In the face of ongoing conflict and political instability, Sudan is actively implementing a nexus approach to strengthen its vulnerable health systems, aiming to bridge gaps between humanitarian and development efforts.
Adopting the Nexus Framework
Health systems worldwide are increasingly strained by conflicts and emergencies, necessitating robust support and enhancement. The humanitarian-development nexus offers a policy solution to seamlessly integrate lifesaving interventions with long-term health system improvements. Sudan serves as a critical case study for this approach, operating within a context of prolonged emergencies, a shifting political landscape, and complex economic and partnership dynamics. Researchers sought to understand how Sudan is embracing and implementing the nexus strategy to bolster its health infrastructure.
Implementation Hurdles and Stakeholder Dynamics
A policy analysis was conducted based on seven qualitative interviews with representatives from various humanitarian and development organizations in 2022. The study uncovered significant uncertainty regarding the definition and practical application of the nexus, despite a widespread acknowledgment of its significance. The initiative’s propagation was primarily driven by international partners, the Sudanese government’s commitment, and existing coordination mechanisms within the health sector. However, tensions arose among humanitarian and development actors over disparities in values and disagreements on financial management, procurement processes, and the integration of information systems within the national health setup.
• Clearer definitions and guidelines for the nexus approach are necessary to ensure cohesive application.
• Enhanced collaboration between humanitarian and development actors can resolve existing conflicts.
• Strengthening coordination mechanisms within the health sector is crucial for effective nexus implementation.
Sudanese health partners have undertaken multiple nexus-based initiatives to enhance national health system capacities. Nonetheless, the approach faces notable challenges stemming from vague conceptual frameworks and uneven execution. To overcome these obstacles, it is imperative to develop more detailed guidance and foster continuous dialogue among stakeholders. Emphasizing ownership, improved coordination, and adaptability can significantly contribute to narrowing the divide between humanitarian and development sectors. This strategic alignment holds the promise of creating more resilient and efficient health systems in Sudan, ultimately leading to better health outcomes for its population.
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