Republic of South Sudan
MCHIP Partners Involved Lead Organization
- Maternal health
- Family planning/reproductive health (FP/RH)
- Expanded Program on Immunization (EPI)
- 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
- 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)
|Select Health and Demographic Data for South Sudan|
|GDP per capita (USD)||-|
|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||-|
|Neonatal mortality rate (deaths/1,000 live births)||52|
|Infant mortality rate (deaths/1,000 live births)||102|
|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)||-|
|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||-|
|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.