sierra Leone, Nepal, Myanmar, Sudan, and Lebanon. From community-led antenatal care in Moyamba and Kailahun, to research on how diaspora communities and aid cuts are reshaping health systems, it captures the breadth of a body of work translated into papers, policy briefs, toolkits, podcasts, and more.
Watch the two-minute overview below to see how ReBUILD’s evidence is informing health policy and programming for the years ahead.
1: [00:00:00] The UK Foreign Commonwealth and Development Office is incredibly proud of the investment that we’ve made in ReBUILD for Resilience over the last six years. ~Conflicts across the world are increasing and becoming more protracted. Climate crises and other environmental emergencies are increasing in frequency and impact, and we’re seeing more health outbreaks.~
~All of these things make it a much more complex and challenging setting to deliver health services in.~ ReBUILD has been critical in developing, implementing, and finding the evidence as to what works to increase resilience within these settings. The evidence that they’ve generated from Nepal, Myanmar, Sierra Leone, and Lebanon, along with other settings, will be critical to inform our programming and actions in the year to come.
2: The ReBUILD for Resilience project has made profound impact in Sierra Leone, where we worked in two districts, Moyamba and Kailahun District. We worked with community members where we tried to support them in taking ownership of their health. Community members described improved antenatal care, trust, and improved health-seeking behavior.
So bylaws [00:01:00] were developed and enforced in Moyamba and also, ~um,~ a lot of women were seen to use the antenatal health services in
Kailahun.
3: So at ReBUILD, we were also interested in exploring how the current global challenges, such as the massive aid cuts are affecting health systems in fragile settings, and how important actors that are often understudied, like diaspora, are supporting these health systems. ~Now, there’s a lot of findings that came out from our research, but essentially, much of these findings are now being uptake by policymakers across Nepal, Myanmar, Sudan, Sierra Leone, and understanding how we could leverage diaspora capacities and contributions to strengthen health systems in these settings despite a massively changing and worsening world.~
4: So ReBUILD, six years of research, and we have produced a huge body of evidence, which we’ve translated into papers, podcasts, policy briefs, toolkits, videos. ~You name it, we’ve done it. And but most importantly, we’ve, we’ve used that evidence ~
we’ve helped strengthen the ~s- um, the~ resilience of health systems to be able to deliver services to people who are in such need of healthcare services.