Understanding Health Workers- Motivational Preferences and Accountability Modalities... Tender

Procurement Summary

Country : South Sudan

Summary : Understanding Health Workers- Motivational Preferences and Accountability Modalities Using Dce-Ss

Deadline : 05 Feb 2025

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Notice Type : Tender

TOT Ref.No.: 113585803

Document Ref. No. : 0002013369

Competition : ICB

Financier : World Bank (WB)

Purchaser Ownership : Public

Tender Value : Refer Document

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1. BackgroundSouth Sudan is one of the most fragile, conflict-impactedcountries in the world with less than 20 years of interspersed peace since 1955. Two almost consecutive civil wars, from1955-1972 and 1983-2005, between what was then Southern Sudan and the SudaneseGovernment, left the Southern region systemically underdeveloped. South Sudanbecame independent from Sudan in 2011, to much optimism for the future of thefledgling nation. In 2013, civil war broke out in the country, leading towidespread violence between ethnic groups and raising questions about thefuture of the country. South Sudan-s health system faces enormouschallenges, leading to some of the worst health outcomes in the world: under‐five mortality is 91 per 1, 000 livebirths; neonatal mortality is 39 per 1, 000 births; and maternal mortality isestimated at 789 per 100, 000 births. The country-s health system is challengedby ongoing intercommunal violence, a virtual absence of road infrastructure, limited communications infrastructure, access challenges due to seasonalflooding, highly dispersed populations, and substantial population movements.Human resource gaps are one of the single biggest challenges facing SouthSudan-s health system and are further complicated by South Sudan-s challengingcontext with respect to limited budget, fragile security environment, andorganizational fragmentation.There is asevere shortage of skilled human resources to respond to South Sudan-s healthneeds, constraining achievement of Universal Health Coverage (UHC). The country has0.15 doctors and 0.2 midwives for every 10, 000 people. Skilled health workersare concentrated in the country-s few urban areas, with almost no skilledhealth workers based in rural areas, where 80% of South Sudan-s populationresides.[1] The shortage of health workers isunderlined by low educational levels: net primary school enrolment was 35% in2015 and the 15-24 years old literacy rate was 48% in 2018.[2] Health workers are hired on Government contr...

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