SSMJ November 2018


Keeping an eye on Ebola Virus Disease in South Sudan

Between June and November 1976, the medical world was baffled by an outbreak of a ferocious haemorrhagic disease in Nzara, South Sudan (then part of Sudan). This became known as Ebola Virus Disease (EVD). The West African outbreak in Guinea, Liberia and Sierra Leone in 2014 was devastating. A new outbreak in DR Congo in 2018 is a warning to South Sudan to be on high alert.

News, Reports and Policy


The medical fraternity in South Sudan was hit very hard in August and October 2018 with the loss of four of its prominent members. These colleagues served the people and the country diligently.

Call for Submissions

SSMJ is making a call for submissions for a jumbo special issue of the journal dedicated to discussing all aspects of PHC.

Neonatal resuscitation chart

This chart is designed with the ‘Helping Babies Breath’ training in mind. However, it incorporates external cardiac massage, which can be effective in some cases.

Clinical Guidance

How to repair a vesico-vaginal fistula

Most fistulae are caused by ischaemic necrosis of the genital tract and adjacent organs through prolonged obstructed labour. This article provides a brief overview and refer the reader to resources that cover the practical aspects of the surgery and holistic care of the patient.


Knowledge of type 2 diabetes mellitus and adherence to management guidelines: a cross-sectional study in Juba, South Sudan

Inadequate education and the lack of efficient diabetes care centres compounded by high costs are common barriers for diabetes care. This study assesses the level of knowledge and adherence to guidelines for management of type 2 diabetes in South Sudan.

Knowledge, attitude and willingness to accept Caesarean section among women in Ogbomoso, southwest Nigeria

Caesarean section (CS) is a common procedure in obstetrics and has contributed immensely to improving maternal and foetal outcome. The study which seeks to assess the level of knowledge, attitude and acceptance of women about CS in Ogbomoso, Nigeria, concludes that mothers should be educated on the process involved in Caesarean delivery.

Obstetric fistulae, birth outcomes, and surgical repair outcomes: a retrospective analysis of hospital-based data in Dodoma, Tanzania

Obstetric Fistula (OF) among pregnant women remains a widespread condition with devastating consequences and poses a significant challenge in a community as well as globally. The study concludes that timely fistula repair by experienced fistula surgeons will improve outcomes and limit the clinical insult and distress that OF invariably causes.

Case Reports

Caesarean Section acceptability and rate in South Sudan

Women may refuse or be reluctant to have a planned or unplanned Caesarean Section (CS) for many reasons. A knowledge of these reasons can help health professionals to persuade a woman and, as importantly, her relatives to agree to a CS if the need arises.


Ebola Virus Disease: epidemiology, management, prevention and control

Ebola Virus Disease (EVD) is part of the group of illnesses known as viral haemorrhagic fevers, and was previously known as Ebola haemorrhagic fever. Infection with EVD is acute, severe and often fatal in humans. The paper provides an outline of what is known about EVD.

Ebola on our doorstep: Ebola Virus Disease preparedness in South Sudan

South Sudan has previously experienced three EVD outbreaks in 1976, 1979 and 2004. With recent outbreaks in DR Congo, it is possible that a sporadic outbreak can happen in South Sudan, and so the country is always at risk. Preparedness is key.

Internship training in South Sudan: the challenges and way forward

The House Officer is the professional whom the patient meets most often when entering hospital and will remember for a long time. This extraordinary commitment and work load of the House Officers at Juba Teaching Hospital has received little recognition by the authorities despite the challenges they faced in the course of their training.

The current crisis of Human Resource for Health in Africa

Brain drain has been a source of despair for developing countries, and the healthcare sector arguably bears the biggest brunt imposed by this growing problem. The author argues that if Africa is to counter the healthcare human resources crisis, member states may need to adopt radical reforms in the healthcare sector.