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EASTERN EQUATORIA

EASTERN EQUATORIA. 2nd South Sudan Health Sector Summit December 2013. Contents. Introduction and Overview of State Health Indicators Health Management Information System and Integrated Disease Surveillance and Response Number of Health Workers and Facilities

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EASTERN EQUATORIA

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  1. EASTERN EQUATORIA 2nd South Sudan Health Sector Summit December 2013

  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. EASTERN EQUATORIA STATE • Eastern Equatoria State is bordered by 3 international boundaries ,Uganda to the South, Kenya to the South- East and Ethiopia to the East and it shares internal boundaries with Central Equatoria and Jongolei States. • There are about 20 ethnic groups with different customs, traditions, beliefs and habits. The State has 8 counties, 75 Payams and 241 Bomas. The population of the State is 906, 126 (2008 census) and increased by about 8,914 returnees. 2nd State Ministers of Health Coordination & Consultation Summit

  4. HEALTH SITUATION • The state faces great challenges in ensuring adequate and equitable health care for all. • Only 25% of the population is accessing health care services . • However the political will and commitment is strong ,the SMoH believes that good health is a right for every citizen in East Equatoria ,specially women and children 2nd State Ministers of Health Coordination & Consultation Summit

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

  6. Health Management Information System / Integrated Disease Surveillance & Response • M&E at State and the county level • SSO and county surveillance officers • The state receives weekly and monthly report from the counties and compiles data and submit to the MoH-RSS . • However data timeliness and completeness proportion is less than 75% which is around (33.7% timeliness 2013 and 40.5% completeness 2013) . • The data at the counties ,specially from some health facilities are not captured on timely basis and others do not report at all. • Shortage of computers • Lack of DHIS skill for both M& E and CSO at county level. Lack of operation fund for maintenance. 2nd State Ministers of Health Coordination & Consultation Summit

  7. Health Facilities and Human Resources Buildings on local materials no accommodation for HW Shortage of specialist doctors and GMPs Lack of access to water sources. 2nd State Ministers of Health Coordination & Consultation Summit

  8. Gaps in Facilities and Workforce There is a significant shortage of health workers in all levels Payams and Counties need about 120 health facilities to be built. The ministry plans for 40 health facilities. 2nd State Ministers of Health Coordination & Consultation Summit

  9. South Sudan Electronic Payroll System & Human Resource Information System All the staff appointed are on the electronic payroll system manage by the payroll manager at the state ministry of health . SSEPS is uploaded every month and taken for approval by the MOPS&MOF The payroll is separated according to the state and county health departments . Transfers go directly to the account of each respective county. The proportion added from the government reach about 1342 ,and this exclude the staff paid by the NGOs which is about 484 ,but all added to the system Inadequacy of staff ,skills and competence in handling the SSEPS and HRIS .Staff are attached to the ministry of finance for printing payroll .There is need for recruitment and training . 2nd State Ministers of Health Coordination & Consultation Summit

  10. Pharmaceuticals & Medical Supplies The three-month consignment has only been received this year 2013 that has resulted in stock out of essential medicines. Also there are no Pharmaceutical Management Information System (PMIS) tools ; The health facilities do receive irregular shipment of the medicines; Most of expired and damaged medicines have been disposed in de-junking exercise. With the support of HFP, EES/MoH quantified and will print PMIS tools 2nd State Ministers of Health Coordination & Consultation Summit

  11. Pharmaceuticals & Medical Supplies Director for pharmaceutical & medical supplies is responsible for managing pharmaceutical supplies. Donation of pharmaceutical supplies are being received from UN agencies and NGOs such as WHO, UNICEF, UNFPA, UNDP, CDOT, NCA, NPA, etc The state plans to budget to procure some pharmaceutical and medical supplies . It will also lobby for the support of the health partners, conduct training and avail tools 2nd State Ministers of Health Coordination & Consultation Summit

  12. County Health Departments and Conditional Transfers The SMoH makes transfers, but the county does the budgeting and there is already county transfer monitoring committee chaired by the public administration and deputized by finance with SMoH as one of the members. Counties submitted their budgets directly to the SMOF ,SMoH hasn’t had a chance to review the budgets . Partners are adequately supporting the CHDs, by giving them technical support in term of training and logistics SMoF fully explained about the county transfers and how they work .Capital ,operational cost and conditional salaries transfers have been met Some CHDs have gaps to be filled e.g. K.East,K.South ,K,North and and Ikwoto. 2nd State Ministers of Health Coordination & Consultation Summit

  13. County Health Departments and Conditional Transfers The SMoH makes transfers, but the county does the budgeting and there is already county transfer monitoring committee chaired by the public administration and deputized by finance with SMoH as one of the members. Counties submitted their budgets directly to the SMOF ,SMoH hasn’t had a chance to review the budgets . Partners are adequately supporting the CHDs, by giving them technical support in term of training and logistics SMoF fully explained about the county transfers and how they work .Capital ,operational cost and conditional salaries transfers have been met Some CHDs have gaps to be filled with adequate skilled personnel e.g. K.East, K.South, K.North and and Ikwoto. 2nd State Ministers of Health Coordination & Consultation Summit

  14. NGO County Partners and Donors • County Partners are working together with the County Health Departments and SMoH. However, some partners still find difficulties in following the new approach. • Partners do conduct trainings in the CHDs e.g. leadership & management etc. • CPs prepare plans and budget with the CHD; And prepare final work-plan together. • There have been no any problems experience between the CPs and CHDs. • Construction, and major renovation of HF have not been reflected in the donor funds . However, minor rehabilitation has been reflected. 2nd State Ministers of Health Coordination & Consultation Summit

  15. Problems Faced by the State Ministry of Health • Inadequate funding. • Inadequate human resources (at all levels of the health system, in service delivery and health systems support). And aged health personnel. • Inadequate supply of essential medicines and supplies (Last cycle sent to EES was in January 2013). • Over dependence on donors and partners • Poor record keeping and reporting • Poor infrastructure e.g .HF in tukuls ,under trees, rudimentary Torit Nursing school & maternity wards in poor condition and poor road net work. In adequate staff accommodation at all levels. • No support to Katiko Referral Hospital by the national MOH. • Lack of x-ray ,blood bank, ultrasound and oxygen machine in the state hospital 2nd State Ministers of Health Coordination & Consultation Summit

  16. Suggestions, Recommendations and Innovations • MoH-RSS to increase funds for the SMoH activities . • SMoH to recruit and train more staff • The MoH-RSS to ensure regular supply of essential medicines and other medical products . • The SMoH to strengthen the M&E ,HMIS/IDSR and HRIS in the state and CHDs . • MoH/partners to avail funds for construction and rehabilitation of health infrastructure in the state • MoH/partners to avail funds for the procurement of the medical equipment for Hospitals 2nd State Ministers of Health Coordination & Consultation Summit

  17. SITUATION OF SOME HEALTH FACILTIES IN THE STATE Lacharok PHCU in Lopa/Lafon County The Hon. Minister Exits the Facility of Lacharok 2nd States Coordination and Consultation Meeting

  18. Some Situations of Health services in the state Referral condition of patient Condition of the PHCC 2nd States Coordination and Consultation Meeting

  19. END Thank you 2nd States Coordination and Consultation Meeting

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