Integrated Health Services
Strategic objective is to increase access to integrated health care services for children, women and men in counties of focus by 30% by 2026.
AFOD efforts towards improving the health services in South Sudan are informed by the country’s poor state of health services. The key issues in the South Sudan Health Sector include; A double burden of communicable and non-communicable diseases; Low access to and coverage of basic health care services especially in hard-to-reach communities due to capacity gaps; Inadequate and inequitable distributed human resources, both technical and administrative, from the national to the state, county, and Payam levels; Inadequate financial and material resources to increase access to and coverage of services; Unequal distribution of health services with an urban bias; to the disadvantage of rural communities; Frequent shortages of drugs in public hospitals and pharmacies coupled with non-affordability of medicines from private pharmacies by the vast majority of the populace and Weak health management and administrative support systems including system-wide planning, monitoring and evaluation systems.
The strategic intervention areas under this program component include:
- Promoting Reproductive health
- Improving Maternal Child health
- Improve on Immunization coverage.
- IMCI/ICCM Program
- Control of communicable Diseases (malaria, HIV/AIDs and Tuberculosis control)
- Neglected Tropical Diseases Control
- Improve access to eye Care services.
- Improving access to Mental health services
Strategic Objective: To increase access to integrated health promotion, disease prevention, and curative services for children, women, and men in counties of focus.
- Build the capacity of boys and girls on reproductive health.
- Support rehabilitation of PHC facilities to create space for service.
- Build the capacity of health workers to provide quality integrated MCH services.
- Support advocacy and community education on RH using locally appropriate media.
- Strength community referral systems through provision of transport and communication equipment.
- Support integrated MCH out-reaches services.
- Support state and county health departments to conduct quarterly support supervision.
- Strengthen the capacity of county health departments to undertake RCH data collection, analysis, dissemination and use, including operational Research.
Child Health Subcomponent
Strategic Objective: Increased access to and demand for quality child health services in the counties of focus.
Expanded programme on immunization.
- Support micro-planning meetings for EPI at national and state campaigns at the county.
- Provide support for the distribution of vaccines, cold chain supplies, and maintenance of cold chain.
- Support community advocacy campaigns and awareness creation to improve vaccination coverage.
- Provide support to integrated EPI outreach and mobile services to hard-to-reach.
- Production and distribution of IEC materials for
- Support supervision and monitoring of immunization.
- Support data management, quarterly and annual reviews of immunization program performance at county and state
- Support for EPI operations.
IMCI/IC CM Program subcomponent
Strategic objective. Increase children’s access to treatment against malaria, pneumonia and diarrhea within 24 hours of disease onset.
- Build the capacity of health service providers in IMCI /ICCM service.
- Support production and dissemination of IEC/BCC materials and messages
- Support integrated community clinical outreaches.
- Facilitate Quarterly support, mentorship and supervision of IMCI services.
- Support quarterly IMCI review meetings.
- Support training on HMIS and data management for health
Control of communicable Diseases Program component
Strategic objective: To reduce the prevalence and incidence of communicable diseases, especially Malaria, HIV and Tuberculosis within the communities.
HIV/AIDS Control Health Program
Strategic Sub-objective: To increase access to and demand for HIV/AID prevention, treatment, care, and support services.
Malaria sub programme
Strategies and activities
- Build capacity of facility and community-based health workers in case management of malaria disease.
- Strengthen capacity of laboratory staff in malaria diagnosis using microscopy and RDTs
- Build the capacity of Boma Health Teams (BHT) on home-based management of fever.
- Facilitate Community Volunteers/VHTs with supplies for home-based management of fever.
- Support community mobilization and education on malaria prevention
- Support other malaria prevention interventions e.g., IPT at MCH clinics, IRS.
- Support integrated support supervision of malaria control services.
- Facilitate Operational Research on Malaria.
- Support County health departments in weekly reporting and monitoring of cases of fever.
