Abstract

Military coups are not uncommon occurrences, particularly in developing nations where political systems might be less firmly entrenched or still evolving. Developments of this nature can often have profound implications for the affected nation’s healthcare systems, both in the immediate aftermath and over the longer term. This paper narrates some notable consequences of political instability on the national health system, particularly placing them in the context of the military coup in October 2021 – emphasizing the context behind the political turbulence, its acute and direct consequences, and the possible long-term legacies of political shocks on the already overwhelmed health system. As a descriptive piece, this narrative does not only look at the impact of the military coup on hospitals, but considers the implications for the healthcare system as defined by the WHO, with particular emphasis on the impact of the coup on health funding from multi-laterals, service delivery, human resource availability, and supply chains in Sudan.

Highlights

  • Military coups are not uncommon in low- and middle-income countries; for example, there have been 10 military coups in African countries in the past five years alone [1]

  • This train of events was visible in the immediate aftermath of the October coup in Sudan, which saw the dismissal of both the Federal Minister and the undersecretary of the Federal Ministry of Health (FMOH)

  • These two positions are critical to the management of the Sudanese health systems, monitoring the progress of the different functions, coordinating partners and stakeholders locally and globally, and working toward the goal of achieving universal health coverage in Sudan (Figure 1)

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Summary

Introduction

Military coups are not uncommon in low- and middle-income countries; for example, there have been 10 military coups in African countries in the past five years alone [1]. The most recent occurred on October 25, 2021, when the Sudanese army deposed the transitional government (the 17th such event in Sudan since its independence in 1956). This article uses this event as the focal lens to examine the impact of military coups on. How to cite this article: Alhadi K. Mona Ibrahim , Karrar Karrar Hassan Salih, Military Coup on the Sudan Health System,” Sudan Journal of Medical Sciences, vol. Mohamed Elsheikh (2021) “Saving the Fundaments: Impact of a 16, Issue no. Sudan Journal of Medical Sciences availability of financial and human resources, and the acquisition of new medicines and technologies)

A leadership vacuum
Interrupted funding and donor insecurity
Suspended service delivery
Diminishing human resources for health
Future considerations
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