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Table 6 Synthesis of the key health system gaps and their solutions for RMNACH programing

From: Health policy mapping and system gaps impeding the implementation of reproductive, maternal, neonatal, child, and adolescent health programs in South Sudan: a scoping review

Health system gaps Sub category Solutions
Health financing Low government funding and the challenges to access it - Increase budget allocation and financial aid
Competing priorities for external funds
International donors
- Re streamline funds and better align them with the MOH’s priorities
- Increase MoH stewardships
Lack of informed financial planning and budgeting - Improvement of planning budget
Health workforce Critical shortage of skilled healthcare workers
Low motivation
- Improve the capacity of institutions to increase intake and range of health professionals
- Recruitment of qualified staff from within and diaspora, or from neighboring countries
- Provide contingency recruitment plan/budget annually
- Provide financial/ non -financial incentives
Medicines & supplies Lack of essential medicines - Increase the budget allocation
Poor infrastructure - Increase the budget allocation and advocate for low level government to fund its infrastructure
Leadership & governance Less prioritization and integration of newborn’s and children’s health within RH programs
Weak Ministry of Health leadership
- Creation of technical group for newborn and child health
  - Improve the capacity of the staff at the MOH
- Development of a policy framework that allows leadership to direct, delegate, monitor and control health action. Empowered governance (oversight) committees and boards that support management functions at all levels of the health system.
Service delivery Low coverage of RMNCAH services
Barriers to accessing RMNCAH services
Perception of poor quality of care
- Build, renovate, rehabilitation of health facilities
- Increase skill’s staff through training, in job training
- Increase drugs and equipment availability
Health system information Incomplete and inconsistent information - Strengthened facility and community- based surveillance and information system
Lack of indicators of ASRH/GBV - Incorporate ASRH indicators
- Desegregate data (age/ sex)