在短短一个多小时内就产生了200多个独特的推文，最近关于脆弱和冲突影响的卫生系统的Twitter聊天取得了巨大的成功。

The hashtag #HSRFCAS enabled Twitter users to follow the conversation and add their points to a discussion focussed on: why health workforce strengthening is important in these settings; the role ofclose-to-community providers of health care; windows of opportunity in post-conflict settings; and ensuring adequate staffing duringconflict.

推文聊天由冲突和健康和was organized in conjunction with theThematic Working Group on Health Systems in Fragile and Conflict Affected States.

Discussion ranged over many topics. There was broad agreement that health care workers are only as effective as the system that supports them and that these workers are an integral part of the system.Management Sciences for Healthpointed out that medicines, supplies, and technology alone are insufficient without trainedhealth workersto use them. WhileAdvancing Partners and Communitiesmade the argument that health systems strengthening helps identify the structure and support systems required for community-based services in fragile and conflict affected settings.

Jhpiegopointed out that in fragile and conflict affected settings health workers do more than deliver basic services, as they deal with issues like sexual and gender based violence and mental health. Others mentioned their role in suicide prevention and psycho-social support more broadly.

Participants felt that research on workforce supply and distribution is needed to inform the rebuilding of health workforces post-conflict. With theFrontline Health Care Workers Coalitionpointing out that we need aglobal strategyto guide investments and address knowledge gaps.金·韦斯特（Kim West）提醒我们所有人，加强人力资源需要国家领导和政策。

Ensuring health worker safety was a dominant theme. With国内国际健康发推文说：“每个人都应该获得高质量的护理，这意味着可以访问health worker谁可以安全地完成工作 - 挽救生命！”Capacity Plus引起人们的注意，对卫生保健工作者袭击引起的叙利亚脊髓灰质炎疫苗接种计划的中断。

Others pointed out that attacks on health care workers were probably under-reported and better data monitoring is needed. This led to discussions about how workers might best be protected.莎拉·德威尔（Sarah L. Dwyer）directed us to the recentUN resolutionthat recognizes for the first time the severity of attacks on health workers and demands that states respond.

There was lively discussion about the role of close-to-community providers.乔伊·马里尼of Johnson and Johnson explained that for some women, community health workers are the only health workers that they will ever see.The Maternal and Child Survival Program (MCSP)pointed out that empowered and trainedcommunityhealth workers can have expanded roles, providing the local community with important services. The100万社区医疗保健工作者运动argued that they have the potential to support more stable societies.

Suzanne Fustukian, however, cautioned that expectations ofCHWsinpost conflicthealth systems在缺乏支持和推荐系统的情况下，可能是不现实的。尼古拉斯·特奥多罗（Nicholas Teodoro）summed up quite neatly the high regard that participants had for close-to-community providers, “Stakeholders. Cultural understanding. Local. Should be included in management and policy decisions. Heroes.”

Tim Martineau, one of the panellists, reflected on the event,

“我以前从未做过推文聊天，但这确实令人兴奋和有趣。更重要的是，它有助于确认重建研究领域的兴趣水平，使我们能够建立更多的联系，并与政策制定者，从业者和其他研究人员就该研究领域进行更深入的对话。我们已经开始了许多对话，我们将在未来几个月内进行。

Please consider joining the Thematic Working Group,see the website for more details和remember look out for our Storify of the tweet chat next week!