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East Tonj Project

The project geographical coverage is Tonj East and the project date will be as from July 1st 2024 and end on June 30th 2025.

In South Sudan, maternal and child health outcomes are among the poorest globally, with severe consequences for both mothers and children. The maternal mortality rate (MMR) remains one of the world’s highest at more than I ,223 deaths per 100,000 live births (due mostly to postpartum hemorrhage (16 per cent of cases), obstructed/prolonged labor (13,3 per cent) and antepartum hemorrhage (12.9 per cent). Neonatal and child mortality rates remain alarmingly high, with 40% of under-five deaths occurring within the first month of life. The causes of these high mortality rates are multifaceted and include complications during pregnancy, childbirth, and the immediate postnatal period, as well as inadequate access to essential healthcare services and interventions

The implementation of this project is expected to address some of the key barriers to health care in Tonj East. Through Co-location and integration of COSEDA staff at the SM0H and CHD, will be direct transfer of   skills and knowledge while building local capacity for sustainability. The SM0H and CHD led planning, joint monitoring and evaluation would improve efficiency, effectiveness of fund utilization, consolidate management and monitoring the intervention will also take advantage of the immense COSEDA experience, expertise and strategies gained from COVID-19 direct implementation through the CHDs in 18 counties across South Sudan.  COSEDA effectively supported planning and last mile delivery of vaccines and supplies, strengthened monitoring, and consistent supervision.

COSEDA’s integrated approach combines strengthening the healthcare system, enhancing maternal and child health services, increasing immunization coverage, and addressing malnutrition. COSEDA aims to enhance the availability of high-quality, life-saving primary and secondary healthcare services for the most vulnerable populations, with a specific focus on women and children. This effort seeks to decrease child and maternal mortality rates in Tonj East County. The Basic Package of Health and Nutrition integrated services will be delivered through the hospitals, Primary Health Care Centers (PI-ICCs), Primary Health Care Units (PHCUs), hospitals, and Boma Health Initiative (BHI- Government Community Health Strategy) structures. These comprehensive life-saving        services encompass child health care, matemal and neonatal health care, basic essential obstetric and newborn care (BEmONC), comprehensive emergency obstetric and newborn care (CEmOC), services addressing sexual and gender-based violence, distribution of UNICEF supplied essential medicines and supplies, disease surveillance, outbreak response, and quality enhancement and supervision.

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 experience improved and equitable access to high-quality health services and embrace appropriate health-related behaviors.

Project Outputs include:

  1. improved Capacity of Frontline Health and Community Workers to provide flexible, integrated services for the management of common childhood illnesses to young children in Tonj East 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 in Tonj East County
  3. Government and other partners have increased capacity to deliver routine and supplementary immunization and respond to disease outbreaks.

COSEDA not only aims to address immediate healthcare needs but also seeks to contribute to the long-term sustainability of efforts and the strengthening of the public health system as noted below:  Strengthening Service Delivery Platforms and Coordination Mechanisms: The project places a strong emphasis on enhancing service delivery platforms and improving coordination mechanisms within the public health system. This ensures that services are efficiently delivered and that resources are effectively utilized.

Human Resources tör Health: COSEDA will focus on strengthening the human resources for health by providing training to service providers. This training encompasses clinical aspects, management, and reporting, equipping healthcare professionals with the skills and knowledge needed to provide high-quality healthcare services.

Capacity Building of County Health Departments (CHD): To ensure sustainability at the county health department level, the project will focus on enhancing the capacity of CHDs. This includes activities such as joint planning and coordination, data management, and supportive supervision to improve the effectiveness of the CHDs.

COSEDA is committed to addressing barriers to participation and accessibility to services by implementing various measures to ensure equal opportunity and non-discrimination. By prioritizing gender considerations in project implementation, COSEDA seeks to create a healthcare environment that is not only accessible but also responsive to the unique needs and challenges faced by women. This approach contributes to the promotion of gender equality and the improvement of matemal and reproductive health services utilization among women in the target communities.

COSEDA has a flexible modality to work in consortium with INGOs and NNGOs to implement the HSTP across the 18 counties where it has a comparative advantage of having worked successfully    to implement the COVID-19 Emergency, Preparedness & Response Project through the CHDs, SMOH, NGOs and communities.

©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).
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