Malaria control in South Sudan, 2006–2013: strategies, progress and challengesReport as inadecuate




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Malaria Journal

, 12:374

First Online: 27 October 2013Received: 23 August 2013Accepted: 25 October 2013

Abstract

BackgroundSouth Sudan has borne the brunt of years of chronic warfare and probably has the highest malaria burden in sub-Saharan Africa. However, effective malaria control in post-conflict settings is hampered by a multiplicity of challenges. This manuscript reports on the strategies, progress and challenges of malaria control in South Sudan and serves as an example epitome for programmes operating in similar environments and provides a window for leveraging resources.

Case descriptionTo evaluate progress and challenges of the national malaria control programme an in-depth appraisal was undertaken according to the World Health Organization standard procedures for malaria programme performance review. Methodical analysis of published and unpublished documents on malaria control in South Sudan was conducted. To ensure completeness, findings of internal thematic desk assessments were triangulated in the field and updated by external review teams.

Discussion and evaluationSouth Sudan has strived to make progress in implementing the WHO recommended malaria control interventions as set out in the 2006–2013 National Malaria Strategic Plan. The country has faced enormous programmatic constraints including infrastructure, human and financial resource and a weak health system compounded by an increasing number of refugees, returnees and internally displaced people. The findings present a platform on which to tailor an evidence-based 2014–2018 national malaria strategic plan for the country and a unique opportunity for providing a model for countries in a post-conflict situation.

ConclusionsThe prospects for effective malaria control and elimination are huge in South Sudan. Nevertheless, strengthened coordination, infrastructure and human resource capacity, monitoring and evaluation are required. To achieve all this, allocation of adequate local funding would be critical.

KeywordsMalaria control Policy and strategy Collaboration Capacity building Monitoring and evaluation AbbreviationsACTArtemisinin-based combination therapy

ASArtesunate

AQAmodiaquine

CESCentral equatoria state

CPAComprehensive peace agreement

DHISDemographic health information survey

EESEastern equatoria state

EPIExpanded programme for immunization

FBOFaith-based organizations

GoSSGovernment of southern Sudan

HMMHome management of malaria

HMISHealth management information system

HRP-2Histidine rich protein-2

HSDPHealth sector development plan

HSSPHealth sector strategic plan

ICCMIntegrated community case management

IDSRIntegrated disease surveillance response

IMCIIntegrated management of childhood infections

IMAInterchurch medical assistance

IOMInternational organization for migration

IPTIntermittent preventive treatment

IRSIndoor residual spraying

LLINsLong-lasting insecticidal nets

MDGsMillennium development goals

MIPMalaria in pregnancy

MISMalaria indicator survey

MoHMinistry of health

MPRMalaria programme review

MSFMédecins Sans Frontières

NBeGNorthern Bahr el Ghazal

NGOsNon-governmental organizations

NMCPNational malaria control programme

OPDOut-patient department

PHCCPrimary health care centre

PSMProcurement and supply chain management

RBMRoll back malaria

RDTsRapid diagnostic tests

RSSRepublic of south Sudan

SHHSSudan house hold survey

SPSulpadoxine-pyrimethamine

UNICEFUnited nations international children emergence fund

UNSUnity state

USAIDUnited States agency for international development

WBeGWestern Bahr el Ghazal

WESWestern Equatoria state

WHOWorld health organization

WRPWarrap state.

Electronic supplementary materialThe online version of this article doi:10.1186-1475-2875-12-374 contains supplementary material, which is available to authorized users.

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Author: Harriet Pasquale - Martina Jarvese - Ahmed Julla - Constantino Doggale - Bakhit Sebit - Mark Y Lual - Samson P Baba - Emm

Source: https://link.springer.com/



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