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IMPLEMENTATION OF NATIONAL DEVELOPMENT STRATEGIES; SUDAN PRESENTATION. بسم الله الرحمن الرحيم THE REPUBLIC OF SUDAN. ECOSOC MEETING, GENEVIA 6-10-2009. Outlines of the presentation. Sudan Background Key Features of HS in Sudan MDGs; indicators and efforts

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Implementation of national development strategies sudan presentation

IMPLEMENTATION OF NATIONAL DEVELOPMENT STRATEGIES; SUDAN PRESENTATION

بسم الله الرحمن الرحيم

THE REPUBLIC OF SUDAN

ECOSOC MEETING, GENEVIA

6-10-2009


Outlines of the presentation
Outlines of the presentation PRESENTATION

Sudan Background

Key Features of HS in Sudan

MDGs; indicators and efforts

Main challenges and Recommendations


Background
Background PRESENTATION

Shares borders with

9 countries; free movement across most of these borders

Vast

country;

surface

area 2.5

million km²


Background1
Background PRESENTATION

40 millions population (2008 census), scattered scanty populated settings

Massive population movement and displacement (civil conflict, drought, desertification and major floods)


Background2
Background PRESENTATION

High adult illiteracy rate (mainly women)

Low population awareness on health issues






Financing of the health system

Low public health spending; PRESENTATION

13.5 US$/ capita (around 5% of government expenditure)

high out of pocket expenditure > 60%

Fragmentation (multiple providers e.g. MOH, Police, HI, ……………)

Financing of the health system


Multiple actors partners
Multiple Actors/Partners PRESENTATION

  • Heath Coordination Councils, at all levels of the health system, with adequate representation of all partners to oversee the development of health policies and strategies and monitor the implementation


Human resources for health
Human resources for Health PRESENTATION

  • 1.5 care providers/1000 population

  • Disproportional production of HRH (6 doctors to one nurse) with huge gap specially for AH W

  • High turnover (specially doctors)

source.; 10 year HRH Strategy


Human resources for heath

Distribution of Doctors PRESENTATION

Human resources for Heath

  • Marked inequality in distribution


Coverage and accessibility to phc services

Wide disparities in geographic coverage with PHC units PRESENTATION

Coverage and accessibility to PHC services

Percentage of Pop. Living within 5 Km from the nearest functioning health facility, Mapping survey 2008


Goal 1 eradicate extreme poverty and hunger
Goal 1: PRESENTATIONEradicate Extreme Poverty and Hunger

Target 2: Reduce by half the proportion of people who suffer from hunger

Indicator 4: Prevalence of Underweight Children Under Five Years of Age (UNICEF)


Child malnourishment severe underweight shhs 2006
Child Malnourishment PRESENTATION(Severe Underweight), SHHS 2006


Goal 2 achieve universal primary education
Goal 2 PRESENTATION: Achieve Universal Primary Education

Target 3: Ensure that all boys and girls complete a full course of primary schooling




Goal 3 promote gender equality and empower women
Goal 3: PRESENTATIONPromote Gender Equality and Empower Women

Target 4: Eliminate gender disparity in primary and secondary education preferably by 2005, and at all levels by 2015

Indicator 9: Ratio of Girls to Boys in Primary, Secondary, and Tertiary Education


Education gender parity primary education shhs 2006
Education Gender Parity PRESENTATION(Primary Education ) , SHHS 2006


Goal 6 combat hiv aids malaria and other diseases
Goal 6 PRESENTATION. Combat HIV/AIDS, Malaria and Other Diseases

Target 8: Halt and begin to reverse the incidence of malaria and other major diseases




Goal 7 ensure environmental sustainability
Goal 7 PRESENTATION: Ensure Environmental Sustainability

Target 10: Reduce by half the proportion of people without sustainable access to safe drinking water



Use of sanitary means of excreta disposal shhs 2006
Use Of Sanitary Means Of Excreta PRESENTATIONDisposal, SHHS 2006


