About the project

Fragile and conflict-affected states (FCAS) face profound challenges in maintaining service delivery through resilient health systems. At the same time, they are home to innovative solutions that have delivered essential health services amid multiple crises and stressors. According to the State of Fragility Report 2025, there are currently 61 contexts, home to approximately 2.1 billion people, with more than 70% of the world’s extreme poor living in these regions. The intersection of conflict, displacement, and weakened governance structures exacerbates health inequities and disrupts essential services.

This initiative, spearheaded by the Geneva Centre of Humanitarian Studies, builds on the existing knowledge, best practices, and lived experiences while fostering South-South exchange. By mobilising resources to leverage expertise, we accelerate resilience-building efforts. Through targeted support, collaboration, and knowledge-sharing, we aim to facilitate needed transformative health systems changes that enhance the systems’ resilience. Our approach prioritises locally driven solutions, strategic partnerships, and the application of innovative methodologies to strengthen healthcare delivery in crisis-affected settings. By learning from and scaling successful interventions, we contribute to a more effective and equitable response to health challenges in fragile contexts.