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“The owner of the house has the responsibility to coordinate, but must be in the position to do that”: Sudan health sector development partners’ attitude and adherence to the development effectiveness principles
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2016 (English)Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Sudan health sector development scene is problematic and entails reviews. This study aim was to explore the relations between the different development partners in Sudan health sector, with distinctive attention to discovering the partners’ attitude and adherence to the three development effectiveness principles of ownership, alignment and harmonization. A qualitative design was embraced. Using the Paris declaration commitments understanding and analysis framework, a semi structured study guide was developed. Sixteen in-depth interviews were conducted with different stakeholders from Sudan Ministry of Health, bilateral donors, development Banks, United Nations agencies, International NGOs and Civil Society Organizations. Documents reviews and coordination meetings observations were supplementary. Framework method was used for data analysis, supported with a positional map. Results showed that Sudan health sector suffer from limited fund with diverse vulnerability-tailored support and priorities. The hostile partners are trying to cooperate with a dominating government while the civil society is marginalised. The partners believe that ownership is important, but many concerns were raised. The government of Sudan was deemed blameable as the owner of the house has responsibility to coordinate, but must be in position to do that. Conflictive views were presented on the priority for systems strengthening or utilisation. The general believe was that progress needs effort, collaboration, commitment, clarity and time. In conclusion, further resources allocation is crucial to achieve the development targets. The government of Sudan needs to seek a balance between strengthening its ownership and improving international relations and gain partners trust. This entails flexibility, open dialogue, reasoning in decision making, policy coherence and less administrative load and restrictions. Other Partners meanwhile need to support the government not only in capacity and systems strengthening, but with endorsing cooperation and utilising the national systems. Last but not least, the role of civil society needs to be appreciated and supported. Further research on civic society characteristics and engagement within Sudan, and mutual accountability mechanisms as well, should be encouraged. Finally, serious measures to insure peace and stability are crucial

Place, publisher, year, edition, pages
2016. , 41 p.
, Centre for Public Health Report Series, ISSN 1651-341x ; 2016:1
Keyword [en]
development effectiveness; partnership; health sector; Sudan; framework analysis
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:umu:diva-123420OAI: diva2:945748
Educational program
Master's Programme in Public Health
Available from: 2016-10-17 Created: 2016-07-03 Last updated: 2016-10-17Bibliographically approved

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