District Health System now more than ever: A lesson From The Past- Sudan

  • Taha Ahmed Elmukashfi Elsheikh Elsiddig Associate Professor, Department of Community Medicine, Faculty of Medicine, University of Khartoum


Efforts to increase access to primary health care are ongoing in Sudan. Many health facilities were established and many health personnel were trained. As time passes, there is great concern about the sustainability as well as the effectiveness of these services due to lack of efficient local health system.  With the establishment of federal system, Sudan was divided into states and localities with division of responsibilities between different levels. Health, in most of the cases, is the responsibility of states and localities. Tremendous efforts are going on to develop the capacity of states with few attempts to develop the local health system. This short communication aims to through light on the experience of health area policy in Sudan. The concentration will be on the experience of Umshanig health area (1982 -1986), East Gezira which is the first in Sudan. Though the time was change, still lessons can be obtained from this experience.


1. Fontaine B, Vale-Santos J, Jurkat-Rott K, Reboul J, Plassart E, Rime CS,
Elbaz A, Heine R, Guimaraes J, Weissenbach J, et al.: Mapping of the hypokalaemic periodic paralysis (HypoPP) locus to chromosome
1q31-32 in three European families. Nat Genet 1994,6(3):267-272.
2. Jurkat-Rott K, Lerche H, Lehmann-Horn F: Skeletal muscle channelopathies.JNeurol 2002, 249(11):1493-1502.
3. Lin SH, Lin YF, Chen DT, Chu P, Hsu CW, Halperin ML: Laboratorytests to determine the cause of hypokalemia and paralysis.Arch Intern Med 2004, 164(14):1561-1566.
4. Kelley DE, Gharib H, Kennedy FP, Duda RJ Jr, McManis PG: Thyrotoxicperiodic paralysis. Report of 10 cases and review ofelectromyographic findings. Arch Intern Med 1989,149(11):2597-2600.
5. Wang W, Jiang L, Ye L, Zhu N, Su T, Guan L, Li X, Ning G: Mutation screening in Chinese hypokalemic periodic paralysis patients. Mol Genet Metab 2006, 87(4):359-363.
6. Okinaka S, Shizume K, Iino S, Watanabe A, Irie M, Noguchi A, KumaS, Kuma K, Ito T: The association of periodic paralysis and hyperthyroidism in Japan. J ClinEndocrinolMetab 1957,17(12):14541459.
7. Tassone H, Moulin A, Henderson SO: The pitfalls of potassiumreplacement in thyrotoxic periodic paralysis: a case report and review of the literature. J Emerg Med 2004, 26(2):157-161.
8. Ogawa T, Kamikubo K: Hypokalemic periodic paralysis associated with hypophosphatemia in a patient with hyperinsulinemia. Am J Med Sci 1999, 318(1):69-72.
9. Cannon SC: An expanding view for the molecular basis of familial periodic paralysis. Neuromuscul Disord 2002, 12(6):533-543.
10. Benjamin R Soule , Nicole Lsimone: Hypokalemic Periodic Paralysis: a case repor tCases Journal 2008, 1:256 doi:10.1186/1757-1626-1-256 .
How to Cite
ELSHEIKH ELSIDDIG, Taha Ahmed Elmukashfi. District Health System now more than ever: A lesson From The Past- Sudan. Gezira Journal of Health Sciences, [S.l.], v. 13, n. 2, dec. 2017. ISSN 1810-5386. Available at: <http://journals.uofg.edu.sd/index.php/gjhs/article/view/897>. Date accessed: 11 dec. 2018.