IN a landmark move set to transform health service delivery across South Sudan, the Ministry of Health (MoH) and the World Health Organization (WHO) have signed the health systems strengthening output agreement under the Health Sector Transformation Project (HSTP).

This pivotal development marks the beginning of a new era aimed at enhancing healthcare access, quality, and efficiency for millions of South Sudanese citizens.

South Sudan faces immense health challenges, exacerbated by years of conflict, inadequate infrastructure, and the growing impacts of climate change. According to WHO estimates, the maternal mortality rate has surged over the past decade, reaching an alarming global high of 1 223 deaths per 100 000 live births.

Newborn and child mortality rates remain distressingly high at 64 and 99 deaths per 1 000 live births, respectively, with little improvement over the same period. These figures underscore the urgent need for a robust and unified approach to health service delivery.

The HSTP introduces a national framework for health service delivery, replacing fragmented donor-funded initiatives such as the Health Pooled Fund (HPF), the Covid-19 Emergency Response, and the Health Systems Strengthening (CERSSP) projects.

By streamlining efforts and introducing innovative strategies tailored to the country’s unique humanitarian context, the project aims to revolutionise service delivery amid persistent challenges. WHO support complements operational assistance from Unicef, focusing on building a resilient health system over its three-year lifespan.

Funded through the Health Multi-Donor Trust Fund, which includes contributions from the World Bank, Foreign, Commonwealth & Development Office (FCDO), Canada, European Union (EU), and other donors, the project is backed by a substantial $12.7 million (R239m) investment.

Dr Anin Ngot Mou, undersecretary of the Ministry of Health, highlighted the transformative potential of the initiative: “HSTP is a crucial step towards ensuring that health resources are better able to ensure our citizens have access to high-quality healthcare services.

“This signing of the health system strengthening output agreement of the project is a significant milestone as it marks the first time the Ministry of Health is leading such an extensive endeavour. We are committed to taking full responsibility and collaborating with WHO and other partners to enhance governance, broaden health services, and move towards a sustainable healthcare system.”

Dr Humphrey Karamagi, WHO Representative for South Sudan, echoed this vision, stating: “This presents an opportunity to introduce new and unique innovations that will build a resilient health system for South Sudan, which will better respond to the people’s unique challenges. The HSTP is aligned with and will significantly contribute to HSSP strategies and interventions for ensuring equal access to essential health services, strengthening health systems, and forming partnerships to achieve Universal Health Coverage.”

He added: “WHO is committed to working with all stakeholders under the leadership of the Government at all levels to support the implementation of this HSTP and support movement towards Universal Health Coverage for the people of South Sudan.”

The signing ceremony, held under the theme *“Together Towards Achieving Better Health Outcomes,”* reinforces the government’s commitment to transforming health service delivery. It symbolises a unified effort among stakeholders to address systemic issues and improve health outcomes despite ongoing humanitarian challenges.

As South Sudan embarks on this ambitious journey, the HSTP stands as a beacon of hope, promising not only immediate improvements in health service delivery but also laying the foundation for a sustainable and resilient health system for future generations.

health initiatives

South Sudan unveils bold health sector transformation project