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2 nd South Sudan Health Sector Summit

2 nd South Sudan Health Sector Summit. “Towards Better Healthcare Service that Meets People’s Expectations”. Day-One Recap. Session One: Official Opening.

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2 nd South Sudan Health Sector Summit

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  1. 2nd South Sudan Health Sector Summit “Towards Better Healthcare Service that Meets People’s Expectations” Day-One Recap 2nd South Sudan Health Sector Summit

  2. Session One: Official Opening Dr LulRiek, DG of International Health & Coordination acted as moderator for the official opening panel, and introduced the members and emphasised the importance and purpose of the summit. • Dr MakurMaturKariom, Undersecretary for Health gave opening remarks emphasising the need to explore the challenges faced by SMoHs in meeting their responsibilities, their use of reporting systems and to review progress made implementing the HSDP and the Honourable Minister of Health’s strategic vision. • Dr Amit Bhandari, Senior DfID Health Advisor made remarks on behalf of the donor community, and discussed the progress made in moving from a fragmented humanitarian approach to health service delivery to a coordinated developmental approach • Dr Abdi Mohammed, WHO, discussed the investment required in all levels of the health system if it is to match the progress of neighbouring countries • Honourable Dr EsterinaNovello, Chairperson of SSAC, reiterated that health is a fundamental right, and that service delivery must meet the needs and expectations of the people. Hon Dr Esterina shared some of the good practice she had seen in Nimule Hospital 2nd South Sudan Health Sector Summit

  3. Official Opening 1. Honourable Dr RiekGaiKok reminded all present about the severe personal tragedies which are prevalent throughout South Sudan and announced a series of the measures he is undertaking with the MoH to improve the situation of healthcare. These include a number of significant new capital projects, increased training and increasing the number of doctors working in the country. He highlighted the imperative for proper use of HR systems and the need for development of a national approach to caring for mentally ill patients. 2. Right Honourable Telar Ring Deng, Legal Advisor to H.E. Gen. SalvaKiirMayardit spoke about the opportunities the Summit offer for communication between the different levels of the health sector, the transition to government ownership and management of the health sector, and the need to ensure data flow adequately to support this transition 2nd South Sudan Health Sector Summit

  4. Structure of the Health System in South Sudan The Undersecretary for Health gave the first presentation of the summit in which he outlined the vision of a healthy and productive population, and the Ministry of Health’s mission to improve the health status of the population, with particular emphasis on women and children He explained the respective roles and responsibilities of the different levels of government in delivering health care, and how the HMIS, HRIS, SSEPS and other national-level oversight mechanisms were essential to addressing the problems faced by the States and Counties. Dr Makur recapped some of the core policies of the Ministry of Health and introduced its new website: www.mohss.org – where all these documents can be accessed 2nd South Sudan Health Sector Summit

  5. Overview of the Health Situation • The Director General for International Health and Coordination gave an overview of the current situation of health in South Sudan. This included a remind of the stark statistics of under-5 mortality (105/1000 live births) and infant mortality (75/1000 live births) • He showed some of the causes of these appalling realities, including very low levels of childhood vaccination (5.8% for coverage against all major diseases), the high fertility rate (7.1), especially amongst adolescents (199/1000) and the large number of deliveries taking place outside of health facilities and without a skilled birth attendant • The health indicators are significantly below African and global averages, due to the inaccessibility of health facilities, weak public health system and management, extreme shortage of health workforce, poor health infrastructure, and limited awareness on health issues • NTDs, NCDs and fragmentation of the health system are also serious issues facing South Sudan. Dr LulRiek emphasised the importance of all partners in the country following the policies and guidelines set out by the Ministry of Health 2nd South Sudan Health Sector Summit

  6. National Priorities and Provisional Plans The Director General of Policy Planning and Budgeting reported the latest health indicators linked to the Millennium Development Goals, which show how far the country has to go. He then reported on the recent findings of the EmONC needs assessment which showed that only 181 primary healthcare facilities in the country are currently able to provide deliveries The ratio of doctors (0.02/10,000) and nurses/midwives (<0.05/10,000) to population is far below WHO norms and on current trends it would take 66 years to achieve these. There is currently a significant gap in the reporting to HMIS by facilities with every State struggling to report adequately The MoH plans for infrastructure, human resources and financing were explained. Most of these are expected to show significant results within a year and should help many of the problems faced by States and Counties The achievements of the Ministry in strengthening capacity for Monitoring and Evaluation, the BPHNS and use of major databases were recapped Dr Richard Lako conveyed the MoH’s commitment to working with the SMoHs to address the major problems they face, but explained that for this to be possible it is absolutely essential that reporting and use of systems be improved significantly. 2nd South Sudan Health Sector Summit

  7. Structure of the Ministry of Health Minister of Health Undersecretary Reproductive Health Administration & Finance Policy, Planning & Budgeting Pharmaceuticals & Medical Supplies 2nd South Sudan Health Sector Summit International Health & Coordination Preventive Health Services Medical Training & Professional Development Medical Services Primary Healthcare Semi-Autonomous Bodies: Medical Commission Drug & Food Control Authority Medical Council Central Medical Supplies

  8. State Ministry of Health Presentations • Lakes, Eastern Equatoria, Unity, Northern Bahr el Ghazal, Western Bahr el Ghazal and Warrap each gave very well prepared and informative presentations • A number of issues cropped up in these: • States face significant gaps in their human and financial resources as well as dilapidated infrastructure and equipment shortages • There are issues relating to HR and some States are struggling to use the SSEPS and HRIS. Inadequate use of these systems makes addressing issues of compensation very difficult for the MoH • Some States understand and are implementing new transfers, whilst in other they have not yet been fully operationalised. Disaggregation of Primary and Secondary/Tertiary payrolls has not been fully implemented yet • The lead NGOs working in each County are not always performing as required. Some NGOs are clearly failing in their HSS responsibilities and not working with CHDs. It may be necessary to review the some of these NGOs positions. • Most States are reporting long-stock outs of pharmaceuticals, a shortage of trained pharmacists and problems with managing the system; though some of these issues may need further discussion 2nd South Sudan Health Sector Summit

  9. Ground Rules for Day 2 The discussions yesterday were very useful, and we have already learnt a lot and have a lot of issues to consider moving forwards Unfortunately we ran significantly over time and did not cover our entire programme. A number of ‘ground rules’ should be observed by moderators and participants: • Presentations should keep strictly to time, and questions saved for the appropriate sessions • Questions should be carefully thought out and concise • Issues which pertain to very specific issues that are not relevant to the broader audience should be discussed bilaterally • All questions or comments should be phrased respectfully in the spirit of comradeship and mutual support urged by the Honourable Minister • Not all issues can be solved during the summit, but the recommendations, resolutions and final report will offer a roadmap for addressing as many as are feasible focusing on the top priorities identified 2nd South Sudan Health Sector Summit

  10. Thank you • Thank you for your excellent attendance and participation yesterday and we look forward to another good day • The circulated agenda will be adjusted somewhat to ensure that the presentations which we did not fit in yesterday can be accommodated • Break-out sessions for discussion will be added if time allows • The final session covering development in the MoFCIEP and MoLPSHRD has been moved to tomorrow 2nd South Sudan Health Sector Summit

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