HIV/AIDS control Health Program
Strategic Sub objective: To increase access to and demand for HIV/AID prevention, treatment, care and support services.
Strategies and activities
- Facilitate community dialogue meetings on HIV/AIDS prevention.
- Support community mobilization on HIV/AIDS to create awareness and demand for services.
- Build capacity of health workers on HIV counseling and testing skills
- Provide community HIV services including HTS, ART delivery, EID and VL testing services.
- Support capacity building of health workers and provide mentorship in Option B+ service delivery.
- Support MOH/CHD to to manage HIV/TB program.
- Build the capacity of health workers on integrated HIV/AIDS and TB collaborative treatment and care.
- Establish & support activities of mother-to-mother support groups for PMTCT/MNH
- Support distribution of HIV/AIDS
- Support state and county coordination mechanisms to monitor HIV/AIDS
- Support tracing of clients on ART who interrupt ART treatment.
- Provide community adherence counselling services for clients with high VL.
- Support HIV/A and TB reporting using DHIS2.
Tuberculosis control program
Strategic objective 1.3.3. To increase access to and utilization of quality community-based TB control services in counties of focus.
Strategies and activities
- Strengthen capacity of health workers in CB DOTs
- Build capacity of community volunteers in CB DOTs
- Support community education and mobilization on TB control
- Support follow up and defaulter tracing in the community.
- Support supervision and monitoring of TB services.
- Support referral, surveillance and reporting
- Support quarterly and annual reviews on TB services
- Facilitate Production and distribution of IEC materials for TB control.
- Facilitate procurement of essential equipment and supplies for TB control.
- Support Operational Research on TB to determine its prevalence in communities.
Neglected Tropical Diseases Control
Strategic objective: To increase access to and utilization of services for prevention and control of endemic neglected tropical diseases.
Strategies and activities
- Support Advocacy and communication activities to create awareness on NTDs
- Build capacity of care givers to detect and treat NTDs
- Support provision of logistics and supplies for case detection and management
- Support integrated NTD outreaches and mobile clinics
- Support community vitamin A supplementation and de-worming for children
- Support supervision, coaching and mentorships for quality assurance.
- Strengthen NTD strategic information.
Eye care services Program subcomponent:
Strategic objective: To increase access to facility and community-based eye health care services for children, women and men in programme areas.
Strategic interventions
- Advocate for and create awareness among stakeholders and communities on the types and causes of eye diseases and promotion of eye
- Support Community based mass campaigns for antibiotics for trachoma and prevention commodities and provision of lenses
- Build capacity of schoolteachers in visual acuity testing and referral and outreach mass testing in schools to detect children suffering from refraction.
- Support for policy and guidelines development for eye care service delivery.
- Support provision and delivery of essential eye care commodities;
- Facilitate community eye care and surgical camps for hard-to-reach communities;
- Support capacity building for eye care workers and community eye care volunteers/networks.
- Provide psychosocial support counseling for the blind and their families including;
- Identification and referral of treatable blindness including cataract and corneal opacities or
- Facilitate treatment and management of eye cases at facility and community
- Strengthen coordination and planning for eye care services at county and state
- Support operational research on eye care to guide program design and interventions.
Mental Health program component
Strategic objective: To increase access to facility and community based mental health services for children, women and men in counties of focus in South Sudan.
Strategies and activities
- Support for policy and guideline development for mental health;
- Advocate for and create awareness among stakeholders and communities on mental disorders and their manifestations.
- Support provision and delivery of essential mental health
- Support capacity building for mental health workers and community mental health volunteers/networks.
- Provide psychosocial support counselling for the mentally ill and their families including workplace and off-workplace counselling for youths and adults;
- Strengthen identification systems and referral of children with mental disorders for care in support centres
- Strengthen systems for identification and treatment of epileptic cases;
- Strengthen coordination and planning for mental health initiatives
- Support conduct of operational research on mental health to guide program.