PRESENTATION ON RH SITUATION IN SOUTH SUDAN DIRECTORATE OF COMMUNITY AND PUBLIC HEALTH REPRODUCTIVE HEALTH DIVISION

Transcription

1 PRESENTATION ON RH SITUATION IN SOUTH SUDAN DIRECTORATE OF COMMUNITY AND PUBLIC HEALTH REPRODUCTIVE HEALTH DIVISION

2 PRESENTATION OUTLINE Introduction to RH in south Sudan RH indicators in South Sudan What is being done by the Government Republic of South Sudan The Challenges Human Resource:- Employment, Deployment and Retention Health Facilities:- Functionalities equipment, and supplies

3 PRESENTATION OUTLINE Challenges Cont d: Referrals Telecommunications Roads, terrain Ambulances Facilitative support Supervision Governance-Connection between the various levels of the government:- Central,State, CHD,

4 Introduction to Maternal, Neonatal and Child health in South Sudan Where the country is coming from: Over 5 decades of Civil Strife Destruction of Infrastructure Destruction of Health Systems Destruction of All forms of education and training infrastructures Loss and migration of the available Human resource Challenges of Internal intermittent Civil strife Challenges Health,Systems governance

5 MATERNAL MORTALITY RATIOS BY STATES IN SOUTH SUDAN S/No State Population 2008 census. MMR (SHHS 2006) 1 Western Equatoria 619,029 2, Lakes 695,730 2,243 Western Bahr El Gazal 333,431 2,243 Northern Bahr El Gazal 920,898 2,182 Warrap 972,928 2,173 Upper Nile 964,353 2,094 Central Equatoria 1,103,592 1,867 Jongolei 1,358,602 1,861 Eastern Equatoria 906,126 1,844 Unity 585,801 1,732

6 Indicator Value South Sudan Infant mortality rate 102 (per 1000 live births) (SSHS 2006) Under-five mortality rate 135 (per 1000 live births) (SSHS 2006) Proportion of under-fives moderately and severely (weight for age) underweight per cent (SSHS 2006) Proportion of under-fives moderately and severely stunted (height for age) 30.3 per cent (SSHS 2010) Continued breastfeeding rate (2 years) 36 per cent (SSHS 2010) Literacy rate among women 14.5 per cent (SSHS 2010) Literacy rate among men 35.4 per cent (SSHS 2010) Gender parity index (primary school) 0.8 per cent (SSHS 2010) Secondary school net attendance rate 2.5 per cent (SSHS 2010) Primary school attendance rate of children of secondary school age 20.8 per cent (SSHS 2010) Total Fertility Rate 6.7 Contraceptive prevalence (All methods) 4.7 per cent (SSHS 2010) Maternal mortality ratio 2,054 (per 100,000 live births) (SSHS 2006) SSHS South Sudan Household Survey; MIS Malaria Indicator Survey 2010

7 Maternal Neonatal Child Health indicators in South Sudan The MMR mean that in South Sudan an average of 4 women die from Pregnancy related complications per hour! The MMR mean I out of 7 women you see pregnant in South Sudan: One will die from a pregnancy related complication The MMR mean that when one woman dies from a pregnancy related complication, women will develop a debilitating complication

8 Maternal Neonatal Child Health indicators in South Sudan Cont d Why are there such bad indicators in South Sudan? All the following contribute: Where South Sudan is coming from The following building blocks are not in Place: Service Delivery, Health Workforce, Health Information Systems, Access to Essential Medicines, Financing, Leadership/Governance

9 What is being done by the G R SS The government during the interim period before independence and during the last one year has put in the following: Various policies to create an enabling environment to provide health care and MNHC services Developing the HIMS for M&E Outsourced the delivery of the BPHNS Engaged with Bilateral donors, INGOs, National/Local NGOs HR- development-trainings locally, internationally, bringing in IUNVs, IGAD, several partners technical support-usaid,who,cida Training institutions development

10 The Challenges Human Resource for Health This is a very weak link- All states can share their tribulations! This is the only country were in a teaching and referral hospital you still find TBA s in the maternity Basic education affects products for training for the various skills in MNCH

11 Human Resource for Health The numbers: OBS/GYN:In 4 hospitals (JTH,Wau,Rumbek,Military Hospital) Anaesthetist only! In Military hospital-(15 -Kijabe) Paediatricians ( In Wau and JTH) MOs Nurses/Midwives Confusion in grades and certifications IUNVs IGAD Clinical Officers,Medical Assistants,GMTs

12 The Challenges-Human resource for Medical students Diploma Midwives Certificate Nurses Enrolled Midwives Community Midwives health Training Schools Juba varsity Juba institute maridi Kajjo Keji Wau Clinical Officers