A policy analysis of curative health service delivery in North Darfur state, Sudan.
Yagoub, Abdallah Ibrahim Adam.
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This thesis analyses the policy of curative health service delivery in North Darfur State, Sudan. Several authors have analyzed health service delivery issues, mainly focusing on controlling the spread of common diseases. No work has been done that focuses on the health policy aspect and its contribution to improving curative health service delivery, especially in areas affected by conflict since 2003. This study contributes to the body of knowledge on the nature and the evolution of health service delivery systems management, as well as policy implementation, thereby widening the discussion about the further projections of this field of study. The main purpose of this thesis is to investigate how to enhance the effectiveness and efficiency of curative health service delivery systems management, as well as policy implementation, in fostering socio-economic development in North Darfur State. The study focuses on how the national health system and national health policy of Sudan have been managed and implemented in North Darfur State. This thesis identifies the different health sectors, public, private and international NGOs, that provide curative health services in North Darfur State, and the difficulties that have been facing the population in accessing these health facilities. Investigations showed that curative health services are not adequate in the public sector, and that they are very expensive in the private sector. The exception is the NGO sector but it is not guaranteed to be sustainable in providing curative health services to poor and conflict-affected people. This thesis also identifies the mechanisms of health system management and policy implementation, by means of co-ordination and collaboration between the various government sectors, federal, state and district, in a decentralized system working in concert with international NGOs. The results show that there is poor co-ordination between the three levels of government, especially at district level, as well as poor collaboration between government and international NGOs, caused by government‟s lack of human and financial capacity. The potential for improvement in curative health service delivery are explored, particularly at district level. This is essential so that quality curative health services can be delivered to the population, thereby contributing to socio-economic development in North Darfur State.