Sudan

Sudan continues to be confronted by political, security, and socio-economic challenges. The political crisis in the south Sudan ended up with its secession in July 2011.

Overall health indicators in Sudan are comparable to Sub-Saharan Africa averages; however, overall averages mask significant urban-rural and regional disparities, related to conflict, displacement, and chronic poverty (Eastern Mediterranean Region Health system Observatory).

Current HRH density estimates of 5.6 physicians per 10,000 population and 47.6 nurses and midwives per 10,000 population (CCF Case Study Sudan: see below), reflect the HRH situation before the secession wherein the autonomous government for South Sudan’s (GOSS) Ministry of Health (MoH) was considered a separate administrative level functioning as an interface between the Republic of Sudan Federal Ministry of Health (FMOH) and the 10 state ministries of health (SMOHs) in the South. Since secession, the autonomous government for South Sudan’s Ministry of Health (MoH) is its own federal entity.

Sudan has under gone decentralization; however, historically, it has experienced challenges in coordination between HRH policies and overall health planning, as well as difficulty in translating national level planning to all levels of a decentralized health care system. Coordination between health and education sectors has been weak, resulting in maldistribution and imbalance in the production of health workers in certain professions (Human Resources for Health (HRH) Strategic Work Plan for Sudan (2008-2012)). Recent achievements include:

  • establishing a national HRH observatory (NHRHO) with the support of the Alliance and WHO;
  • subsequently launch of the CCF process integrated with the HRH observatory to strengthen the coordination among the whole set of key stakeholders; and
  • developing a national comprehensive and evidence based HRH policy for the health sector with engagement of all related stakeholders.

COUNTRY COORDINATION AND FACILITATION (CCF) IN SUDAN:

CCF phases’ description and recommendations

CCF progress graph phase 5

Click on graph to read more about the CCF phases

Sudan has currently completed phases 1, and 2 of the CCF process, and partially completed phase 3. Sudan has moved to phase 4 (mobilizing resource for HRH interventions), and Phase 5 (implementing and monitoring the HRH plan).

The CCF process in Sudan has a wider representation of stakeholders constituencies including members of the public sector, private sector, multilateral and bilateral development partners, professional and staff associations and academic institutions. The initiation of the CCF process has strengthened coordination around the HRH agenda by extending engagement of related stakeholders in evidence building, planning, implementation and monitoring. The catalytic support by the Alliance has helped Sudan arrive at the following current achievements in the CCF process:

  • Getting diverse stakeholders to convene around one table.
  • Developing capacity in the national HRH observatory to serve effectively as a technical secretariat for HRH coordination.
  • Inculcating the strategic nature of HRH to achieve the health MDGs, with a high level commitment and support.
  • Improving the availability to HRH information and evidence.
  • Achieving consensus around a priority HRH research agenda
  • Achieving consensus around one national HRH strategic plan that is multisectoral and linked with the overall health policy.
  • Promoted consideration of needs-based production of health workforce for essential health services.
  • Contributed in the initiation of community health worker cadre to cope with the primary health needs in the rural and hard to reach areas.

HUMAN RESOURCES FOR HEALTH PLAN

HEALTH SECTOR STRATEGIES / PLANS

COUNTRY CASE STUDIES AND OTHER DOCUMENTS

ALLIANCE MEMBERS WORKING IN SUDAN

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HEALTH WORKFORCE DENSITY

5.6 physicians per 10,000 population
47.6 nurses and midwives per 10,000 population

COUNTRY MAP:

Country Map: Sudan
This map is an approximation of actual country borders.

STATISTICS:

Total population: 33,419,625
Gross national income per capita (PPP international $): 2030
Life expectancy at birth m/f (years): 59/59

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