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Upper Nile State Ministry of Health

Upper Nile State Ministry of Health. 2 nd South Sudan Health Sector Meeting 4 th to 7 th December 2013 By:- Peter Oga njwok Attilio. Contents. Introduction and Overview of State Health Indicators Health Management Information System and Integrated Disease Surveillance and Response

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Upper Nile State Ministry of Health

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  1. Upper Nile StateMinistry of Health 2nd South Sudan Health Sector Meeting 4th to 7th December 2013 By:- Peter Oganjwok Attilio

  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 South Sudan Health Sector Summit

  3. Introduction and Overview of State • Upper Nile State is one of the 10 States of the Republic of South Sudan. The state is located in the north-east part of the Country, and shares international borders with the Republic of Sudan to the north-west and Ethiopia to the east. It has inter state borders with Jonglei to the south and Unity to the west. 2nd South Sudan Health Sector Summit

  4. Introduction and Overview Cont. The state has 13 administrative Counties, 88 Payams and 267 Bomas. Movement to the counties by road is limited to dry season due to rains. However, most of the population live along river Nile and its tributaries and are accessible through out the year by boats and river barges.

  5. Health Indicators 2nd South Sudan Health Sector Summit

  6. Health Management Information System / Integrated Disease Surveillance & Response HMIS reporting has improved. Out of 146 H/Fs, 125 H/Fs reported regularly i.e. 85% completeness • IDSR improved. 8 Counties:Makal, Ulang, Bailiet,Nasir Maiwut, Mellut, Manyo, Akoka scored 100% completeness of reports. • 7 Counties:- Ulang, Bailiet, Maiwut, Longochuk, Mellut, Manyo and Panyikang scored 100% timeliness of reports. • 202 health workers were trained on IDSR since Feb to August 2013. 2nd South Sudan Health Sector Summit

  7. Health Facilities and Human Resources Total Manpower in the Countues 2nd South Sudan Health Sector Summit

  8. Gaps in Facilities and Workforce Comments:- There are only 4 doctors in 3 county hospitals, 237 enrolled nurses, 52 Enrolled midwives, 82 community health workers and 50 community midwives/TBAS all in H/Fs. 2nd South Sudan Health Sector Summit

  9. South Sudan Electronic Payroll System & Human Resource Information System South Sudan Electronic Payroll system is being used for state & Counties HRIS has been introduced and mapping is ongoing and almost complete for H/Fs & HR. Salaries of all Counties are separate from that of the state There is staff turn over especially doctors and public health officers who have joined oil companies. 2nd South Sudan Health Sector Summit

  10. Pharmaceuticals and Medical Supplies There is shortage drugs in some facilities IMA supplied drugs in June and are now distributing to 5 Counties. WHO, UNCEF and LA in the Counties, Pharmacy Assistant with help of medical store keepers are responsible We only appeal to partners to help. WHO, UNICEF, UNPA and INGOs working in the Counties Apart from government drug supply INBOs should always budget for drug supply to fill the gap. 2nd South Sudan Health Sector Summit

  11. County Health Departments and Conditional Transfers An amount of 457,863 SSPs is being transferred monthly to 12 Counties of Upper Nile State as salaries of health employees In 2013/2014, a sum 6,206, 788 SSPs has been proposed for Counties: 1-Operating transfer = 2,915.643 SSPs 2- Capital transfer = 3;291,145 SSPs 2nd South Sudan Health Sector Summit

  12. NGO County Partners and Donors • Yes • Yes, but some have not conducted any trainings. • No budgeting together. • Inaccurate data issues. • Operation services budget needs to be reviewed because referral is very expensive for some counties. 2nd South Sudan Health Sector Summit

  13. Problems Faced by the State Ministry of Health • Inadequate number of medical and other health professionals at state and County level. • Inadequate number of vehicles for the HQs and the Counties. • Suspension of conditional transfer for services since September 2013. • Closure of Health Science Institute for clinical officers. 2nd South Sudan Health Sector Summit

  14. Suggestions, Recommendations and Innovations • Attract/motivate health cadres by providing them with accommodation and conducive atmosphere etc.. to work in the State and Counties. • Provide vehicle for each County in phases and provide 2 vehicles for SMOH HQs for supervision and health campaigns. • Training of health personnel. 2nd South Sudan Health Sector Summit

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