The London Conference for better health services in Southern SudanLecture Theatre 1, Sir Alexander Fleming Building. The Imperial College, South Kensington Campus. London.July 14th & 15th 2005 & The London International Conference To Start the Process for a Health Development Plan for Dar Fur, Sudan1st – 3rd March 2010Brunei Gallery Lecture Theatre School of Oriental & African Studies (SOAS) ----------------------------------------------------------------------- Prof. Mohamed Elfatih Baraka Presented to SDU meeting 17.6.2012
British & American Friends of Southern Sudan (BAFOSS)The London Conference for better health services in Southern SudanLecture Theatre 1, Sir Alexander Fleming Building. The Imperial College, South Kensington Campus. London.July 14th & 15th 2005
Dr. John Garang said: “It is up to the North to make unity attractive to people in the south.” And that is what I have tried to do
Dr Zachariah Bol-Deng Represented: The 1st Vice President of the Sudan Dr John Garang De Mabior Dr J.G. De Mabior vision when he addressed the people upon his return to Khartoum in 2005: • Access to clean water and food for all • Mother and child care, including vaccines available to all. • Providing methods of preventing and treatment of major diseases like malaria, diarrhoeal diseases, TB, H.I.V/aids, leishmaniasis, schistosomiasis, trypanasomiasis and other major killers in one country. • Encouraging health education, not only in schools but for all adults especially women.
BAFOS London Conference for better health services in Southern Sudan (July 14-15, 2005)
Dr. Omer Sulieman M. OmerConsultant WHO advisor Community –based comprehensive health strategy for Southern Sudan.
HEALTH SYSTEM & HEALTH CARE IN FUTURE SUDAN:CASE STUDY OF SOUTHERN SUDAN Dr. Mustafa Khogali July, 2005 LONDON
Objectives • To address key health challenges and barriers. • To provide a useful framework based on MDGs and its indicators. • To provide and explore options on the basis of new goals for Health System (in NS and SS) • To outline priority areas.
Recommendations • H. Secretariat of SS: • Should not promise to deliver more than it can • Review priorities of the Basic health Service Package to be provided comprehensivley through a team. • Develop a schedule for phasing its components • Outline clear policy guideline for combating the communicable diseases specially Malaria, TB & HIV/AIDS
5. Enhance Community Participation at all level. 6. Review carefully the place of specialized vertical programs. 7. Establish a functional HIS. 8. Develop a research agenda.
Health Services in Southern Sudan Where to start & which way forward? Prof Hassan Bella College of Medicine King Faisal University Saudi Arabia
Carol Bellamy Director General, UNICEF “The day will come when nations will be judged Not by their military or economic strength; Nor by the splendour of their capital cities & buildings, But by the well being of their people, By their levels of health, nutrition & education, By their opportunities to earn a fair reward for their labours, By their ability to participate in the decisions that affect their lives, By the respect that is shown for their civil & political liberties, By the provision that is made for those who are vulnerable & disadvantaged, & By the protection that is afforded to the growing minds & bodies of their children.”
Health in Post Conflict Southern SudanReasons for Hope _ _ _ _ _ _ _ MamounHomeida, Academy of Medical Sciences and Technology. The London International Conference on the Establishment of Better Health Services in Southern Sudan. London 14-15 July 2005
Humanitarian Impact of the War in Sudan • 2 million people killed • 4 million displaced • ¼ million child soldiers • ½ million street children • War traumatized victims (phys / Psych.) • Dramatic increase in women – headed households
The Way Forward • Many meetings, conferences, held on behalf of the Sudanese. In Michigan, Nairobi, London (RCP – December 2004), London July 2005 - • Efforts to be coordinated by the National Ministry of Health, OR Ministry of Health in SS. (Khartoum – Rumbuk – Juba) • Preliminary strategic plan for health should be laid down based on the scattered data on prevalence/morbidity/mortality of diseases. • Partnership with NGDOs, UN agencies private sector should be created to cater for different sectors of the region or diseases but avoid vertical approach for control of diseases.
