Yagub Abdallah I A, Mtshali Khondlo
Policy and Development Studies, School of Social Sciences, University of KwaZulu-Natal, South Africa.
Lecturer, International and Public Affairs, School of Social Science, University of KwaZulu-Natal, South Africa.
Afr Health Sci. 2015 Sep;15(3):1049-55. doi: 10.4314/ahs.v15i3.48.
Conflict in North Darfur state, Western Sudan started in 2003, and the delivering of curative health services was becoming a greater challenge for the country's limited resources. NGOs have played an important role in providing curative health services.
To examine the role that Non-Governmental Organizations (NGOs) have played in providing curative health services, as well as to identify the difficulties and challenges that affect NGOs in delivering curative health services.
Secondary data was collected from different sources, including government offices and medical organizations in Sudan and in North Darfur state. Primary data was obtained through interviews with government and NGOs representatives. The interviews were conducted with (1) expatriates working for international NGOs (N=15) (2) health professionals and administrators working in health sector (N= 45) in the period from November 2010 to January 2011.
The government in North Darfur state spent 70% of its financial budget on security, while it spent it less than 1% on providing health services. The international NGOs have been providing 70% of curative health services to the State's population by contributing 52.9% of the health budget and 1 390 health personnel. Since 2003 NGOs have provided technical assistance to the health staff. As a result, more than fifty nurses have been trained to provide care and treatment, more than twenty-three doctors have been trained in laboratory equipment operation, and approximately six senior doctors and hospital directors have received management training. NGOs have been managing and supporting 89 public health facilities, and established 24 health centres in IDP camps, and 20 health centres across all the districts in North Darfur state.
The NGOs have played an important role in providing curative health services and in establishing good health facilities, but a future problem is how the government will run these health facilities after a peaceful settlement has been reached which might cause NGOs to leave the region.
苏丹西部北达尔富尔州的冲突始于2003年，对于该国有限的资源而言，提供治疗性医疗服务正成为一项更大的挑战。非政府组织在提供治疗性医疗服务方面发挥了重要作用。
探讨非政府组织在提供治疗性医疗服务中所发挥的作用，以及确定影响非政府组织提供治疗性医疗服务的困难和挑战。
从不同来源收集二手数据，包括苏丹和北达尔富尔州的政府办公室及医疗组织。通过与政府和非政府组织代表进行访谈获取一手数据。访谈对象包括：（1）为国际非政府组织工作的外籍人士（N = 15）；（2）2010年11月至2011年1月期间在卫生部门工作的卫生专业人员和管理人员（N = 45）。
北达尔富尔州政府将其财政预算的70%用于安全方面，而用于提供医疗服务的支出不到1%。国际非政府组织通过贡献52.9%的卫生预算和1390名卫生人员，为该州民众提供了70%的治疗性医疗服务。自2003年以来，非政府组织一直向卫生工作人员提供技术援助。结果，50多名护士接受了护理和治疗培训，23多名医生接受了实验室设备操作培训，约6名高级医生和医院院长接受了管理培训。非政府组织一直在管理和支持89个公共卫生设施，并在境内流离失所者营地建立了24个保健中心，在北达尔富尔州所有地区建立了20个保健中心。
非政府组织在提供治疗性医疗服务和建立良好的卫生设施方面发挥了重要作用，但未来的一个问题是，在实现和平解决后政府将如何运营这些卫生设施，这可能会导致非政府组织离开该地区。
