USAID Assistance to SudanUnited States Agency for International Development (USAID) assistance to Sudan offers hope to alleviate poverty in the struggling country. Sudan has a population of more than 44 million people, but as of August 2021, approximately 13.4 million Sudanese people require humanitarian aid. Citizens are grappling with conflict, food insecurity, economic crisis and the impact of drought and flooding. The onset of COVID-19 has only exacerbated issues of poverty in the country. Even though there were developmental gains in the past decade, the African country of Sudan is still dealing with widespread poverty, conflict and violence. However, with USAID assistance to Sudan, the country has the potential to make significant strides in reducing poverty.

The Economy of Sudan

The secession of South Sudan in 2011 is a leading cause of many of Sudan’s modern economic struggles. When South Sudan seceded, the most significant economic loss to Sudan was oil revenue. Oil contributed to more than 50% of the Sudanese government’s income and “95% of its exports.” Without oil revenue, the country experienced a lack of economic growth and “consumer price inflation” as well as soaring fuel prices. However, Sudan came to an agreement with South Sudan “to lower oil transit fees” in 2016 in order to address some of these issues.

While oil is still Sudan’s main economic sector, about 78% of the population work in the agricultural sector. However, the agricultural industry in Sudan is highly rain-dependent and very sensitive to “changing weather patterns” that lead to drought and flooding. This volatility can hurt the incomes of the many people whose livelihoods depend on agriculture.

The State of Poverty in Sudan

Sudan faces significant challenges regarding poverty. Sudan has “one of the highest rates of stunting in the region,” with global acute malnutrition impacting about one million children in the country. In addition, roughly 83% of the citizens live in rural areas and 80% of the population survives on less than $1 a day. Furthermore, more than a third of the country experiences food insecurity. The culmination of these factors means, on the Human Development Index, Sudan ranks 170th out of 189 countries. This ranking puts Sudan in the “low human development category,” according to the 2019 Human Development Index.

USAID Assistance to Sudan

“The United States has been the largest donor of humanitarian assistance to the people of Sudan for more than a quarter-century.” USAID assistance to Sudan aims to reduce poverty and provide immediate humanitarian relief. In June 2020, USAID gave Sudan roughly $356 million “to support the democratic transition in the Republic of Sudan following a peaceful revolution in 2019.” Of this funding, $20 million went toward the Sudan Family-Support Program, “a safety net administered by the World Food Programme” to assist Sudanese people “through a difficult period of economic reform needed to end unsustainable state subsidies on wheat and oil.” In addition, some of the funding went toward strengthening the COVID-19 response in Sudan.

More recently, on August 3, 2021, USAID Administrator Samantha Power proclaimed that the agency will provide more than $56 million worth of humanitarian aid to Sudan. The aid looks to increase healthcare resiliency by assisting with “emergency health care,” medical resources and the training of healthcare personnel. Furthermore, the funding will support victims “of gender-based violence by improving case management and training personnel on survivor-centered approaches.” The funding will also increase resources with regard to water and sanitation. Through this assistance, USAID strives to help approximately 13.4 million Sudanese who need humanitarian aid.

Looking Ahead

With the addition of this recent aid, the U.S. asserts its position as the most significant donor to Sudan, providing nearly $377 million worth of aid since the beginning of 2021. U.S aid to Sudan provides support for millions of Sudanese people who deal with food insecurity, lack of clean water and conflict, among other issues. With U.S. aid, Sudan can make strides in the fight against poverty.

– Kyle Har
Photo: Flickr

Healthcare in South Sudan
Following the Sudanese civil war, the Republic of South Sudan became an independent nation in July 2011. As of 2020, the Republic of South Sudan has a population of over 11 million people and comprises 10 states and three administrative areas. Due to Sudan’s particularly challenging circumstances, access to healthcare in South Sudan remains dangerously low. Here are some of the challenges that the international effort to provide healthcare in South Sudan faces.

5 Essential Facts About Healthcare in South Sudan

  1. Healthcare in South Sudan is in recovery mode. The Sudanese Civil War created personnel shortages and destroyed infrastructure. South Sudan has just one physician per 65,574 individuals and one midwife per 39,088 population individuals. Overall, South Sudan reports just one-tenth of the number of medical doctors and nurses in comparison to countries such as Kenya.
  2. Inequitable distribution of healthcare workers exists among the states of South Sudan. For example, the state of Central Equatoria has the highest number of healthcare workers out of all of South Sudan’s provinces. There is also an urban-rural divide, with more resources existing in urban areas despite the majority of the population living in rural areas. Meanwhile, the situation in northern regions is particularly difficult due to their widespread devastation during the Sudanese Civil War.
  3. South Sudan lacks a federal retention policy for healthcare professionals. Within the healthcare field, the country suffers from a high turnover of personnel. Poor health, insufficient workforce management, low wages and a general lack of proper supervision all contribute to burnout and rotation of healthcare professionals. Moreover, no formal system for the regulation of healthcare workers exists at the state level. On the federal level, there is no legal framework in place to guide critically important midwifery practices.
  4. South Sudan has an unusually high number of physical disabilities in its population. As the result of both the lingering effects of war and an inadequate healthcare system, an estimated 50,000 individuals suffer from some form of severe physical disability in South Sudan.
  5. Preventable conditions plague South Sudan. Nearly 75% of all child deaths in South Sudan are due to preventable conditions such as diarrhea, malaria and pneumonia. The prevalence of these and other deadly conditions are major factors in South Sudan’s high infant mortality rates, with 96 infant deaths per 1,000 births.

Looking Forward

While South Sudanese healthcare is unable to address the needs of the population, South Sudan is making significant strides to increase access to and quality of healthcare. Despite the aforementioned difficulties, improvements such as the creation of a Health Care Sector Development Plan that emphasizes the creation of jobs in the healthcare professions and gives hope for the future of healthcare in South Sudan.

Moreover, the government in South Sudan has begun to work with private, international organizations to bring aid to its citizens. One example is the government’s partnership with the International Committee of the Red Cross (ICRC) to provide healthcare facilities, such as the Malakal Teaching Hospital, and help deliver on-the-job training to hospital staff across the country. While the ICRC began its work in Sudan in 1986, operations have expanded rapidly in recent years. Organizations such as the United Nations International Children’s Emergency Fund (UNICEF) are working alongside the Red Cross in South Sudan to expand the scope of medical care. UNICEF alone conducted medical consultations for more than 285,000 people in the early months of 2020.

It appears that both the scope and quality of healthcare in South Sudan are improving, albeit gradually. One can partly attribute this improvement to the international community. War-torn countries like South Sudan are dependent on foreign aid to revitalize critical infrastructural systems, such as healthcare. In February 2020, the United States sent more than $900 million to combat the humanitarian crisis in South Sudan. The continuation of these funds is integral to the successful revitalization of South Sudan’s healthcare system. Without widespread medical care, the possibility of a major humanitarian crisis in South Sudan threatens regional stability.

Kendall Carll
Photo: Flickr