Page 15 - WHO

Enhancing CBS na�onwide for high risk and special popula�on in 2018 will increasing the
sensi�vity of the AFP and Measles surveillance system and enhance efficiency for current
limited resource availability.

The high risk popula�on in Sudan are refugees and IDPs either living in camp or host com-
munity, as well as Nomads, returnees and those moving across the boarders and living in
insecure areas,; these special group might not have full access to health facili�es .

The Federal Ministry of Health Sudan with collabora�on of WHO country office, CDC (GHD),
and EMPHNET are implemen�ng CBS for special popula�on. This will also help to improve
the quality of rou�ne immuniza�on and Supplementary Immuniza�on Ac�vi�es (SIAs).

The dura�on of the project will be one year star�ng from June 2019 with overall aim to
strengthening the current CBS for AFP and include rash and fever surveillance. The target

popula�on of this project will be children living among high risk popula�on as well as
children of par�ally or inaccessible locali�es.

WHO country office made risk assessment for all l89 locali�es and iden�fied 89 locali�es as
high risk. They are further divided in three categories of �re 1, 2 and 3.

Environmental surveillance system:

Sudan established environmental surveillance system September 2018 through technical
and financial support from WHO country office. Advocacy was made with federal govern-
ment and close coordina�on was established with sanitary engineers in order to have back-
ground informa�on on swage system.

Na�onal Environmental surveillance commi�ee was established in 2018 and convened first
mee�ng in December 2018, it is follow with regular quarterly mee�ngs.

Na�onal plan of ac�on was formulated through par�cipa�on of experts including experts
from the federal and state EPI, na�onal polio laboratory (NPL), local sanitary engineering
and other relevant departments.

Location of Sampling Sites:

Sewage system in Khartoum state cover only Khartoum and Bahary locali�es of Khartoum

state that are par�ally served by it (Omdurman locali�es not func�oning) the total number
of popula�on served with the system is (925724) which is (10%) of the Khartoum state popu-
la�on.