Strengthening Pharmaceuticals Systems (SPS)-Southern Sudan. Lessons Learned. Evaluation Report, December 2010
(2010; 88 pages)


In addition to conflict, natural disasters, and famine, policies and practices have destroyed fragile social and economic infrastructures and have severely affected Southern Sudan. With the (presumably) lowest human development indicators in the world, health and education remain almost exclusively externally funded, and it is estimated that 60 percent of health service delivery is provided by nongovernmental organizations (NGOs), including long-standing faith-based organizations (FBOs).

U.S. government assistance in Sudan emphasizes building peace dividends such as sustained and comprehensive improvements in social services, economic growth, and democratic governance. Well before the signing of the CPA in 2005, the United States Agency for International Development (USAID) worked with members of the nascent government of Southern Sudan (GOSS) to address the pressing need to improve health care in the aftermath of nearly 50 years of war. GOSS officials have made tremendous progress since 2005, and attention is now focused on building sustainable basic health systems and infrastructure, and strengthening human capacity.

Responding to a request from the GOSS Ministry of Health (MOH), USAID/Sudan introduced the Field Support Mechanism (FSM) of the Management Sciences for Health (MSH) Rational Pharmaceutical Management Plus (RPM+) in 2005, followed by its successor, the Strengthening Pharmaceuticals Systems (SPS) Program, in 2007. The SPS Program, a five-year, $5.8 million Leader with Associates Cooperative Agreement (CA), was awarded to MSH from June 2007 to September 30, 2012. Since 2005, USAID/Sudan has supported the GOSS MOH through this project, which has grown incrementally in response to the MOH’s identified priorities, including pharmaceutical management and the Expanded Program for Immunization (EPI). The SPS Program uses a mentoring approach with SPS long-term technical advisors (LTTAs), experts from the region, placed in the relevant departments of the MOH to work on a full-time basis with their national counterparts. SPS Annual Work Plans (AWPs) are developed cooperatively and establish activities that are in line with both SPS Intermediate Results and MOH strategic plans and targets. Implementation of SPS activities is undertaken with and through the relevant MOH institutions. A systems strengthening approach, including office and job-sharing, is employed to support MOH institutions at central, state, and local levels to effectively coordinate and manage the malaria, pharmaceutical, and EPI programs. At present, three senior LTTAs advise in these areas, and Sudanese advisors lead the Monitoring and Evaluation program and assist in pharmaceutical management. SPS technical support initially focused on development of key program policies and strategies at the central MOH GOSS level, but has progressively included support to implementation in three selected states.USAID/Sudan requested the Services Under Program and Project Offices for Results Tracking (SUPPORT) Project, implemented by Management Systems International (MSI), to field a team to undertake a midterm evaluation of the SPS Program. The focus of the evaluation was on learning lessons from program implementation to date in order to assess the effectiveness of the SPS Program capacity building model in the MOH...

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