Health

This review paper focuses on knowledge, skill, practices, benefits, and experiences pertaining to use of plants as medicinal aids to help, prevent or treat physical and mental illnesses in human in African continent especially South Sudan. Attitudes towards traditional medicine vary strongly with the tradition and cultures of the people and this has raised a serious confusion between herbal medicine and witchcraft. Millions of Africans and South Sudanese in particular prefer treatment and use of medicinal plant products made from indigenous plants, because it represents an important source of affordable medicine as well as sources of income for rural communities. 25% of the world medicinal plants are found in the African continent, but only 8% are used because information is transferred verbally from generation to generation and much is not unknown. The set back is due to lack of proof that medicinal plants are useful, safe and effective and can be used as alternative medicine. Many plants species are likely to become extinct as well as endangered as population increases demand also increases, giving greater pressure on medicinal plants. As a result, 50% of medicinal plants worldwide are threatened with extinction due to rampant exploration. Traditional herbal medicines are identified and produced by traditional medicinal practitioners in Africa. Many herbs grown in South Sudan and in African continent have valuable medical properties but traditional methods used have many disadvantages that can be corrected and developed to make them effective, stable and reproductive through the methods of scientific research.

This weekly review contributes to the debate on how the COVID-19 induced hysteresis effects could affect growth in South Sudan. It addresses two related questions: What channels would transmit the COVID-19 scarring effects to the output? What can public policy do to support recovery?

This essay looks at healthcare psychosocial support in South Sudan with specific focus on the COVID-19 crisis, postpartum and post abortion family planning, essential care of the newborn and mothers’ knowledge of mother-to-child transmission of HIV. It also looks at factors associated with neonatal sepsis in Tanzania and diabetes mellitus primary care in Uganda.

Focusing on South Sudan’s borderland with Sudan, in Northern Bahr el-Ghazal, it is clear that the national response to the virus, particularly the border shutdown, has rapidly become a new factor in Sudan and South Sudan’s cross-border political economy. The direct impact of COVID-19—like the consequences of Khartoum’s political transition and the establishment of the Transitional Government of National Unity in Juba—are yet to fully materialize in this borderland. This update summarizes the current political holding pattern around both COVID-19 and the political transitions in Khartoum and Juba, and how these interact with established long-distance trade and migrant work systems that drive the borderland economy.

This briefing is a product of the X-Border Local Research Network, a component of DFID’s Cross- Border Conflict—Evidence, Policy and Trends (XCEPT) programme, funded by UKaid from the UK government. The programme carries out research work to better understand the causes and impacts of conflict in border areas and their international dimensions. It supports more effective policymaking and development programming and builds the skills of local partners.

Is achievement of Sustainable Development Goal (SDG) 16 (building peaceful societies) a precondition for achieving SDG 3 (health and well-being in all societies, including conflict-affected countries)? Do health system investments in conflict-affected countries waste resources or benefit the public’s health? To answer these questions, we examine the maternal, newborn, child and reproductive health (MNCRH) service provision during protracted conflicts and economic shocks in the Republic of South Sudan between 2011 (at independence) and 2015.

Methods

We conducted two national cross-sectional probability surveys in 10 states (2011) and nine states (2015). Trained state-level health workers collected data from households randomly selected using probability proportional to size sampling of villages in each county. County data were weighted by their population sizes to measure state and national MNCRH services coverage.

Conclusion

Health system strengthening is not a uniform process and not necessarily deterred by conflict. Despite the conflict, health system investments were not wasted; health service coverage increased.