South Sudan emerged as an independent nation in July 2011 after a massive ‘Yes’ vote at the referendum by the population seeking separation from The Sudan.
According to South Sudan bureau of statistics, the young nation has a population of 8.26 million, of which approximately 72 percent are under the age of 30. The population is however believed to have increased, owing to high rate of natural population growth of three percent per annum, high total fertility rate of 6.7 children per woman and the return of refugees and IDPs from Northern Sudan and neighbouring countries.
The country’s context has specific barriers to health service delivery, which need to be surmounted before meaningful progress can be registered; a nascent health system, human resource challenges, poor integration and decentralisation of services, poor coordination and weak accountability.
Despite these, the government is committed to improving health service delivery, as evidenced in its cordial relationship with regional and international health actors such as Amref Health Africa. The donor community is also investing resources in the country’s health sector.
The Cost of Gaps in the Health Sector
Most health care facilities were destroyed during the civil war, currently there is a severe shortage of qualified health workers, particularly in underserved rural areas.
The country has the worst health statistics in the world. Infant mortality is extremely high at 150 deaths per 1,000 live births, maternal mortality ratio estimated at 2,054 maternal deaths per 100,000 live births. There are extremely high rates of teenage pregnancies (300 per 1,000 females aged 15-19). These tell how the health service gap in South Sudan is dire. Preventable and treatable diseases are the leading causes of illnesses and deaths.
Amref Health Africa in South Sudan
Amref Health Africa has been working in South Sudan, formerly Southern Sudan, since 1972. It has played a critical role in planning and developing the country’s primary health care system. Although this work was interrupted by the civil war, Amref Health Africa’s continued presence in the country has allowed it to cultivate trust among both local communities and authorities.
The foundation has established a working relationship with the Ministry of Health, with which it has developed a national health care plan, trained health workers, and established a primary health care project that serves over 150,000 people.
Accordingly, Amref Health Africa focuses its efforts in South Sudan on eliminating the conditions under which preventable diseases flourish, and strengthening and developing the capacity of the country’s health services infrastructure.
Amref Health Africa’s is committed to improving the health of people in South Sudan by partnering with and empowering communities, and strengthening health systems.
Our vision is for lasting health change in South Sudan: We want to see communities with the knowledge, skills and means to maintain their good health and break the cycle of poor health and poverty.
The goal of Amref Health Africa in South Sudan is to contribute to the reduction of maternal and infant mortality, and improve the overall health status as well as the quality of life of the South Sudanese population.
Health as a human right:
Amref Health Africa believes that health is a basic human right and operates its programmes with a rights-based approach.
Amref Health Africa is committed to mainstreaming gender considerations in all of its interventions. As we strive to abolish gender inequities, we make a conscious effort to remove unfair practices and promote the wellbeing of both genders.
Amref Health Africa South Sudan identiﬁes priorities and allocates resources on a pro-poor basis, giving priority to people and communities that we believe to be the most vulnerable.
Adhering to international conventions, Amref Health Africa South Sudan does not condone discrimination based on sex, religion, race or culture, internally or in its programmes and interventions.
Trust and transparency
Amref Health Africa South Sudan believes in honest communication, absolute openness, and the transparent use of inﬂuence, power and resources. Amref Heath Africa has zero tolerance for corruption, both within the foundation and in our dealings with outside agencies.
Amref Health Africa believes that communities are resourceful and that empowered communities are a prerequisite for improving individual and community health. We work with and through communities, putting the interests and opinions of the communities’ ﬁrst.
Amref Health Africa believes in strategic partnerships as a means to conduct successful and sustainable interventions. She develops and nurtures partnerships with like-minded organisations that share our core values and strategic focus.
Amref Health Africa sets high professional, ethical and medical standards and monitors these closely within our projects, among ourselves and among those with whom we partner.
Amref Health Africa upholds a commitment to innovation in our work and the work of our partners. We constantly develop and encourage new, effective methods and tools for improving the health of communities.
Amref Health Africa South Sudan is committed to developing and maintaining sound, robust environmental protection policies in all of its activities.
