02352nas a2200337 4500000000100000008004100001653001100042653002100053100001400074700001800088700001600106700001700122700001500139700001400154700001200168700001500180700001600195700001600211700001200227700001600239700001200255700001500267700001300282700001200295700001700307700002300324245006900347856005800416490000600474520153400480 2019 d10aHealth10aHealthcare needs1 aCharani E1 aCunnington AJ1 aYousif AH A1 aSeed Ahmed M1 aAhmed AE M1 aBabiker S1 aBadri S1 aBuytaert W1 aCrawford MA1 aElbashir MI1 aElhag K1 aElsiddig KE1 aHakim N1 aJohnson MR1 aMiras AD1 aSwar MO1 aTempleton MR1 aTaylor-Robinson SD00aIn transition: current health challenges and priorities in Sudan uhttps://gh.bmj.com/content/bmjgh/4/4/e001723.full.pdf0 v43 a

A recent symposium and workshop in Khartoum, the capital of the Republic of Sudan, brought together broad expertise from three universities to address the current burden of communicable and non-communicable diseases facing the Sudanese healthcare system. These meetings identified common challenges that impact the burden of diseases in the country, most notably gaps in data and infrastructure which are essential to inform and deliver effective interventions. Non-communicable diseases, including obesity, type 2 diabetes, renal disease and cancer are increasing dramatically, contributing to multimorbidity. At the same time, progress against communicable diseases has been slow, and the burden of chronic and endemic infections remains considerable, with parasitic diseases (such as malaria, leishmaniasis and schistosomiasis) causing substantial morbidity and mortality. Antimicrobial resistance has become a major threat throughout the healthcare system, with an emerging impact on maternal, neonatal and paediatric populations. Meanwhile, malnutrition, micronutrient deficiency and poor perinatal outcomes remain common and contribute to a lifelong burden of disease. These challenges echo the United Nations (UN) sustainable development goals and concentrating on them in a unified strategy will be necessary to address the national burden of disease. At a time when the country is going through societal and political transition, we draw focus on the country and the need for resolution of its healthcare needs.