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This brief reviews donor-funded healthcare finance approaches in fragile and conflict-affected states (FCAS), identifying elements that work and those that are less successful, with a view towards informing the Private Sector Partnerships in Health Somalia (PSPH) programme which an MSD approach.

It is structured to show existing evidence on aspects of different health financing approaches that work and those which do not or have challenges in FCAS contexts - and how these approaches might apply within an MSD context involving private sector funding. 

As there are limited examples of MSD approaches in health financing and lack of publicly available evidence, this brief does not provide any evidence on MSD approaches but only provides examples as stocktaking of some private sector approaches that might be relevant for PSPH.