Service Delivery Modalities in Protracted FCV Settings

This review looks at modalities to deliver services in five sectors in fragile, conflict-affected and vulnerable (FCV) settings. The common challenge is how to bring about rapid delivery to meet pressing needs, without (further) undermining state systems. Modalities used were found to vary somewhat across the five sectors, e.g. some relying more on community participation, others on the private sector. However, in all five sectors a common focus in interventions considered to be effective was on: engaging local communities; working with community-based organizations; using public-private partnerships; keeping local/higher governments on board; and/or taking a systems approach. Ultimately, the challenges posed by each situation will be different, so the modality used will be context-specific.