"The Health System and Aid Effectives: Sudan's Experience"
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11/20/2009 Steve Gloyd and Sarah Gimbel
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"The Health System and Aid Effectives: Sudan's Experience"
- 1. The Health System & Aid Effectiveness Sudan’s experience University of Washington Global Health Seminar
- 4. A 4000 year-old civilization
- 7. A potentially rich country
- 11. Health service delivery system
- 13. Free health care
- 14. Annual Expenditure of Free Treatment
- 15. General government health expenditure as a percentage of total government expenditure Source WHO
- 16. External resources as a percentage of Total Health Expenditure Source WHO Year 1995 1999 2002 2006 Percentage 0.6% 2.1% 3.9% 6.4%
- 18. MDTF
- 21. INGOs Distribution and beneficiaries Region No INGOs Est. NO of Beneficiaries Southern Sudan 98 5,000,000 Darfur 45 1,300,000 Khartoum 40 1,413,000 Eastern Sudan 26 105,000 Blue Nile and S. Kordofan 12 1,750,000 Other states 21 150,000 TOTAL 9,718,000 24%
- 26. INDIVIDUAL LIFESTYLE SOCIAL & COMMUNITY NETWORK AGE.SEX & HEREDITORY FACTORS GENERAL SOCIO-ECONOMIC CULTURAL & ENVIRONMENTAL CONDITIONS LIVING & WORKING CONDITIONS NGOs & HEALTH DETERMINANTS
- 27. Challenges
- 28. Thank you
Notes de l'éditeur
- Tenth largest country in the world 9 neighbor country With total population about 40 milion 2008 / 8 million in southern Sudan Sever nile one of the important geography in Sudan
- Ancient civilization for more than 4000 years in elnuba eara Bigrawia in river nile state & barkal in north state
- Islam and christian and different local believes There are many trips in sudan about 800 tripe 120 local languages and dialectics
- Rapidly growing economy – moving from low income country towards lower middle income country mainly due to oil production increase the exported quantity and the price of oil Source federal ministry of finance
- rich Anemial resources Poyantial for agriculture because of suitable land and climate Huge water resources (marawi damp) Recently oil production
- Federal responsibility Policy making Strategic Planning Supervision Co-ordinationI nternational relation Partnerships State Planning Policy making Implementation Supervision Service delivery Local Policy implementation Service delivery
- The responsible of each level
- Colonial – 1990 : all the health service are free of charge. Early nineties users fees as part of economic sector reforms and adjustment. Affected the access and utilization of health services without improvement on the availability and quality of care. 1995 the health insurance now cover about 22% of population must government employee (social HI MOSWF)
- 2006 US$ 19.4 million 22% of FMOH B about 95 million US$ US$ 13.6 million 15% of FMOH Babout 92 million US$ 2008 spouse to be increased due to introduction of free CS and under 5 manegment it 300 miliion US$
- Source WHO 6.3 not included the foreign aid just the government Sudan like other sub Saharan countries
- THE (total health expenditure) available in WHO All the expenditure on health from the different resources
- Foreign Aid interest area MDGs achieving Distribution of health facilities and human resources If you calculate the ratio by population it seams it is as required but because of the mal distribution of the health facilities and health personal it is not like this
- Un group is the most dominants more concern in MDGs the bilateral & multilateral are fluctuated in different time
- INGOs represented a huge number and ply different role in providing care & implementing health project especially in war affected ears NGOs has a resent history & Sudanese SRC ARE THE BIGEST ONE Private for profit had been introduce after fee for services in 1990s &providing services in big cities
- 1- missionary work 2- Non-religious NGOs 100 years 3- the INGOS INCREASE SIGNIFICANTLY 4- Emergency Disaster, Rehabilitating war victims 4- Development
- GEOGRAFICAL AREA and functional area
- Why this policy when
- Bilatral and multi latral are different with different registration requirement
- compliance of NGOs with national health policies Criteria of selection of staff engaged in the voluntary health work; Criteria and standards of training of health cadres; Criteria and standards of health services provision; Medical treatment protocols; and Criteria for health facilities.
- Transparency, evaluation of projects, preventing duplication Reducing administrative running costs, Ensuring sustainability Management
- Social welfare