While demonstrating causality remains challenging, several ‘health-peace’ mechanisms have been proposed to describe how health systems contribute to peace-building and stability in post-conflict settings. A qualitative study was undertaken in southern Burundi to identify drivers of social tension and reconciliation in the catchment area of Village Health Works, a health services organisation. Key informant interviews and focus group discussions were conducted in early 2014 with a total of one hundred and twenty community members and staff representing a range of conflict and recovery experience. Themes emerging from these interviews indicated mechanisms at the individual, household, community, and regional levels through which health provision mitigates tensions and promotes social cohesion. This peace dividend was amplified by the clinic’s integrated model, which facilitates further community interaction through economic, agricultural and education programmes. Land pressure and the marginalisation of repatriated refugees were cited as drivers of local tension. © 2015, © 2015 Taylor & Francis.

post-conflict peace-building Burundi Health service delivery Refugees

Preventive Health Services human war qualitative research health personnel attitude interview Attitude of Health Personnel Humans Burundi Interviews as Topic preventive health service health status indicator Health Status Indicators organization and management world health organization Delivery of Health Care, Integrated integrated health care system Health Services Accessibility health care delivery