ArticleBMJ open2015
Feasibility of health systems strengthening in South Sudan: a qualitative study of international practitioner perspectives.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 46 citations in OpenAlex.
- Strengthening Libya's primary healthcare workforce: a replicable model for health system resilience in fragile states.BMC primary care · 2026Article
- Assessing retention of pandemic capacities from COVID-19 in humanitarian settings: A cross-sectional retrospective study of health workers in Honduras, Syria, and South Sudan.PLOS global public health · 2026Article
- Community-based maternal and perinatal death surveillance and response: a comparative case study of implementation realities from humanitarian contexts.BMC public health · 2025Article
- Maternal sepsis and other maternal infections: Global Burden from 1990 to 2021.BMC pregnancy and childbirth · 2025Article
- Article
- Decision-making for childhood vaccination in crisis settings: a survey of practice & barriers.Conflict and health · 2024Article
- Assessment of prices, availability and affordability of essential medicines in Juba County, South Sudan.Journal of pharmaceutical policy and practice · 2023Article
- Health system evaluation in conflict-affected countries: a scoping review of approaches and methods.Conflict and health · 2023Article
- Bridging the humanitarian-development divide in a protracted crisis: a case study of the use of a central plant to supply oxygen for COVID-19 case management in South Sudan.Frontiers in public health · 2023Article
- "Midwives are heroes of the country": qualitative evaluation of a midwifery education program in South Sudan.Frontiers in global women's health · 2023Article
- Health services supervision in a protracted crisis: a qualitative study into supportive supervision practices in South Sudan.BMC health services research · 2022Article
- Factors influencing severity of recurrent malaria in a conflict-affected state of South Sudan: an unmatched case-control study.Conflict and health · 2022Article
- Exploring female frontline health workers' role and capacities in COVID-19 response in India.International journal of disaster risk reduction : IJDRR · 2022Article
- How can humanitarian services provision during mass displacement better support health systems? An exploratory qualitative study of humanitarian service provider perspectives in Cox's Bazar, Bangladesh.Journal of migration and health · 2022Article
- South Sudan's road to universal health coverage: a slow but steady journey.The Pan African medical journal · 2022Article
- Use of mobile medical teams to fill critical gaps in health service delivery in complex humanitarian settings, 2017-2020: a case study of South Sudan.The Pan African medical journal · 2022Review
- Health priority-setting for official development assistance in low-income and middle-income countries: a Best Fit Framework Synthesis study with primary data from Ethiopia, Nigeria and Tanzania.BMC public health · 2021Article
- An exploratory study of the barriers and facilitators to the implementation of community health worker programmes in conflict-affected South Sudan.Conflict and health · 2021Article
- Lessons learned from implementation of a national hotline for Ebola virus disease emergency preparedness in South Sudan.Conflict and health · 2021Article
- Quality in crisis: a systematic review of the quality of health systems in humanitarian settings.Conflict and health · 2021Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the feasibility of health systems strengthening from the perspective of international healthcare implementers and donors in South Sudan.
designA qualitative interview study, with thematic analysis using the WHO health system building blocks framework.
settingSouth Sudan.
participants17 health system practitioners, working for international agencies in South Sudan, were purposively sampled for their knowledge and experiences of health systems strengthening, services delivery, health policy and politics in South Sudan.
resultsParticipants universally reported the health workforce as insufficient and of low capacity and service delivery as poor, while access to medicines was restricted by governmental lack of commitment in undertaking procurement and supply. However, progress was clear in improved county health department governance, health management information system functionality, increased health worker salary harmonisation and strengthened financial management.
conclusionsResurgent conflict and political tensions have negatively impacted all health system components and maintaining or continuing health system strengthening has become extremely challenging. A coordinated approach to balancing humanitarian need particularly in conflict-affected areas, with longer term development is required so as not to lose improvements gained.
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