Rebuilding trust and equity in Syria's health system: a governance-driven transition.

Munzer Alkhalil; Aula Abbara; Mayssoon Dashash; Richard Sullivan; Maher Aboumayaleh; Abdulkarim Ekzayez; Zuhair Kharrat; Reem Hasan Obaydo; Zeidoun Alzoubi; Majd Alghatrif; Fouad Fouad

doi:10.1016/s0140-6736(25)00406-4

Rebuilding trust and equity in Syria's health system: a governance-driven transition.

Munzer Alkhalil, Aula Abbara, Mayssoon Dashash, Richard Sullivan, Maher Aboumayaleh, Abdulkarim Ekzayez, Zuhair Kharrat, Reem Hasan Obaydo, Zeidoun Alzoubi, Majd Alghatrif, Fouad Fouad

International Public Health

Research output: Contribution to journal › Comment/debate

6 Citations (Scopus)

Abstract

In December, 2024, after more than 50 years in power in Syria, the regime of the Assad family was swept away. This dramatic political shift illuminated the state of health in Syria, exposing widespread fractures in a health system that has been politicised and fragmented, including widespread erosion of public trust in medical care.1 Health has been decimated during Syria's almost 14-year conflict by attacks on infrastructure, the forced exodus of health-care workers, and severe under-resourcing. The emergence of subnational health systems since early in the conflict has fragmented health-care delivery, leading to parallel governance structures.1 Syria's new transitional government, led by transitional President Ahmed al-Sharaa, therefore faces a profound challenge: how to re-establish trust in services and rebuild a cohesive, development-focused, resilient health-care system from these fragmented pieces.

Original language	English
Pages (from-to)	876-878
Number of pages	3
Journal	The Lancet
Volume	405
Issue number	10482
DOIs	https://doi.org/10.1016/s0140-6736(25)00406-4
Publication status	Published - 28 Feb 2025

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Rebuilding Trust and Equity in Syria s Health System A Governance-Driven Transition
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title = "Rebuilding trust and equity in Syria's health system: a governance-driven transition.",

abstract = "In December, 2024, after more than 50 years in power in Syria, the regime of the Assad family was swept away. This dramatic political shift illuminated the state of health in Syria, exposing widespread fractures in a health system that has been politicised and fragmented, including widespread erosion of public trust in medical care.1 Health has been decimated during Syria's almost 14-year conflict by attacks on infrastructure, the forced exodus of health-care workers, and severe under-resourcing. The emergence of subnational health systems since early in the conflict has fragmented health-care delivery, leading to parallel governance structures.1 Syria's new transitional government, led by transitional President Ahmed al-Sharaa, therefore faces a profound challenge: how to re-establish trust in services and rebuild a cohesive, development-focused, resilient health-care system from these fragmented pieces.",

author = "Munzer Alkhalil and Aula Abbara and Mayssoon Dashash and Richard Sullivan and Maher Aboumayaleh and Abdulkarim Ekzayez and Zuhair Kharrat and Obaydo, \{Reem Hasan\} and Zeidoun Alzoubi and Majd Alghatrif and Fouad Fouad",

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AU - Alkhalil, Munzer

AU - Abbara, Aula

AU - Dashash, Mayssoon

AU - Sullivan, Richard

AU - Aboumayaleh, Maher

AU - Ekzayez, Abdulkarim

AU - Kharrat, Zuhair

AU - Obaydo, Reem Hasan

AU - Alzoubi, Zeidoun

AU - Alghatrif, Majd

AU - Fouad, Fouad

PY - 2025/2/28

Y1 - 2025/2/28

N2 - In December, 2024, after more than 50 years in power in Syria, the regime of the Assad family was swept away. This dramatic political shift illuminated the state of health in Syria, exposing widespread fractures in a health system that has been politicised and fragmented, including widespread erosion of public trust in medical care.1 Health has been decimated during Syria's almost 14-year conflict by attacks on infrastructure, the forced exodus of health-care workers, and severe under-resourcing. The emergence of subnational health systems since early in the conflict has fragmented health-care delivery, leading to parallel governance structures.1 Syria's new transitional government, led by transitional President Ahmed al-Sharaa, therefore faces a profound challenge: how to re-establish trust in services and rebuild a cohesive, development-focused, resilient health-care system from these fragmented pieces.

AB - In December, 2024, after more than 50 years in power in Syria, the regime of the Assad family was swept away. This dramatic political shift illuminated the state of health in Syria, exposing widespread fractures in a health system that has been politicised and fragmented, including widespread erosion of public trust in medical care.1 Health has been decimated during Syria's almost 14-year conflict by attacks on infrastructure, the forced exodus of health-care workers, and severe under-resourcing. The emergence of subnational health systems since early in the conflict has fragmented health-care delivery, leading to parallel governance structures.1 Syria's new transitional government, led by transitional President Ahmed al-Sharaa, therefore faces a profound challenge: how to re-establish trust in services and rebuild a cohesive, development-focused, resilient health-care system from these fragmented pieces.

U2 - 10.1016/s0140-6736(25)00406-4

DO - 10.1016/s0140-6736(25)00406-4

M3 - Comment/debate

SN - 0140-6736

VL - 405

SP - 876

EP - 878

JO - The Lancet

JF - The Lancet

IS - 10482

ER -

Rebuilding trust and equity in Syria's health system: a governance-driven transition.

Abstract

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