All activities should be lead/spear-headed by the National Ministry of Health / in full Ministry of Health GOSS. • Full utilization of National resources in the country especially in relation to human resources • Community participation and empowerment to maintain a sustainable health care delivery. Disease control programmes should be a response to problems perceived by the communities and they must be carried out in a way which is acceptable to the community members. (We have an excellent example in CDTI (oncho-control)
BAFOSS conference on establishment of better health services in Southern Sudan July 14 and 15 2005 A call to target infectious and parasitic diseases A. Fenwick, D. Molyneux and P. Hotez Presented by Professor Alan Fenwick Department of Infectious Disease Epidemiology Imperial College London Imperial College London
The Neglected Tropical Diseases There are 13 Tropical Infections to be considered. They …. • afflict the poor and powerless • are in rural areas of low-income countries • cause immense suffering and life-long disabilities • impair childhood growth and development • promote poverty and impair education and economic development • do not receive appropriate attention and funding (unlike HIV/AIDS, TB, Malaria) • do not support commercial markets for drugs or vaccines Imperial College London
Onchocerciasis Guinea Worm Schistosomiasis Lymphatic Filariasis Trachoma
4.2 billion people in 142 countries Imperial College London
The Millennium Development Goals Addressing the Poverty Agenda MDG 1: Eliminate extreme poverty and hunger MDG 4: Reduce child mortality MDG 5: Reduce maternal mortality MDG 6: Combat HIV/AIDS,TB and Malaria and other diseases MDG 8: Develop a global partnership for development
In line with recommendations from the Commission for Africa • Donors should ensure that there is adequate funding for the treatment and prevention of parasitic diseases and micronutrient deficiency. • Governments and global health partnerships should ensure that this is integrated into public health campaigns by 2006.
*Priority Health Care Package For Post-war South Sudan* Presented by:- CONSTANTINE JERVASE YAK Associate Professor Department of Surgery Faculty of Medicine The Academy of Medical Sciences & Technology Khartoum - Sudan
RESOLUTIONS • That the Government Of South Sudan (GOSS):- • Must first demonstrate the political will necessary to develop an effective health care system, at affordable costs, and with accessible services distributed equitably within its community.
On Health Care System:- • That the only working health care system in South Sudan is the Primary Health Care, having been earlier launched successfully during the peaceful times. Its proper implementation should be able to ensure the presence of a health facility (PHCU) in every village, with a strong community involvement and a proper ladder-pattern referral system.
On Preventive Medicine:- • That Health promotion and disease prevention should form the basis for medical services as they relate to wider local and national communities. If we are to contribute effectively to the urgent needs of our beleaguered people, we cannot merely transfer and apply elaborate curative medical technology. This would be inappropriate because it distracts from their basic public health needs.
On Health Training Institutions:- • Relocation of the high institutes of education, now stationed in North Sudan, back to South Sudan, and the creation of much more needed health training facilities of other categories.
HEALTH FACILITIES AND HEALTH MANPOWERIN THE SUDAN: PROBLEMS AND PROSPECTS The London International Conference on the Establishment of Better health services in Southern Sudan: July 14-15, 2005 Professor Ahmed Bayoumi: DPH, MD, FFPHM, FACTM Professor of Health Care Epidemiology Medical and Research Centre (MRC)
The Burden of Trachoma in Southern Sudan Photo by: J.Ngondi 15th July 2005, London By: Dr. Jeremiah Ngondi
OnchocerciasisControl in South Sudan Dr Adrian D. Hopkins M.R.C.Ophth., D.O., D.T.M&H. Dr Sansom Baba M.D., M,P.H. Mr FasilChane. Ad Dipl: Env. Sc.
VISION 2020 A plan for blindness prevention in South Sudan Dr Adrian D. Hopkins M.R.C.Ophth., D.O., D.T.M&H. Ms Marcia Zondervan R.N., D.T.M&H., D.C.E.H., M.B.A.Dr Sansom Baba M.D., M,P.H.
