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Sudan scales up efforts to improve maternal and child health

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A Sudanese mothers smiles at her child in her armsSudan has made tremendous progress over the last two decades, however, the country still has one of the highest maternal mortality ratios in the Region and the life time risk of death for a mother in Sudan is 1 in 32.

1 September 2013 – on 28 August Sudan’s Federal Ministry of Health together with the World Health Organization (WHO), UNICEF and the United Nations Population Fund (UNFPA) launched Sudan's National Acceleration Plan for Maternal and Child Health. 

Sudan is the first of the 10 high-burden countries in the Region to launch an acceleration plan on maternal and child health, in line with the commitment expressed in the Dubai Declaration, adopted in January 2013. 

There has been a significant decrease in the under-5 mortality rate in Sudan, which declined by 33% between 1990 and 2010. The neonatal mortality rate has also decreased by 11% in the same time period. 

The Sudan Household Health Survey 2010 reflected a 60% decrease in maternal mortality per 100 000 live births, from 537 in 1990 to 216 in 2010. Despite progress, child and maternal mortality remain high; at the current rate and without more intensive efforts, the country will be unable to achieve the targets of Millennium Development Goals (MDGs) 4 and 5.

The high-level gathering in Khartoum, led by the Vice President of Sudan Dr Al-Haj Adam Youssef brought together officials from the Government, WHO, UNICEF, UNFPA, as well as the country’s diplomatic corps, highlighting their commitment to mobilize resources and work towards implementation of the plan. 

Dr Ala Alwan, WHO Regional Director for the Eastern Mediterranean, together with UNFPA Regional Director for Arab States Mr Mohammed Abdel-Ahad, and UNICEF Country Representative joined hands with Sudan as it presented the plan that has been developed to accelerate the implementation of the most effective health interventions to improve the health of mothers and children. The plan aims to reduce maternal and under-5 child mortality in order to reach the targets of the MDGs. 

The work plan was prepared after analysing the current health indicators at locality level, and the process was technically supported by WHO, UNICEF and UNFPA. During preparation, the priority was given to localities with low coverage of maternal and child health services and community-based services (midwives and community health workers), and those with high population density. 

The work plan will be implemented through several axes: expanding coverage of maternal and child health services to ensure equitable access for all population, strengthening the referral system at the primary health care level, raising community awareness regarding maternal and child health issues, strengthening and supporting the health system at the locality level and ensuring community empowerment to promote maternal and child health.