southern sudan health system assessment - Health Systems 20/20

CONTENTS
Acronyms...................................................................................... ix
Acknowledgements...................................................................... xi
Executive Summary..................................................................... xi
1. Background........................................................................ 1
2. Methodology ...................................................................... 3
3. Country Overview............................................................. 5
3.1 Historical and Political Context ..........................................................5
3.1.1 From Nubia to Sudan .............................................................5
3.1.2 Independence and civil war...................................................6
3.1.3 Establishment of Southern Sudan ........................................6
3.2 Social and Economic Context..............................................................7
4. Health Status and Health Sector Policies....................... 9
4.1 health Sector Policies.............................................................................9
4.2 Health status ..........................................................................................11
5. Key Findings..................................................................... 15
5.1 Governance............................................................................................15
5.1.1 Overview.................................................................................15
5.1.2 Management Capacity...........................................................18
5.1.3 Strategic Planning...................................................................20
5.1.4 Communication and Coordination ...................................20
5.2 Health Financing....................................................................................21
5.2.1 Overview.................................................................................21
5.2.2 Revenue Sources ...................................................................23
5.2.3 Budgeting and Flow of Funds..............................................23
5.2.4 Multi-Donor Trust Fund......................................................24
5.2.5 Out-of-pocket Expenditures...............................................24
5.3 Human Resources ................................................................................25
5.3.1 Overview.................................................................................25
5.3.2 Management and Planning of Human Resources ...........26
5.3.3 Availability and Deployment ...............................................26
5.3.4 Remuneration and Retention .............................................27
5.3.5 Skills Profile.............................................................................28
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