Page 4 - Final Huzifa22

Governance structures, policies and implementation
Output 1: guidelines revised, updated and improved
v

Joint FMOH/WHO missions were conducted for the five target
states to support and oversee implementation of different
activities under the “One Plan” approach. The activities covered
include:

• The assessment of the current roles, responsibilities and Advocacy workshop – Sinnar state, Dec 3rd 2018
structures of Locality Health Management Teams is finalized
through the support of a national consultant and a taskforce from
the FMOH and key stakeholders with states participation
through field visits in 6 states. Options for revised structures,
roles and responsibilities are developed and reported.

• Consultation workshop for the revised structures, roles and
responsibilities have been conducted with wide participation of
states, localities and various federal governance authorities’ levels
, as well as partners including Italian coopration, Goal ,IMC ,
CWW and UNFPA .The options presented have taken into
consideration the contextual factors in each stat and locality and
feedback incorporated. Updated Local governance act – North Kordofan state
•Assessment of functionality of the local health system
• Advocacy workshops: organized in allfive states and attended has been conducted in 2 states (North Kordofan &
by states’ governors, ministers, commissioners and key Sinnar) using a WHO adapted tool that was modified
stakeholders related to health. The main objective of these through a comprehensive process with the
advocacy workshops was to mobilize political commitment to involvement of states, localities, various governance
strengthen the local health system, clarify roles and ensure authorities and partners. The assessment of Local
sustainability. Some of the key products of these advocacy Health System functionality is currently being
sessions are: institutionalized to be regularly used by the local health
teams in various states through support to the Federal
� West Kordofan state: State Governor committed 75 new jobs and States Ministries of Health. Benchmarks from the
to the local health system in 2019. As well directed tool to track progress in SDHS are identified.
commissioners to take their responsibility on providing enabling
environment for LHMTs. The State Health Insurance Fund has
committed to finance infrastructure (offices) for all LHMTs.
� Sinnar state: emphasis on community engagement with
appointment and subsequent training of 1033 community focal
points, involving other sectors.

� West Darfur state: Complementarity with other HSS projects
is addressed, with commitment to support localities not under
other partners’ projects. Assessment of structures, roles and responsibilities of
• North Kordofan, Central Darfur, West Darfur and Sinnar states LHMTs – Interviews and FGDs
have updated their Local Governance Acts (the main law that
regulates relationships between states and localities and clarifies
responsibilities of the localities including, tasks to prevent and
respond to emergencies and outbreaks and to ensure health
security).
• Good progress has been made in completing the structures of
LHMTs. For example, in Central Darfur State the completeness
rate increased from 0% in July 2018 to 65% in December 2018.
North Kordofan State established health teams at Administrative WHO repreentative and Federal Minister of Health
Units level (below locality level). addressing the consultation workshop to review LHMTs
structures, roles and responsibilities.

3