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REPUBLIC of SOUTH SUDAN WESTERN EQUATORIA STATE

REPUBLIC of SOUTH SUDAN WESTERN EQUATORIA STATE. 2nd South Sudan Health Sector Summit December 4 th -7 th / 2013 Dr.Victor Furangi Director General. Contents:-. Introduction and Overview of State Health Indicators

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REPUBLIC of SOUTH SUDAN WESTERN EQUATORIA STATE

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  1. REPUBLIC of SOUTH SUDANWESTERN EQUATORIA STATE 2nd South Sudan Health Sector Summit December 4th-7th/ 2013 Dr.Victor Furangi Director General

  2. Contents:- • Introduction and Overview of State • Health Indicators • Health Management Information System and Integrated Disease Surveillance and Response • Number of Health Workers and Facilities • Gaps in Infrastructure and Workforce • Human Resources: South Sudan Electronic Payroll System & Human Resource Information System • Pharmaceuticals and Medical Supplies • County Health Departments and Conditional Transfers • NGO County Partners and Donors • Problems faced by State Ministry of Health • Suggestions, Recommendations and Innovations 2nd State Ministers of Health Coordination & Consultation Summit

  3. Introduction and Overview of the State • Location: South west of RSS, bordering CES,LS,WS,WBGS and CAR &DRC • Surface Area: 79,349 kilometers square. • Population: 1.376.866 person projection 2013 –multi-ethnicity • Climate: Almost all year rainy season • Economy: Agriculture 2nd State Ministers of Health Coordination & Consultation Summit

  4. Health Indicators 2nd State Ministers of Health Coordination & Consultation Summit

  5. Health Management Information System / Integrated Disease Surveillance & Response • M&E officer is responsible for HMIS and State Surveillance officer responsible for IDSR • Not all the data from the counties being captured • Yes, the State submits report every month but it does not cover all the information • Yes ,the State has faced problems with the HMIS. Provide more and trained data collectors in the health facilities 2nd State Ministers of Health Coordination & Consultation Summit

  6. Health Facilities and Human Resources Observations:- Most of the health cadres categories do not match job descriptions and qualifications Very few of nurses are certified TBAs are categorically the majority Matching Titles and Job Descriptions is underway 2nd State Ministers of Health Coordination & Consultation Summit

  7. Gaps in Facilities and Workforce Manpower Service delivery work force is 51% of the health care manpower 2nd State Ministers of Health Coordination & Consultation Summit

  8. South Sudan Electronic Payroll System & Human Resource Information System Yes, all the staff paid by the SMoH are on the SSEP Yes ,with adjustments recommended from the State Ministry of Health No, the pay roll is one . The budget 2013/2014 is seperate as transfers to the Counties 100% of the staff have been added to the HRIS. Needs verification Yes , there are problem need to be identified by HSSP , Mol&HR and MoFEP. Extra Support is needed in J D , titles and qualifications 2nd State Ministers of Health Coordination & Consultation Summit

  9. Pharmaceuticals and Medical Supplies There is lack of most of medication in the Health facilities. The last drug supply was in Jan 2013: 5 hosp.30PHCC and156 PHCU kits No ,regular medicine supply to health facilities. Around April 100 cartons of Antimalarial and In Nov. 80 cartons of antimalarial No ,the tool for measuring stock are not used properly The only pharmacist responsible for Managing the State supply is a pharmacist placed in the SHOH by SIAPS Yes ,there are medical supplies being received from other sources .From Health sector Partners eg;MSF,IMC WVI and other welwishers No, mechanism for addressing gap in supply in the State. Only request for emergency supply from GMS Training on (dejunking) drug store, reporting and requesting drugs in the state and counties was conducted by SIAPS in November Extra Support is to adopt cost sharing at secondary level health care other ideas is to develop Health Insurance Policy 2nd State Ministers of Health Coordination & Consultation Summit

  10. County Health Departments and Conditional Transfers Abt Associate conducted a workshop for County Execute Officers, Planning officers and County Health Officers on Budgeting, usage and reporting the County Health Department Conditional Transfers . CTMC has not been formed Yes ,the Counties have drafted the budget but not submitted to HSSP and SMoH for review. The problem is CHD capacity The NGOs are supporting the CHD in carrying their activities, but CHD capacity is inadequate The SMOH is not fully informed about the Transfers and how it works. The new transfers may help meet resource gaps There are severe shortage in staff of CHD eg some CHDs have only one person. Adequate fund to recruit appropriate staff for the CHD 2nd State Ministers of Health Coordination & Consultation Summit

  11. NGO County Partners and Donors • Yes. County monthly ,State quarterly coordination meetings, Health Cluster Meetings, Activities Coordination and monthly Partners Forum Meeting • Yes ,Joint support supervision ,report compiling and reporting and organizing trainings of capacity building • No, not yet • Budget sharing and disclosing cost of activities • Yes ,there are aspects. Issues like no direct support for constructions. That is done only through other resources 2nd State Ministers of Health Coordination & Consultation Summit

  12. Problems Faced by the State Ministry of Health Human resources issues: • Increased rate of leaving work with government • Lack of adequate and qualified health workers • Increased aging health care givers • Poor retention and motivation measures • Poor working environment. Health Facility Issues: • Poor services quality and Accessibility • Lack of equipment and working tools (out dated) in some health facilities • Inadequate functional spacing in some health facilities • Lack of facility renovation and rehabilitation • Supply and Equipment Issues: • Poor medical storage facilities in space and quality • Push drug and equipment supply policies and poor consumption reporting system • Irregular supply consignments from the central medical store to the counties • Irrational use of medicine in private and public health facilities results in to drug resistances and adverse effects • No administrative transport in Ministry HQs-DG has no transport. 2nd States Coordination and Consultation Meeting

  13. Suggestions, Recommendations and Innovations • Improve retention measures: Allowance(House),Incentives and increase salaries • Train and promote Health Care Cadres • Improve working environment:Space,Tools,Equipment and Health Care • Employ adequate and qualified health care givers • Retire retired aged honourable medical Staff and replace them 2nd State Ministers of Health Coordination & Consultation Summit

  14. 2nd States’ Consultation and Collaboration MeetingDecember 5th -7th/ 2013 • Health Sector Progress 2nd State Ministers of Health Coordination & Consultation Summit

  15. Thank You 2nd States Coordination and Consultation Meeting

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