Evidence-based Policy and Practice
Amref Health Africa uses its grassroots work with African communities to generate and document evidence, aimed at inﬂuencing donor/ government policies and practices that bring about lasting beneﬁts to the most vulnerable groups and communities.
Through advocacy and empowerment, Amref Health Africa South Sudan aims to enable communities and the rest of the health system to sustain mutually designed and implemented interventions.
The country’s main health priorities beyond 2015 are:
- Reproductive health (MMR 2054/100,000 births )
- Child health
- Communicable diseases (malaria, HIV/AIDS, TB and endemic NTDs).
- Water, sanitation and hygiene
- Specialist clinical and diagnostic outreach programme
- Cross-cutting health systems strengthening interventions (Research and innovations, leadership and management , human resources for health, community systems strengthening and Health Management Information Systems ) .
Amref Health Africa in South Sudan runs the following programmes:
- Developing human resource for health through training clinical officers, registered midwives, and enrolled midwives at National Health Training Institute in Maridi, Western Equatorial.
- Increasing access to disadvantaged communities by providing quality medical, surgical and diagnostic services through clinical outreach programme in all the 10 States of South Sudan.
- Reducing the morbidity and mortality rate linked to poor health provision, through routine EPI and AFP case surveillance in Morobo, Central Equatorial State and Ibba in Western Equatorial State.
- Increasing access to quality primary health care services in Morobo County in Central Equatorial State.
- Strengthening health systems in Western Equatorial and Central Equatorial through the health systems strengthen Programme.
- Women in Schools for Health (WISH). This project aims at promoting not only girl child education, but boost girls studying science subjects with mission to get into health careers. There is a girl’s boarding school Maridi Western Equatorial State serving this purpose.
- Reducing maternal, new born and child mortality rates in Terekeka, Central Equatorial State.
- Emergencies. The project deals with managing disease outbreaks such as Cholera, Polio etc.
- Increasing access to safe water, sanitation and hygiene in Mangala payam of Juba County, Central Equatorial State
Map of South Sudan showing Amref Health Africa project geographic coverage:
Amref Health Africa in South Sudan Strategy and Business Plan implementation
The needs of the country are huge and community-based health programme coverage is still very low. In terms of geographical reach, Amref Health Africa in South Sudan operates in two out of the ten states; Central and Western Equatorial states with the exception of Clinical Outreach project covering all the states, Health system strengthening funded by WHO and the emergency medical and surgical health service project that covers all the ten states, and NHTI-Maridi in Western Equatorial training students from all over the country.
Amref Health Africa’s Business Plan focuses on transforming communities by improving the health of women and children based on three health system building blocks. Most of the programs in South Sudan operate across the three blocks of the business plan. Training of clinical officers and midwives is one of the key programs being implemented, and up to 75 per cent of clinical officers serving in the country were trained by Amref Health Africa in Maridi National Health Training Institute.
There were several challenges in programme implementation, notable is the unrealistic demand and expectation from beneficiaries, case in point here is students’ couple with poor coordination with the ministry in-charge of training and capacity building affected smooth running of National Health training Institute - Maridi.
Amref Health Africa in South Sudan programme portfolio size, October 2013 - March 2014
Amref Health Africa in South Sudan reports its geographic coverage on a county basis. The figure below shows the percentage of counties or local administrative units covered by Amref Health Africa projects. It is important to note that this measure of coverage does not describe the type of intervention, the intensity of health programming, or the effect on population health. Nevertheless, geographic coverage is one measure of Amref Health Africa’s reach in the countries with a physical presence, and its important information share with local authorities and national Ministries of Health
Implementation by Strategic Direction
Amref Health Africa in South Sudan programming focus on strategic directions and health system strengthening as outlined in the table below. Note that each project may be involved in one, two or all three health system blocks and engage in several strategic directions; therefore, the totals are not necessarily the sum of each row or column.
