OBJECTIVE To explore the feasibility of health systems strengthening from the perspective of international healthcare implementers and donors in South Sudan. DESIGN A qualitative interview study, with thematic analysis using the WHO health system building blocks framework. SETTING South Sudan. PARTICIPANTS 17 health system practitioners, working for international agencies in South Sudan, ...

Resistance of falciparum malaria to chloroquine (CQ) has gradually emerged in the late 1970s, reaching unacceptably high proportions over the following three decades of use as frst line treatment in Sudan. By 2004-2006 CQ was replaced by artemisinin-based combination treatment (ACTs), with combination of sulfadoxine-pyrimethamine (SP) and artesunate (AS) deployed as frst-line drug against falci...

Dracunculiasis (Guinea worm disease) is caused by Dracunculus medinensis, a parasitic worm. Approximately 1 year after a person acquires infection from contaminated drinking water, the worm will emerge through the skin, usually on the lower limb. Pain and secondary bacterial infection can cause temporary or permanent disability that disrupts work and schooling. In 1986, the World Health Assembl...

Cattle raiding, a longstanding practice among pastoralists in South Sudan, was historically governed by cultural authorities and ritual prohibitions. However, after decades of on-and-off integration into armed forces, raiders are now heavily armed, and military-style attacks claim dozens if not hundreds of lives at a time. Beginning with the emergence of the infamous Lou Nuer “White Army” in th...

Aim: The survey was carried out to detect antiC. burnetii antibodies in goat's sera samples in eight States in the Sudan during September 2010 – July 2011. Materials and Methods: In a preliminary study, four hundred and sixty caprine sera samples collected from eight States in the Sudan were screened for antiCoxiella burnetii (the causative agent of Q fever) antibodies using a commercial indire...

As a result of armed civil conflict in South Sudan that started in mid-December of 2013, an estimated 1.1 million persons were internally displaced, and approximately 400,000 refugees fled South Sudan to neighboring countries (primarily to Ethiopia, Uganda, Sudan, and Kenya). Refugees from South Sudan arriving in Ethiopia are sheltered in three refugee camps located in Gambella region: Leitchuo...

1 Research and Development Department, HealthNet TPO, Amsterdam, the Netherlands, 2 Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, United Kingdom, 3 Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America, 4 HealthNet TPO South Sudan, Wau, South Sudan, 5 APRODEM-Girizina, Bujumbura, Bur...

This paper proposes a new chronology for the burial complex at Jebel Moya, south-central Sudan. It reassesses the body of evidence from Sir Henry Wellcome's original 1911-1914 excavations in order to place the site within a firm chronological framework by: (a) applying an attribute-based approach to discern discrete pottery assemblages; and (b) applying initial OSL dates to facilitate the relia...

This was supposed to be a year of transition for South Sudan’s health system. After last July’s independence, the country—shored up by international donors—was set to move away from emergency response and toward post-confl ict health system development. But the government’s decision to turn off the country’s oil production—and with it 98% of the national revenue—over a pricing feud with Sudan, ...