2024-05-07-世界卫生组织-South_Sudan_Polio_Transition_Snapshot_3页_713kb

Polio Transition Summary for South Sudan

Background

South Sudan has been wild polio-free since 2009 but remains vulnerable to cVDPV outbreaks and other vaccine-preventable diseases due to a fragile health system, frequent measles outbreaks, and ongoing humanitarian crisis. Key demographics include a 2022 population of 10.9 million, with high infant and under-5 mortality rates. Financial indicators show a GDP per capita of $1071.8 in 2022, and the Universal Health Coverage Index of 34 in 2021.

History and Transition Objectives

The country's polio transition began with the 2018 National Transition Plan, superseded by the 2021 Addendum. The aims are to transition polio functions (essential immunization, disease surveillance, emergency preparedness) to the national health system, specifically under the Boma Health Initiative, which focuses on integrated community-based services. This transition leverages lessons from polio eradication, including twelve best practices like strong surveillance and community involvement.

Journey to Transition

Currently, polio functions are funded by the Global Polio Eradication Initiative, aiding broader health efforts like COVID-19 response and vaccination. The transition seeks integration into the national system for long-term sustainability, with financial sustainability goals ensuring quality maintenance through government ownership and stakeholder engagement.

Monitoring and Evaluation

The WHO Polio Transition Monitoring and Evaluation framework uses indicators to track performance in polio essential functions and transition process, guiding decision-making. Data can be accessed via WHO's polio transition programme.

Risks and Challenges

Ongoing challenges include the complex humanitarian situation, low immunization rates, geographic access issues, and difficulties in building national capacity for absorption and financing. Implementation has been hampered by competing priorities and the crisis.

Next Steps

Priorities are mobilizing resources, building national health system capacity, and ensuring sustainable integration to achieve polio-free status and contribute to broader health systems strengthening.