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Southern Sudanese are eagerly awaiting the official results from a referendum earlier this month that is expected to bring independence to the region after five decades of struggle. The autonomous1 regional government that is part of a six-year-old peace agreement with the north has begun reconstruction2, but south Sudan's needs are immense. One of the neediest sectors3 is health care.
The maternity4 ward5 at Juba's main hospital may be under equipped, but it is as clean as its over-worked staff can keep it.
This is the best-equipped hospital in southern Sudan. It has only six doctors and one formally trained mid-wife. It treats patients from all over the region because local clinics have even less to offer.
Nurse Margaret Wodogo has worked here for nearly 30 years. She says the biggest problem is the lack of medicine and equipment.
"For my ward, really we need mattresses," said Wodogo. "We need bed sheets. We need beds. We need tables like cupboards for the patients. We need also instruments like forceps. We need a lot really."
Many mothers-to-be arrive suffering from malaria6, diarrhea and respiratory diseases. These are preventable, but are rampant7 in the region because of a lack of sanitation8 and health-care facilities.
Meningitis, measles9, yellow fever and whooping10 cough are also endemic in some areas as well as river blindness, sleeping sickness, cholera11 and polio.
Dr. Lul Riek is the head of community health at the Health Ministry12. He says southern Sudan's health statistics rank among the lowest in the world.
More than two percent of mothers die in childbirth and one out of every seven children dies before the age of five. He says only 16 percent of the 8 million population have access to health care.
"Southern Sudan has been in war for so many years," explained Riek. "So the little health system that we had here has been destroyed and especially before we came in 2005 there was nothing on the ground."
In 55 years of independence only 1,000 doctors were trained in the region.
Most left or entered other professions. As a result, today there are only 300 doctors and 20 trained mid-wives.
Riek says health care is linked with many other sectors of society. Therefore southern Sudan's needs must be addressed comprehensively.
"For us to be able to make that progress, we need to do well in our water," added Riek. "We need to do well in our security. We need to do well in our roads. We need to do well in our personal hygiene13. We need to well in our social services and human protections to be able to realize health in the way the WHO defines it. That is not only the absence of disease, but it is a complete physical, mental and social well-being14."
The situation has improved since a peace agreement six years ago brought autonomous local government to the region.
The local authorities, working with international donors15, have begun re-building hospitals and clinics. But a major challenge is training the professionals to staff them.
Riek says one of the main reasons for the war was neglect by the government in Khartoum.
"We did not go to war because we are war lovers," added Riek. "We went to war because we need clean water. We need good health. We need education. We need good roads. Those were not there. So hopefully now we have the government that we call our government, and we hope we will be able to provide those needs to the people of southern Sudan."
Most importantly, he says, southern Sudan needs peace, so that its resources can be devoted16 to improving the lives of its people rather than buying weapons of destruction.
1 autonomous | |
adj.自治的;独立的 | |
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2 reconstruction | |
n.重建,再现,复原 | |
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3 sectors | |
n.部门( sector的名词复数 );领域;防御地区;扇形 | |
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4 maternity | |
n.母性,母道,妇产科病房;adj.孕妇的,母性的 | |
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5 ward | |
n.守卫,监护,病房,行政区,由监护人或法院保护的人(尤指儿童);vt.守护,躲开 | |
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6 malaria | |
n.疟疾 | |
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7 rampant | |
adj.(植物)蔓生的;狂暴的,无约束的 | |
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8 sanitation | |
n.公共卫生,环境卫生,卫生设备 | |
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9 measles | |
n.麻疹,风疹,包虫病,痧子 | |
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10 whooping | |
发嗬嗬声的,发咳声的 | |
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11 cholera | |
n.霍乱 | |
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12 ministry | |
n.(政府的)部;牧师 | |
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13 hygiene | |
n.健康法,卫生学 (a.hygienic) | |
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14 well-being | |
n.安康,安乐,幸福 | |
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15 donors | |
n.捐赠者( donor的名词复数 );献血者;捐血者;器官捐献者 | |
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16 devoted | |
adj.忠诚的,忠实的,热心的,献身于...的 | |
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