BAFOSS International Conference- London 14/7-15/7/2005 Post-conflict Response to HIV/AIDS Epidemic in Southern Sudan • Isam M A Salam • ElwathigBellah Ali Mohamed • SihamGaber • Mohamed Sidahmed • ConstantineJervaseYac
Tribal Teeth ExtractionA Custom Prevalent Amongst the TheDinka & Neur Tribes By Dr Lena Baraka BDS 15.07.05 London BAFOSS
Why attention to reproductive health is vital to the future of Sudan? Dr. NahidToubia President & CEO RAINBOHealth and Rights for African Women www.RAINBO.org
A REALISTIC STRATEGIES FOR SHAPING HEALTHIER FUTURE OF SOUTHERN SUDAN: “CHALLENGE TO THE MEDICAL SCHOOLS OF THE SOUTH”. PROFESSOR ELBAGIR ALI A. ELFAKI MBBS.FRCS.FRCSI.FACS. Faculty of Medicine & Medical Sciences UMM-Al-qura University , Makkah, Saudi Arabia.
A Floating Laboratory Along the White Nile A recommendation from The BFOSS conference for the development of better health services in Southern Sudan. Held in London July 2005.
Background Welcome Floating Laboratory
Suggested • Routes • Malakal-Juba • Malakal -Nasir
John Angul, Minister of Health And the personal envoy of Omar AlBashir, to the conference: Announced that he will fund the project !!!
Conference recommendations:The recommendations are grouped according to the five areas of key challenges: • Health system and Health Service Delivery: • Review priorities of the basic health service package to be provided comprehensively through a team. • Preliminary strategic plan for health should be laid down based on the scattered data on prevalence/ morbidity/ mortality of diseases. • Establish a functional Health Information System. • All activities should be lead/spear-headed by the National Ministry of Health/ in full Ministry of Health GOSS. • Enhance community participation and empowerment to maintain a sustainable health care delivery. • Partnership with NGOs, UN agencies private sector should be created to cater for different sectors of the region or diseases. It is sensible to avoid “vertical” approach for disease control, but eradication of polio and Guinea worm disease require special prioritization and urgency. • PHC to be addressed and improved in a wider framework of integrated rural development strategy with intersectoral collaboration. • Stakeholders should prepare to cope with expected demanded services. • Establish/strengthen partnerships within Health authorities/ community, health related sectors and NGOs.
Early involvement of health authorities, other sectors & the community. • We should think of regulatory bodies from day one. • Improvement of the poor coordination of the hospitals in SS for a better service delivery. • Simple structures can be defined and must be defined to ensure that patients receive the best possible medical care with available resources. • Consider Reproductive health as an essential health care component. • Develop a research agenda. • Build research capacity for control of tropical diseases in the south of Sudan. • Develop or create research institutions in SS.
2.Infections and Endemic Diseases • Epidemiological baseline data is needed across SS for all diseases so that treatment programmes and drug delivery can be planned. • Maps of endemic diseases, STIs and HIV/AIDs should be constructed. • Review carefully the place of specialized vertical programs • Outline clear policy guidelines for combating communicable diseases especially Malaria, TB & HIV/AIDs. • The development of appropriate strategies for targeted disease control integrated into the developing PHC structure. • Support the VISION 2020 approach to prevention of avoidable blindness and encourage the development of the SS programme through VISION 2020 goals and coordination with the VISION 2020 plan already prepared by GOS. Development of VISION 2020 Links Programme for support in training. • Partnerships be fostered to include all stakeholders in technical and financial support of the VISION 2020 programme. • Strengthen the mapping of trachoma in Southern Sudan and apply SAFE strategy in all endemic areas through the Primary Care component of PHC. • Onchoceriasis: Continued development of the 5 APOC projects and integration as soon as possible of the former programmes in GOS/SPLA areas of SS.