Republic of South Sudan

MCHIP Partners Involved Lead Organization

Jhpiego, JSI

Technical Scope

  • Maternal health
  • Family planning/reproductive health (FP/RH)
  • Expanded Program on Immunization (EPI)

Key Results

  • Contributed to the finalization of the RH Policy, Strategic Plan, and the FP Policy.
  • Assisted Ministry of Health HIV/AIDS division staff with compiling, cleaning and analyzing 2010 and 2011 counseling and testing, RH/prevention of mother-to-child transmission of HIV, antiretroviral therapy, blood safety, condoms, and sexually transmitted infections data, which enabled the division to contribute to the South Sudan 2012 Global AIDS Progress Report.
  • Participated in the multi-agency EPI review, providing leadership and guidance in close coordination with the World Health Organization and other partners. Reviewed program performance by reviewing administrative reports and data, and by making visits to review sites. Contributed to a report summarizing the EPI review findings, including recommendations to guide the comprehensive Multi-Year Plan (cMYP) and program implementation. Provided input to the South Sudan cMYP, drawing on the results of the EPI review.
  • Developed the Institutional Review Board protocol and received approval from the the Johns Hopkins School of Public Health IRB for the prevention of PPH learning phase.
  • Developed training materials for home health promoters (HHPs) and trained 260 to counsel pregnant women and their support persons on birth preparedness, complication readiness, and the correct use of misoprostol for prevention of PPH.
  • Developed training materials for health providers and trained 60 in clean and safe birth, including active management of the third stage of labor and immediate newborn care, as well as management of PPH.
  • Launched implementation of the program learning phase in Mundri East and Mvolo counties of Western Equatoria State. As of December 2012:
    • New pregnant women registered for ANC (health facility and community) – 2,441
    • Facility deliveries – 280
    • Women who received oxytocin within three minutes of delivery – 220
    • Clients who received misoprostol (ANC and home) – 485
    • Home deliveries – 354
    • Women delivered at home who took misoprostol – 344
    • Women who delivered in the presence of HHPs – 315
    • Women who returned misoprostol1 – 10
    • Women reporting any adverse effects after consuming Misoprostol – 0
    • Referrals – 0

Key Activities

  • Build capacity for FP/RH
  • Strengthen human resources in the areas of monitoring and evaluation for HIV/AIDS
  • Disseminate national EPI policies and support a national, multi-partner EPI review
  • Support a program for prevention of postpartum hemorrhage (PPH)


MCHIP Technical Summary: Integration of Service Delivery

Advance Distribution of Misoprostol for Prevention of Postpartum Hemorrhage in South Sudan

Report on the Feasibility of Measuring the iCCM Task Force Indicators through Existing Monitoring Systems in DRC, Niger, Madagascar, Senegal, South Sudan and Zambia

Article Shows Feasibility of Achieving High Uterotonic Coverage in South Sudan

Report on the Feasibility of Measuring the iCCM Task Force Indicators through Existing Monitoring Systems in DRC, Niger, Madagascar, Senegal, South Sudan and Zambia

MHTF: Integration of Essential Newborn Care into Safe Birth Programs in South Sudan

Midwife in South Sudan Champions Innovative Program to Reduce Bleeding after Birth

Select Health and Demographic Data for South Sudan
GDP per capita (USD) -
Total Population 8,200,000
Maternal Health
Maternal Mortality Ratio (deaths/100,000 live births) 2,054
Percent of maternal deaths due to HIV -
Skilled birth attendant coverage 10
Antenatal care, 4+ visits -
Newborn Health
Neonatal mortality rate (deaths/1,000 live births) 52
Infant mortality rate (deaths/1,000 live births) 102
Child Health
Under-five mortality (deaths/1,000 live births) 135
Treatment for acute respiratory infection 87.8
Oral rehydration therapy for treatment of diarrhea 63.9
Diphtheria-pertussis-tetanus vaccine coverage (3 doses) 24
Percent of districts with >80% DPT3 coverage -
DPT3 coverage equity ratio (wealthiest:poorest quintile) -
Family Planning
Modern contraceptive prevalence rate 5.7
Total fertility rate -
Vulnerable populations who slept under an insecticide-treated net (ITN) the previous night** -
Pregnant women receiving 2 doses intermittent preventive treatment for malaria -
Children with fever treated with antimalarials within 24 hours 2.6
HIV Prevalence, adult 3.1
ART coverage, adult -
Health Systems
Density of physicians (per 1,000 population) -
Density of nurses & midwives (per 1,000 population) -
Total Health Expenditure per capita (USD) -
Sources: Population, Southern Sudan Center for Census, Statistics, and Evaluation 2010; Demographic information and health systems, World Bank; MMR, newborn health, child health, DPT3 coverage, family planning, malaria, SBA, and ANC4, Southern Sudan Household Health Survey 2006; ART coverage and maternal deaths due to HIV, WHO; HIV prevalence, 2010 Sudan United Nations General Assembly Special Session Report
*Calculated from DHS data as number of pregnant women and number of children under five who slept under an ITN the previous night divided by the total number of pregnant women and children under five.