Securing Health

Lessons from Nation-Building Missions

Seth G. Jones, Lee H. Hilborne, C. Ross Anthony, Lois M. Davis, Federico Girosi, Cheryl Benard, Rachel M. Swanger, Anita Datar Garten, Anga R. Timilsina

ResearchPublished Mar 15, 2006

Rebuilding public health and health care delivery systems has been an important component of nation-building efforts conducted after major conflicts. However, few studies have attempted to examine a comprehensive set of cases, compare the quantitative and qualitative results, and outline best practices. The study assesses seven cases of nation-building operations following major conflicts: Germany and Japan immediately after World War II; Somalia, Haiti, and Kosovo in the 1990s; and Afghanistan and Iraq since 2001. It concludes that two factors increase the likelihood of successful health outcomes: planning and coordination, and infrastructure and resources. In addition, the study argues that health can have an independent impact on broader political, economic, and security objectives during nation-building operations.

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Jones, Seth G., Lee H. Hilborne, C. Ross Anthony, Lois M. Davis, Federico Girosi, Cheryl Benard, Rachel M. Swanger, Anita Datar Garten, and Anga R. Timilsina, Securing Health: Lessons from Nation-Building Missions. Santa Monica, CA: RAND Corporation, 2006. https://www.rand.org/pubs/monographs/MG321.html.
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The research described in this report was carried out under the auspices of the RAND Center for Domestic and International Health Security, a program within RAND Health. Primary funding for the project was provided by a generous gift from David and Carol Richards.

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