Distribution of Amref Health Africa in South Sudan projects across strategic directions
|Strategic Direction||Health System Blocks||TOTAL|
|SD1 Women's Health||11||4||2||17|
|SD2 Child Health/IMCI||13||4||2||19|
|SD4 Water, Sanitation & Hygiene||1||0||1||2|
|SD5 Clinical & Diagnostic||3||0||0||3|
Beneficiaries by sex and age disaggregation
|Coverage of Amref Health Africa Programmes||Male||Female||Total|
|Children (0-8 yrs)||19,186||38,488||57,674|
|Adults (18+ yrs)||11,153||17,510||28,663|
|TOTAL (All Ages)||30,339||55,998||86,337|
Amref Health Africa in South Sudan has a full-fledged department headed by the Finance manager who supervises project accountants and finance assistants who are assigned to individual projects as needed.
Project financial reports are generated by the project accountants, reviewed by the Finance Manager, and submitted to donors
At the moment Amref Health Africa in South Sudan is running a budget of up to US$6.2 million. Our Strong financial management system, dedicated staff, coupled with our dynamic policies is making transparency and honesty a tradition for putting the donor funds into good use as we change lives of the people of South Sudan.
However, to be able to effectively deliver and fully implement its projects in the next five years, Amref Health Africa in South Sudan needs up to US$50 million per annum.
To reach this target, the strategic plan is to have a US$10 million increment per annum.
Our Generous Donors
Amref Health Africa in South Sudan relies mainly on donors who fund her various projects. Our major donors include United States Assistance for International Development (USAID), Centre for Disease Control, The European Union, The Global Fund, United Nation Children’s Emergency Fund, The World Bank, The Canadian and Swedish International Development Agencies, and the governments of Italy, Germany, Spain, France, and the United Kingdom.
150,000 people benefiting from primary health care services run by Amref Health Africa in South Sudan.
571 The total number of health professionals trained by Amref Health Africa.
437 Clinical Officers
15 Public Health Officers
18 Enrolled Midwives
101 Community Midwives
24 Programmes run in South Sudan
91,447 Women in South Sudan whose health is being addressed through Amref Health Africa’s programmes
20,629 Children in South Sudan whose health is being addressed through Amref Health Africa’s programmes
99 Number of regular contracted staff working with Amref Health Africa in South Sudan
8 Number of staff with short-term contracts working with Amref Health Africa in South Sudan
The heartbeat of our projects is our treasured partners. Over the years, our projects have relied on the support of these partners, including, national and state ministries of health, our donors, the local communities we serve, and the media.
- Amref Health Africa was a pioneer of the primary health care approach in South Sudan long before the Alma Ata Declaration of 1978.
- Amref Health Africa developed the interim health policy for South Sudan referred to as ‘the Green Book’.
- Amref Health Africa in South Sudan has trained 75 per cent of clinical officers and midwives in the country.
- We have established the primary health care system that serves 150,000 people.
- Implemented the basic package of health services delivery in Terekeka County funded through Multi-Donor Trust Fund and Water and Sanitation and Primary Health Care project in Juba County supported by Spanish Cooperation (AECID) in Central Equatoria State.
The difference Amref Health Africa in South Sudan wants to make
- Making pregnancy safe and expanding reproductive health
- Reducing morbidity and mortality among children.
- Scaling up HIV AIDS/TB and Malaria responses.
- Prevention and control of diseases related to water.
- Increasing access to disadvantaged communities to quality medical, surgical and diagnostic services.
- Developing a strong research and innovation base to contribute to health improvement in Africa.
- Creating a strong, unified, global Amref Health Africa.
Where Amref Health Africa in South Sudan wishes to be
- To have a field office which runs projects in each of the ten states of South Sudan, with Juba country office coordinating all the other field offices in the states.
- To increase the number of projects from the current 18 to 100 countrywide
- To establish strong ties with corporate companies, state and national government with the aim of providing the best health services to the people of South Sudan
- To make a significant contribution in reducing maternal mortality, HIV, new infections among other diseases.
- To pioneer the use of new technologies in creating demand for health services, monitoring and fostering behaviour change communication.
Contacts and location
Amref Health Africa in South Sudan is located in the capital, Juba, Hai Tong Ping directly opposite UN-OCHA offices, on Airport Ministries Road.
You can reach us on:
P.O. BOX 382 Juba, South Sudan
You can also follow find us on:
Facebook: Amref Health Africa in South Sudan