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Health Sector Transformation Project – Jonglei State – Pigi County

The Jonglei State project is planned for the duration between July 1st 2024 and June 30th 2025 in the geographical area of Panyikang.

The South Sudan government has expressed a commitment to enhancing the health and well-being of its citizens, as evidenced by the National Health Sector Strategic Plan (HSSP) 2023-2027. This plan envisions a healthy and productive population living dignified lives, aligning with the global Sustainable Development Goals (SDGs) and their specific health targets. The program aims to improve maternal and child health outcomes and bridge the existing gaps in healthcare services. It will contribute to the government’s vision of strengthening the national health system and enhancing service delivery while ensuring mothers and children have access to quality healthcare, vaccinations, nutrition, clean water, and sanitation.

This project will be implemented in line with national priorities and policies as set out in the National Health Policy 2016-2026 namely: Improving access to and utilization of essential lifesaving healthcare services by all people in need; Developing essential health infrastructure to ensure quality and safety of health services delivery; Scaling up production, and strengthening CHD management and development of the human resources; Ensuring that by 2025, Children under five years and pregnant women use more equitable and better quality essential maternal, newborn and child health services.

This project will provide low-cost, high impact Integrated essential health and nutrition services through Hospital, PHCCs and PHCUs, and complemented with integrated Boma Health Initiative (BHI) mobile services for isolated populations targeting the three leading causes of morbidity (Malaria, AWD, and Pneumonia) as well as the safe motherhood component to bolster community resilience. Boma Health workers will ensure that the communities have health services at the community level, improving referral pathways to access health services and improving social behaviour change communication that will eventually lead to improved health-seeking behaviours. This project will be implemented in close collaboration and coordination with the State and County Health Department.

COSEDA will ensure that health service delivery in Pigi County is achieved through the delivery of integrated health services in the primary health care centres and the primary health care units. The project will support I PHCC and 5 PHCUs COSEDA’s mission is to ensure that by 2027, young girls and boys under the age of five, adolescent girls, and women of reproductive age in South Sudan will experience improved and equitable access to high-quality health services and embrace appropriate health-related behaviours. This initiative aims to decrease maternal and under-five mortalities by extending the reach and availability of standardized primary healthcare services through an integrated service delivery model that prioritizes people, offers comprehensive care; and is continuous.

Project Outputs include;

  1. Improved capacity of frontline health and community workers to provide flexible, integrated services for managing common childhood illnesses in young children in Pigi county.
  2. Improved access to quality maternal and child health services, including antenatal care, safe delivery practices, and essential care for pregnant women, adolescent girls, newborns, and infants
  3. The government and other partners have increased capacity to deliver routine and supplementary immunization and respond to disease outbreaks.
  4. Increased access to an integrated package of health and nutrition services for host communities.

COSEDA will provide the following service packages to achieve these outputs: Child Health Services, Maternal and Neonatal Health Services, Basic Obstetric and Newborn Care and Comprehensive Emergency Obstetric and Newborn Care, Sexual and Gender-Based Violence Services, Distribution of medical supplies to health facilities.

The project will provide services through both community and clinical consultations for both curative and preventive services. The project will work jointly with the State Ministry of Health (SMOH) to raise the capacity of the CHDs to provide support to HFs and staff in the respective counties. Capacity development of the CHDs will focus on their critical functions of planning, supporting implementation, monitoring, Integrated Disease Surveillance Response (IDSR) and Early Warning Alert and Response (EWARS) systems. The capacity development approach will involve training, improving office infrastructure, equipment, mobility and supportive supervision. Support to HFs will be through the provision of essential drugs supplied through UNICEF in a manner that will ensure no stockouts within the targeted HFs as well as minimum standards and enabling environments for the provision of integrated health services including maintenance, operations, cleanliness, security, sanitation, and hygiene and social safeguards.

©CHD/Pochalla – 004/Omot Okello and Simon Ojullu, students in Ethiopia, come from an isolated area between South Sudan and Ethiopia, receive their first dose in Pochalla (South Sudan).

The program will employ several innovative approaches, to improve quality of services, effectiveness, and expanding access to healthcare services. including: Community-Based Services: Leveraging Community Health Workers: By engaging and leveraging community health workers, COSEDA is extending healthcare services to the grassroots level; Mobile Health (mHealth) Applications: Supporting Data Collection and Communication: COSEDA will employ mobile health applications (mHeaIth) designed for healthcare workers and community health volunteers; Data-Driven Decision-Making: Implementing Robust Data Systems: The program’s emphasis on data-driven decision-making involves the establishment of a robust data system for informed adjustments, ensuring that the program remains effective and responsive; Capacity Building: Enhancing Skills and Knowledge: COSEDA recognizes the importance of enhancing the skills and knowledge of healthcare providers and community health workers.

COSEDA’s program is designed in collaboration and engagement with various partners to achieve its objectives. These partners play integral roles in program implementation. Under this project COSEDA intends to work in close collaboration with MOH, SM0H, CHDs, UNICEF, UNFPA, WHO, Health Cluster, NNGOs, NGOs, CBOs, FBOs and community members.

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