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Health sector recovery in early post-conflict environments: experience from southern Sudan

机译：冲突后早期环境中的卫生部门恢复：苏丹南部的经验

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摘要

Health sector recovery in post-conflict settings presents an opportunity for reform: analysis of policy processes can provide useful lessons.? The case of southern Sudan is assessed through interviews, a literature review, and by drawing on the experience of former technical advisers to the Ministry of Health. In the immediate post-conflict phase, the health system in southern Sudan was characterised by fragmentation, low coverage of health services, dismal health outcomes and limited government capacity. Health policy was extensively shaped by the interplay of context, actors and processes: the World Bank and the World Health Organization became the primary drivers of policy change. Lessons learned from the southern Sudan case include the need for: sustained investment in assessment and planning of recovery activities; building of procurement capacity early in the recovery process; support for funding instruments that can disburse resources rapidly; and streamlining the governance structures and procedures adopted by health recovery financing mechanisms and adapting them to the local context.
机译：冲突后环境中的卫生部门恢复提供了改革的机会：对政策过程的分析可以提供有益的经验教训。？苏丹南部的情况通过访谈，文献综述以及通过对卫生部前技术顾问的经验。在冲突后即刻阶段，苏丹南部的卫生系统的特点是分散，卫生服务覆盖率低，卫生成果不佳以及政府能力有限。卫生政策在很大程度上取决于环境，参与者和过程的相互作用：世界银行和世界卫生组织成为政策变化的主要驱动力。从苏丹南部案例中吸取的教训包括：持续投资以评估和规划恢复活动；在恢复过程的早期建立采购能力；支持可以迅速分配资源的供资工具；并简化健康恢复筹资机制所采用的治理结构和程序，并使它们适应当地情况。

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