Title:
Factors affecting financial resources generation, pooling, allocations and purchasing for healthcare in South Sudan
Authors:
AMBAYO, Peter
Year:
2016
PAGE:
xv, 112
Language:
En
Subject:
Health and Poverty
Keywords:
Financial resources, allocation, purchasing, progressive, regressive, Health services
Abstract:
Background: The health status of South Sudan is precarious as illustrated by the following indicators: maternal mortality is 2054 per 100,000 live births (16), infant mortality is 75 deaths per 1,000 live births, under five mortality is 105 deaths per 1,000 live births, postnatal mortality of 36 per 1,000 live births and neonatal mortality of 52 per 1,000 live births (17) (18). Although South Sudan is a developing country, Studies has shown that healthcare services provided by a country to its citizens are determined by the financial resources generated, pooled, allocated, and how it's spent (1). Objective: This study has the aim to critically examine the factors affecting financial resources generation, pooling, and allocation and purchasing for health services in South Sudan and to make recommendations to improve healthcare goals. Methodology: A literature review based deductive study approach was used. All the searches were conducted through two databases of PubMed library and Google Scholar search engine. The official websites of the ministry of health, finance, South Sudan bureau of statistics, World Bank, USAID, DFID, and UN- agencies were searched manually. Results: The study found that, the healthcare system cannot generate sufficient and not sustainable. THE (in I$,PPP, per capita of $73; OOP: 39.5 I$ (PPP) = 54%; external sources of funding:30.5 I$(PPP)=42%; other sources like SHI/taxes contributes: 3 I$(PPP) = 4% (2). There is no financial risk protection mechanism to prevent 85% of the citizens from catastrophic effects of OOP. The funds pooled by GoSS to offer healthcare services free of charge for the entire population is inadequate. Socioeconomic status has huge impact on access and utilization of services despite free primary healthcare. The rich utilize more of the essential basic services (3). Conclusion: The health system of South Sudan is at a verge of collapse. In some parts of the country its dysfunctional. Once security situation improves, the Donors should support the fragile health system to recover by continuing to fund basic healthcare services, support infrastructure development, human resources for health and services delivery. UN agencies should support the MoH devise local sustainable strategies to finance through increasing fiscal space for health and gradually reducing dependence on DAH; reduced OOP to less than 20% of THE.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Health
Country:
South Sudan
Region:
Northeastern Africa
Training:
Master of Public Health / International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2016 AMBAYO
Document type:
Thesis/dissertation
File:
RSiWl50ext_2017042413542274.pdf