The Ministry of Health recognises and values the role played by all stakeholders in the financing and provision of health services in South Sudan. These stakeholders include health development partners (HDPs), international non-governmental organisations (INGOs), national non-governmental organisations (NGOs), faith-based organisations (FBOs) and the private sector.
Better coordination of the efforts of these stakeholders is critical to ensure that the goal and objectives of the Health Sector Development Plan are realised. Furthermore, coordination is critical in enhancing aid effectiveness, by reducing duplication of efforts and the transaction costs faced by the HDPs.
The Directorate of International Health and Coordination registers, coordinates and provides oversight on the activities of all development partners. It engages in dialogue with these partners in addition to coordinating initiatives for promoting aid effectiveness within the health sector.
Current dialogue to promote coordination in health service delivery has yielded a division of labour based on geographical coverage among the following key HDPs:
- USAID is focusing its health development assistance in Western and Central Equatoria, from 2012 to 2017. It works to improve primary healthcare (PHC) in the two states, allowing for increased managerial and operational efficiency in programme implementation. It has two separate programmes, the Health Systems Strengthening Program and the Integrated Service Delivery Program each of which focuses on improving different aspects primary healthcare in the 2 States
- The UK Department for International Development (DfID) is managing the implementation of the Health Pooled Fund (HPF), which is supporting the delivery of PHC services in Eastern Equatoria, Lakes, Unity, Warrap, Northern and Western Bahr el Ghazal States, from 2012 to 2017. As well as DfID, the Health Pooled Fund is backed by the Australian Agency for International Development (AusAID), the Canadian International Development Agency (CIDA), the Swedish International Development and Cooperation Agency (SIDA) and the European Union (EU). In addition, DFID will support pre-service training to improve quality of maternal and child healthcare.
- The World Bank (WB) is supporting the Rapid Results for Health Project (RRHP), a joint primary healthcare programme managed with the Ministry of Health, initially operating for a sixteen month period, with the possibility of extension. RRHP is delivering PHC services in Upper Nile and Jonglei States.
Other Health Development Partner activities overseen by the directorate include:
- Canadian International Development Agency (CIDA) is supporting pre-service training for PHC providers, strengthening nursing and midwifery training and conducting studies to evaluate and improve the status of health in South Sudan.
- UNFPA is working in South Sudan to improve the quality of reproductive health services in coordination with the MoH.
- The World Health Organisation advocates with the MoH to develop policies, plans, and guidelines to implement public health strategies.
- UNICEF supports immunisation, nutrition and promotes child welfare.
- The Global Fund assists in fighting against HIV/AIDS, TB, malaria and health system strengthening.
- The European Union assists in the areas of capacity building, and nursing and midwifery training. It is also providing budget support to the Government of the Republic of South Sudan to fund the salaries of health and education workers
Actions planned for the directorate include:
- Develop key sector guidelines to streamline the relationships and responsibilities between the public sector and the private healthcare providers, NGOs, not-for-profit providers, FBOs and traditional and complementary medicines practitioners.
- Promote collaboration with private sector healthcare providers, and provide framework for public private partnerships. Cognisant of the fact that no government can afford to meet all of the health care demands of its citizens, our policy is to encourage private sector health service delivery.
- Work with the private sector to see where services can be provided more efficiently by non-governmental actors., whilst strengthening government capacity to deliver these and without compromising quality.
- Consolidate participation of all stakeholders in the Health Sector Working Group (HSWG) forum.
- Develop instruments and structures to foster coordination at all levels of the health system.
- Develop mechanisms to enhance coordination between the MoH and parliamentary committee responsible for health to improve legislation relevant to the health sector.
- Promote and participate in the NGO Forum, Health Sector Working Group and Health Cluster forum.
- Coordinate the Health and Nutrition Cluster coordination meeting.
- Liaise with NGOs, multilateral and bilateral donors.
- Develop tools to improve utilisation of donor funds, their impact and cost effectiveness.
- Establish the Medical Council to oversee healthcare practitioners and private healthcare services and ensure that quality and costs are controlled, so as to be appropriate to the means and needs of the citizens.
The Directorate of International Health and Coordination is responsible for organizing various conferences and workshops between stakeholders in the South Sudan Health Sector.
Dr. Kediende M Chong
Tel: +211(0) 955927035, +211(0) 928884621