Addressing health issues and accessibility in Elttondoub village, Sudan: Perspectives from community leaders

Sudan faces significant healthcare challenges in providing adequate healthcare, particularly in rural areas, due to a lack of infrastructure, trained medical professionals, and low health awareness. Elttondoub village faces various health problems related to endemic and chronic diseases, contaminated water sources, and poor healthcare accessibility. The present study aims to assess health issues and accessibility in Elttondoub village, reported by community leaders, and to draw effective strategies to improve healthcare accessibility and promote community involvement in healthcare. This community-based qualitative study involved 5 focus group discussions with community leaders and residents in Elttondoub villages, Sudan. The sample was purposive and volunteer-based, and consisted of teachers, medical workers, religious leaders, and the local people's committee. Data was collected through voice recordings and field notes, which were transcribed and analyzed thematically using Atlas.ti9. The interviews were based on the World Health Organization community health needs assessment and were translated into Arabic. A total of 23 community leaders were interviewed. There were several health problems in Elttondoub village, including malaria, chronic diseases, and water contamination. Healthcare accessibility was limited due to transportation, financial, and political issues. Also, there is a shortage of medical professionals. Residents showed good levels of health knowledge regarding their common endemic diseases. The main health challenges were the use of a first aid kit and when to seek medical advice. Medical professionals and religious leaders were the most trusted sources of health education, as the residents headed to them when they sought medical advice. Community solutions suggested included preventive measures, improving healthcare infrastructure, and organizing health education programs. The construction of roads and bridges over creeks and the completion of the landfill project were suggested as feasible ways to improve healthcare accessibility. The study emphasizes the need for health education programs by organizing health training sessions and workshops for the community. Community involvement and engaging with the government to address health issues and establish an appropriate environment for medical personnel to solve the shortage, and assist in educating residents about their health. Healthcare accessibility improvement by constructing roads and bridges will facilitate transportation.