southern sudan health system assessment - Health Systems 20/20

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FIGURE 1: STRUCTURE OF SOUTHERN SUDAN’S HEALTH CARE SYSTEM Central Ministry of Health State Ministry of Health State Hospitals State Ministry of Health County County County County County Hospitals County Hospitals PHCU PHCC PHCC PHCU PHCC PHCU PHCC PHCU Community Community Community Community The Southern Sudan National Health Policy broadly lays out the roles and responsibilities at each level, as described in Box 5. According to interviews and document reviews conducted by the JAM (JAM 2005), The SPLM has a strong commitment to establish a vibrant climate of local governance, with communities and traditional structures having a positive involvement in local decisions and in the oversight, management, and support of an appropriate range of social and public services. This includes helping counties to establish relatively simple, basic management and financial systems to perform their functions, handle and account for block grants and local revenue, and oversee contracting of selected local services. 16
Box 5: Roles and Responsibilities of Each Health System Level, as described in Southern Sudan National Health Policy Central Level, Juba • Leadership, governance, stewardship sector-wide • Development of a strategic, regulated, accountable, transparent organization • Selective decentralization and effective delegation • National health and disease policies, strategies and plans • Human resources capacity development • Planning, monitoring, evaluation, and information systems and research • Regulation and legislation • Setting national-level priorities, standards, and guidelines • Sector-wide and interministerial coordination • Health financing and management of financial resources • Contracting services State Level • Leadership • Joint assessments, planning, M&E, and operational research • Sectoral and intersectoral coordination • Annual management work plans • Implementation of government health care and services • Supervision and guidance including of contracted-out services • Referral system • Epidemiological surveillance County and municipality levels • Health coordination • Assessment and analysis of local health and managerial needs • Joint strategic planning based on local needs and problems • Monthly management work plans • Implementation of health care and services • Supervision, guidance, and monitoring including of contracted out services • Referral system • Epidemiological surveillance Community level (PHCC, PHCU, and communities) • Implementation of BPHS • Community participation • Referral system • Weekly work plans by health centers and units • Outreach Source: MOH/GOSS (2006e) 17
Page 1 and 2: SOUTHERN SUDAN HEALTH SYSTEM ASSESS
Page 3: SOUTHERN SUDAN HEALTH SYSTEM ASSESS
Page 6 and 7: 5.3.6 Training Institutions, Curric
Page 9 and 10: ACRONYMS AFP AMREF ANC BPHS CPA CPR
Page 11 and 12: ACKNOWLEDGEMENTS This health system
Page 13 and 14: The presence of the Multi-Donor Tru
Page 15: 1. BACKGROUND AND INTRODUCTION Sinc
Page 18 and 19: 4 4. MoH owned and led: The MoH mus
Page 20 and 21: One report estimates the country to
Page 22 and 23: increase in food production, though
Page 24 and 25: supports basic services to improve
Page 26 and 27: Health service coverage is estimate
Page 28 and 29: A total of 1,233,441 children betwe
Page 32 and 33: 5.1.2 MANAGEMENT CAPACITY Central l
Page 34 and 35: Figure 1 (above) shows where counti
Page 36 and 37: Similar to state and county health
Page 38 and 39: 5. Initial spending has been on inf
Page 40 and 41: How does improving health financing
Page 42 and 43: percent of health personnel work in
Page 44 and 45: Table 5). 30
Page 46 and 47: 5.4 SERVICE DELIVERY 5.4.1 OVERVIEW
Page 48 and 49: asis one or more hospitals to a man
Page 50 and 51: • Stand-alone assessments and stu
Page 52 and 53: priorities will be cholera, bloody
Page 54 and 55: 5.6.2 MOH NATIONAL STRATEGY FOR PHA
Page 56 and 57: According to MoH officials, the cos
Page 59 and 60: 6. RECOMMENDATIONS The results of t
Page 61 and 62: Provide the central MoH with procur
Page 63 and 64: prevention messages on immunization
Page 65: ANNEX A: LIST OF STAKEHOLDERS INTER
Page 68 and 69: ANNEX C: DRAFT DONOR MAP OF HEALTH
Page 71 and 72: BIBLIOGRAPHY African Medical and Re
Page 73: South Sudanese Friends Internationa

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