Institute of Public Administration, Riyadh, Saudi Arabia.
East Mediterr Health J. 2020 Sep 24;26(9):1105-1114. doi: 10.26719/emhj.20.056.
Equal distribution of health resources has been a core objective of both long- and medium-term strategic plans for the health sector in Sudan. However, the targets of these plans have not yet been achieved, resulting in weak performance of the whole health system. The unequal distribution of the health resources has resulted in significant regional disparities in provision of health care services.
This study aims to describe and analyse the inequality in geographic distribution of public sector's physical and human health resources in Sudan. In addition, the study also aims to measure the relations between density of health resources and health outcomes.
State-level data on health resources and health outcomes obtained from the Sudan Health Statistical Report of 2016 were used to calculate inequality indices, drawing Lorenz curves, and calculating Spearman's correlation analysis between health resource density and health-related outcomes.
Our findings show that the distributions of health resources, based on population size, were highly unequal among the 18 states of Sudan.
There is a crucial need to improve health status in the relatively under-resourced states, particularly in Darfur, South Kordofan and Blue Nile states. Moreover, the government needs to use health resource allocation models that take into account the population size and health outcomes variables in each state in future health strategies.
在苏丹卫生部门的长期和中期战略计划中，公平分配卫生资源一直是核心目标。然而，这些计划的目标尚未实现，导致整个卫生系统的绩效不佳。卫生资源分配不均导致医疗服务提供方面存在显著的地区差异。
本研究旨在描述和分析苏丹公共部门物质和人力资源在地理分布上的不平等，并衡量卫生资源密度与卫生结果之间的关系。
使用 2016 年苏丹卫生统计报告中的州级卫生资源和卫生结果数据，计算不平等指数，绘制洛伦兹曲线，并计算卫生资源密度与健康相关结果之间的斯皮尔曼相关分析。
我们的研究结果表明，苏丹 18 个州的卫生资源分布，按照人口规模计算，存在高度不平等的现象。
迫切需要改善资源相对匮乏的州的卫生状况，特别是达尔富尔、南科尔多凡和青尼罗州。此外，政府在未来的卫生战略中需要使用考虑到每个州人口规模和健康结果变量的卫生资源分配模型。
