Complementing real-time data with survey data collected in South Sudan at independence (2011) and following 2 years of protracted conflict (2015), this study constructed and then compared a resilience index and stress index.

Overall maternal, neonatal and child health coverage levels were low, but the authors found that measures of health system resilience and stress are not always negatively associated, with for example Central Equatoria State displaying health resilience and high system stress.