SHTP II

A physician assesses a mother and children for malaria at a health center in Bujumbura, Burundi. {Photo credit: Rima Shretta/MSH.}Photo credit: Rima Shretta/MSH.

Today, April 25th, Management Sciences for Health (MSH) joins the global community marking World Malaria Day. "Sustain Gains, Save Lives: Invest in Malaria" -- the theme of this year's World Malaria Day -- recognizes this crucial juncture in the global fight against malaria.

Significant gains have been made in the last ten years; since 2000, malaria mortality rates have decreased 25 percent globally, and 33 percent in Africa. However, progress could be reversed unless malaria continues to be a priority for global, regional, and national decision-makers and donors.

Burundi, Democratic Republic of the Congo (DR Congo), South Sudan, and Uganda are among several MSH countries commemorating World Malaria Day with malaria awareness activities and events, including health talk sessions at football (soccer) games and drama activities with kids.

All key indicators for SHTP II improve from FY10 to FY11: Diphtheria, Pertussis, Tetanus, third dose (DPT3); Intermittent Preventive Therapy, second dose (IPT2); first and fourth antenatal care visits (ANC1, ANC4); skilled birth attendant (SBA) deliveries; and family planning (FP) visits.

 

All project health indicators for the second phase of the USAID-funded Sudan Health Transformation Project (SHTP II), led by Management Sciences for Health (MSH) in partnership with the International Rescue Committee, have shown improved performance over the past two years.

On the ground, this means that more people are being immunized against diseases, communities are receiving education on HIV, and lives are being improved.

Alice Gune with her son who was treated successfully for neonatal sepsis at the SHTP II-supported Kuda PHCC in South Sudan. Credit: MSH.

Shortly after delivering her baby boy at home, Alice Gune grew nervous for his health. Her baby had a high fever and was obviously uncomfortable and unhappy.

She took him to see Rose Kujang, the Maternal and Child Health Worker, during a community outreach program orchestrated by Kuda Primary Health Care Center (PHCC). Rose examined Alice’s baby and, recognizing the danger signs he presented, immediately referred her to Kuda PHCC for further diagnosing and treatment.

Nator Namunya, 6-months old, receives a vaccination in Kapoeta North County. Credit: Save the Children.

 

A version of this post originally appeared on the Save the Children website.

The healthcare system in South Sudan is struggling to get on to its feet after the devastation of over 20 years of war. The biggest killers of children in southern Sudan are malaria, diarrhea and respiratory infections. These preventable diseases can be easy to treat. But, on average, only one in four people in South Sudan are within reach of a health center. Only 3 percent of children under two in South Sudan are fully immunized against killer diseases and only 12 percent of families have a mosquito net in their home.

Latrine construction in Lologo

Walking through Lologo South, I am struck how the community here mirrors both Juba and South Sudan as a whole. Growth is explosive throughout this newly independent nation. Every day a new shop or office building breaks ground. In Lologo South, a residential community just south of Juba, thousands of new houses, fences, and animal carrels are in various states of construction. And importantly, thanks to Management Sciences for Health (MSH), there are also latrines.

In September 2010, the United States Agency for International Development (USAID)-funded, MSH-led Sudan Health Transformation Project, Phase 2 (SHTP II), in conjunction with Population Services International and the Basic Services Fund, piloted a 3-month Community Led Total Sanitation (CLTS) project to determine the most effective strategies to increase sanitary defecation methods in Southern Sudan.

Deborah Nyantiok is 56 years old and lives with her grandchildren in Kaya, near the border of Uganda. She lost her husband during Sudan’s 20-year civil war and now takes care of her grandchildren. In order to pay for food and school fees, Deborah operates a small business and keeps animals to generate income. Despite her hard work, in the past Deborah found life difficult as she and her grandchildren often fell ill.

Lacking a source of clean drinking water, residents of Kaya gather drinking water from the nearby Kaya River. While the river provides vital irrigation which makes the surrounding land lush and green, unfortunately it also carries dangerous viruses and bacteria. These pathogens cause many waterborne ailments like typhoid, diarrhea, and parasitic diseases. Deborah and her grandchildren often suffered from these diseases, and while they sought medical treatment, it always seemed only a matter of time until their suffering returned.

One of many billboards erected in Juba, South Sudan, in anticipation of Independence day on July 9th, 2011 (Erin Polich/MSH)

MSH, leader of the the USAID-funded Sudan Health Transformation Project- II, is proud to congratulate South Sudan on their independence. The following blog post discusses the impact that independence will have on South Sudan’s health system and the challenges that still lie ahead.

Sudan Health Transformation Project II (SHTP-II) Chief of Party John Rumunu comments on what independence means for health in South Sudan. SHTP-II is led Management Sciences for Health and funded by USAID.

Serafina Sabino, a Medical Assistant in Wau, South Sudan (© Dr. Edward Luka)

Thousands of civilians fled from Abyei following the crisis in May, when northern forces took control over the town. The United Nations Office for Humanitarian Affairs (UNOCHA) reports 50,600 people displaced from Abyei town are verified and registered and estimates the full number to be about 84,000 people. Most of the Internally displaced persons (IDPs) fled to nearby Northern Bahr el Ghazal and Warrap States, where many humanitarian agencies are providing assistance in high displacement areas like Agok, Turalei, and Wunrock. However, many IDPs are arriving in Wau town, several hundred kilometers south of Abyei.

South Sudan is recovering from five decades of civil war. A lack of infrastructure, human resources, and ongoing violence has ravished the country’s health services. MSH is helping the new Ministry of Health manage the transition to a national health system in the midst of renewed fighting in Abyei and as masses of people, anticipating the formation of the world’s newest country on July 9, 2011, re-enter South Sudan.

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