The effect of armed conflict on public health and strengthening of healthcare system during and post -armed conflict in Sudan

Rihab Imam Mukhtar Elsharief *, Magda ELhadi Ahmed Yousif and Abeer Abd ELrhman ELnour ELtilib

Department of Family and Community Medicine, Faculty of Medicine, University of Gezira, Wad Medani, Gezira State, Sudan.
 
Review Article
GSC Advanced Research and Reviews, 2023, 17(01), 122–126.
Article DOI: 10.30574/gscarr.2023.17.1.0403
Publication history: 
Received on 14 September 2023; revised on 22 October 2023; accepted on 25 October 2023
 
Abstract: 
Background: Armed conflict has catastrophic effect on public health and overall wellbeing including causalities during war, long lasting physical and psychological effects, the reduction in human and financial resources which available to meet social needs and creation of setting in which violence is primary domain this issues clearly appeared in Sudan since conflict between Sudan army force and Rapid response force in 15th of April 2023.
Methodology: This review aimed to reflect the effect of armed conflict on public health especially vulnerable groups and create plan for reform of collapsed health system during and after war in Sudan. Comprehensive review for previous related article using Pub –med, Google scholar Lancet and records from Federal and Local Ministry of Health in Sudan was done. Also SWOT analysis for current complexes was done to detect problems and achieve solutions.
Results: The study reflects the effect of armed conflict on public health in countries suffered from war. The vulnerable populations those sufferings during war are elderly, children, neonates and women. SWOT analysis for current situation in Sudan reflects devastating effect of war in healthcare system. The study also offering a plan for strengthening of healthcare system which build on decentralization policy, Innovation related to community healthcare workers (CHWs) adoption and health-financing system strengthens.
Conclusion: Strengthening of healthcare systems after disasters is an urgent concern, especially in countries that have experienced armed conflict due to great impact on public health. However, since few studies have been conducted concerning this topic in Sudan, further research is recommended.
 
Keywords: 
Armed Conflict; Sudan; Healthcare System; Public Health; Strengthening.
 
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