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Totalpopulation,2022:

10.9million

Birthrate(per1000people),2021:29

Infantmortalityrate(per1000livebirths),2021:64

Poliotransitioninasnapshot:SouthSudan

©WHO/Motherlandproductions

Background

FINANCIALS2

DEMOGRAPHICS1

GDPpercapita,2022:

US$1071.8

UniversalHealthCoverageIndex,

2021:34

Under-5mortalityrate(per1000

livebirths),2021:99

KEYRESOURCES

•RepublicofSouthSudanAddendumforPolioTransition,June2021

•SouthSudanNationalTransitionPlan,2018

•AfricaRegionalStrategicPlanforPolioTransition

1WorldBankData(

/

)

2WorldBankData(

/

)

WHOPoliotransitioninasnapshot:SouthSudan1

©WHO/Motherlandproductions

HistoryofpolioeradicationandtransitioninSouthSudan

TheRepublicofSouthSudanhasbeenwildpolio-freesince2009.However,thecountryexperiencessporadicoutbreaksofcVDPVandisconsideredvulnerabletofurtheroutbreaksorimportations.Thehealthsystemisfragile,withfrequentoutbreaksofmeaslesandothervaccine-preventablediseasespointingtosubnationalimmunizationgaps.Theongoinghumanitariancrisisinthecountryhasfurtherimpactedaccesstohealthcare.

SouthSudandevelopedatransitionplantocovertheperiod2018–2022,whichwassupersededbytheRepublicofSouthSudanAddendumforPolioTransitionin2021.ThefocusoftheaddendumistosustainthecriticalfunctionscurrentlysupportedbytheGlobalPolioEradicationInitiativewithinthenationalhealthsystem,namelyessentialimmunization,diseasesurveillanceandemergencypreparednessandresponse,aswellascommunicationsfordevelopment.

PoliotransitioninSouthSudan

Objectives

TheoverallaimoftheGovernmentofSouthSudanistosuccessfullytransitionpolioprogrammeknowledge,infrastructureandassetstobepartofthenationalhealthsystem.TheRepublicofSouthSudanAddendumforPolioTransition,June2021,includescommitmentsto

governmentownershipofpoliofunctions,thefullengagementofabroadrangeofstakeholdersincludingdonorsandcivilsociety,andbalancingpoliotransitionwithafocusoninterruptingandclosingpoliooutbreaks.

Specifically,thetransitionplanaddendumsetsouttheintentiontotransitionpoliofunctionsundertheBomaHealthInitiative.TheBomaHealthInitiativeisanationwidestrategytoimproveaccesstoessentialhealthservices,launchedin2017.Itaimstodeliveranintegratedpackageofhealthpromotionanddiseasepreventionactivitiestocommunities,combiningacomprehensivecommunitysurveillancesystemalongsideprogrammingrelatedtocommunicablediseasesandmaternalandchildhealth.

WHOPoliotransitioninasnapshot:SouthSudan2

Journeytotransition

PolioeradicationpersonnelhavelongcontributedtobroaderhealthsystemsstrengtheninginSouthSudan.TheircontributionsincludeprovidinginitialemergencyresponsetoCOVID-193,supportingCOVID-19vaccination4,andrespondingtooutbreaksofothervaccine-preventablediseases.TheplantotransitionundertheBomaHealthInitiativeisintendedtoenableintegrationwithbroaderSouthSudanhealthcarepriorities.Inparticular,theinitiativehasafocusonprovidinghealthcaretohard-to-reachandunderservedpopulations,astrengthofthepolioeradicationprogramme.

Toensurethatlessonslearnedarenotlost,thecountryhasidentifiedtwelvebestpracticesfromthepolioeradicationprogrammeinSouthSudan,includingmaintainingmobiledatamanagementsystems,utilizingkeycommunityinformationstructurestostrengthencommunity-basedsurveillanceforAcuteFlaccidParalysis,integratedservicedeliveryofpoliovaccinealongsideinterventionssuchasde-wormingmedication,useoftransitvaccinationpoints,robustmonitoringandevaluation,andsustainingstrongadvocacyandpoliticalsupport.Thesebestpracticesmayhaveapplicabilitytootherhealthinitiatives.

Sincethepoliotransitionaddendumwasdevelopedin2021,implementationhasbeenchallengingduetocompetingprioritiesandtheongoinghumanitariancrisis.Asof2024,theWHOpolioeradicationprogrammecontinuestomanagepoliofunctionstoensurethatthesearesustainedatthenecessarysensitivityandquality.

Financialsustainability

PoliofunctionsarecurrentlysupportedbytheGlobalPolioEradicationInitiative.Inthelongerterm,itisvitalthatsustainablefinancingissecuredtoenablefunctionstobeintegratedwithinWHO,andeventuallytransitionedtothenationalhealthsystem.ThisisimportanttokeepSouthSudanpolio-freeandcontributetobroaderhealthsystemsstrengthening.

Monitoringandevaluation

TheglobalPolioTransitionMonitoringandEvaluationframeworkconsistsoftwosetsofindicatorstomeasurehealthsystemperformanceinrelationtothepolioessentialfunctions,andthepoliotransitionprocess.Theframeworkaimstoguidedecision-making,facilitateprogress,andenablethemonitoringofthequalityofperformanceofthepolioessentialfunctions.

ThedatasetsrelatedtoSouthSudancanbeaccessedat

https://

/teams/polio-transition-programme

.

Risks/challenges

•Complexhumanitariansituationexacerbatestheriskofoutbreaksandposechallengestoeffectiveresponse.

•Lowessentialimmunizationandchallengeswithgeographicalaccessinsomeareas.

•Challengestobuildnationalcapacitytoabsorbandfinancepolioessentialfunctionswithinthenationalhealthsystem.

Nextsteps

•Mobiliz

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