Evaluation of application of health area system, in Shendi locality-River Nile State, Sudan (Sep. 2007–Evaluation of application of health area system, in Shendi locality-River Nile State, Sudan (Sep. 2007-April, 2010)‎ April, 2010)‎

Abstract EN

An observational cross-sectional community & facility-based study was carried out in Shendi locality-River Nile State, Sudan, in Sep.

2007 - April 2010.

A sample of 718 of different classes from the community and health facilities of primary health care (PHC) in the locality were interviewed to evaluate the application of health area system, & estimate the coverage by the health services.

The sample selected by using stratified sampling, then random simple sampling was used for each class.

Structured questionnaires, focus groups discussion, and observation checklists, were used for this purpose to collect the data.

The study shows (8 %) of the areas in the locality are without health facilities.

(77 %) of the health facilities have regular supervision runs on the health services.

No environmental health services in the PHC facilities.

(76.8 %) of the barriers which face the health area system is insufficient supply by allocated budget for the health facilities.

Moreover, (31.6 %) of the problems which faced the health workers are no intermittent training.

(27.3 %) of the community participated in health programs.

In addition, there is statistical significant relation between community participation in health programs and the age of the users of the health facilities.

Coordination between health sector and health related sector is good.

Most of the community leaders define decentralization as delegation & distribution of responsibilities.

There is no health council in the locality.

Health team in the locality is existing, but without functions.

The current study identified a number of shortages in health services.

Health system has to establish health services on scientific way according to the community needs.