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:
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
Sudan: HRH Strategic Plan 2012-2016
- Human Resources for Health (HRH) Strategic Work Plan for Sudan (2008-2012)
HEALTH SECTOR STRATEGIES / PLANS
- Republic of Sudan, Federal Ministry of Health 25 Years Strategic Plan for the Health Sector
- Federal Ministry of Health, Republic of Sudan Health Policy Forum Health Policy Unit, Secretariat for Health Policy, Planning and Research
- Five-Year Health Sector Strategy: Investing in Health and Achieving the MDGs2007-2011
- Republic of Sudan Federal Ministry of Health Policy for Market Based Private Health Care Sector (2011)
COUNTRY CASE STUDIES AND OTHER DOCUMENTS
Achieving health related MDGs: Addressing health workforce challenges through the Country Coordination and Facilitation (CCF) Approach
Extending National Human Resources for Health Observatory Mandate to the Coordination of the HRH Plan Development
Retention of Clinical Officers in Southern Sudan: A Tracer Study of Maridi National Health Training Institute Graduates
Integration of HRH observatory with the CCF process: The Sudan Case
- Health System Profile Sudan (2007 ), WHO
- Presentation; HRH Component of the State Health Profile (2007), NHRHO
Sudanese Physicians' Reintegration Program