A healthcare system is the organization of people, institutions, and resources that deliver health care
services to meet the health needs of target populations. This paper tried to guise in to the system functionality internally
The weaknesses are predominantly seen but this desperate state of affairs is down to combination of many factors. One is lack of resources in general.
The Sudan is not a wealthy country and the long-standing economic sanctions have also severely impacted the country’s ability to run a functional, robust healthcare system along with constant attrition of health professional numbers. Another reason for the recent downward spiral in healthcare provision is the economic impact after the Sudanesepost-secessioneconomydysfunctiontheonewhichhaditsstaggeringeffect from one fiscal cliff to the next.
The Sudan has under gone decentralization; however, historically, it has experienced challenges and issues in coordination between HRH policies and overall health planning, as well as difficulty in translating national level planning to all levels of a decentralized health care system. Coordination between health and education sectors has been weak, resulting in misdistribution and imbalance in the production of health workers in certain professions. The healthcare strategy enforcement, appropriate resource allocation changes and improved communication system in different level of the system components are the main pathways to accomplish the goals that need to be achieved. Recently Sudan has also achieved several goals.
The country worked with WHO along with other alliance to establish the national HRH observatory and developing a national comprehensive and evidence based HRH policy for the health sectorwithengagementofallrelatedstakeholders.Italsoaccomplishedhealth-related millennium development goals (MDG), if not reach the goal it improved in a lot of senses.
Sudan needs to work more on the strengths it has and use the opportunities available in order to improve the basic health indicators. In order to improve the current healthcare system in the Sudan, various actions may be considered. First, establishing law enforcement units in districts, SMOH, and FMOH can greatly enhance compliance to existing policies. Also, developing a communication system between all levels of policy making can allow for proper and timely decisions of continuation, amendment, or even termination of these policies. Second, it is also recommended to not only monitor the implementation of the ongoing activities and programs but to pay extra attention to the out come evaluation.
It is also encouraged to further promote the use of HIS, improve quality of data, and emphasize on importance of dissemination of findings. Third, providing medical personnel with incentives, providing fundamental infrastructures, and increasing the paramedic to physician ratio to meet the standard can potentially reduce the high attrition rate of professionals.
Lastly, upgrading the facilities of PHC delivery services and building newer units to meet new demands and population growth is recommended as well as applying a bottom up approach with major emphasis on community empowerment, disease prevention, and health promotion