Goal 4 reduce child mortality
Goal 4: PRESENTATIONReduce Child Mortality

Target 5: Reduce by two thirds the mortality rate among children under five

Indicators 13, 14: Infant &Under-Five Mortality Rate




Goal 5 improve maternal health
Goal 5: PRESENTATIONImprove Maternal Health

Target 6: Reduce by three quarters the maternal mortality ratio

Indicators;

16: Maternal Mortality Ratio

17: Proportion of Births Attended by Skilled Health Personnel

19c: contraceptive prevalence





Efforts and opportunities policies
Efforts and opportunities; Policies PRESENTATION

  • National Health, RH and Child health policies

  • Making life-saving care free:

    • Declaration of free treatment for U5s, CSs and delivery care

  • Revision of the midwifery curriculum toward SBA

    • 2 pathways identified

      • Midwifery technician (2 years)

      • BSC midwifery curriculum (4 years

      • Gradual phasing out of old VMW curriculum in order not to affect coverage


  • Efforts and opportunities plans and strategies
    Efforts and opportunities; Plans and strategies PRESENTATION

    • Road Map for Maternal and Child mortality reduction

      • Keys steps undertaken for operationalization -detailing, costing and implementing the Road Map

    • RH Communication strategy to guide all partners in implementing community interventions


    Efforts and opportunities plans and strategies1
    Efforts and opportunities; Plans and strategies PRESENTATION

    Expanding access to effective child and maternity care



    Expanding access to effective child and maternity care
    Expanding access to effective child and maternity care PRESENTATION

    • ACSI Jump and pulse campaigns; Start in 15 States targeting 3.7 million U5s (Measles Vaccine, Polio Vaccine, Vitamin A, Iodine Tablets, De-worming, ITN and Health education massages

    • Introduction of Penta-vaccine (DPT+HepB+Hib vaccine)


    Mobile clinics project

    Expanding access to effective child and maternity care PRESENTATION

    Mobile Clinics Project

    • phase 1 (4 out of 20 Clinics)


    Rehabilitation of hospitals and hcs project

    Expanding access to effective child and maternity care PRESENTATION

    Rehabilitation of Hospitals and HCs Project

    • Supporting 210 Hospitals and HCs with Furniture and essential equipment


    Expanding access to effective child and maternity care1
    Expanding access to effective child and maternity care PRESENTATION

    Rehabilitation of Hospitals and HCs Project


    Expanding access to effective child and maternity care2
    Expanding access to effective child and maternity care PRESENTATION

    • Central ambulance project; phase 1 (115 ambulances)


    Increasing Political Commitment to Maternal and Child Health-Higher Council for Child and Maternal Mortality Reduction

    Ministerial decree

    All partners in Health

    State level councils -Wali decree (5 States)


    Attracting external resources
    Attracting External Resources Health-

    UN agencies; WHO, UNFPA, UNICEF

    GAVI Alliance

    HMN

    MDTF

    GFATM

    IDB

    Bilateral relations; Chinese, Turkish and Japanese support

    More coordination and focus on Health System issues is needed


    Improving quality of services through child and maternal death reviews
    Improving Quality of Services through Child and maternal death reviews

    Recommendation of the Maternal Mortality Reduction workshop – February 2007



    Mg SO4 and Hydralazine for severe pre-eclampsia and eclampsia

    Misoprostol for PPH

    Improvements in Blood Bank Services

    The use of thrombo-prophylaxis

    Audit meetings and quality control

    Measures Taken to Reduce MMR in OMH:



    Effective interventions exist eclampsiaThey need to reach more people…..

    As we count down to 2015,


    we need to strengthen health systems by unlocking the talent and resources that should be available to all mothers and children….

    In this forum, you are that talent….

    Use your talent & knowledge to improve the quality of care that mothers and children receive

    By doing this, at the very least, you will honour those of Sudan who died earlier than they should have


    Thank you

    Thank you and resources that should be available to all mothers and children….

    THE REPUBLIC OF SUDAN

    ECOSOC MEETING, GENEVIA

    6-10-2009


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