Somalia, officially the Federal Republic of Somalia, is a country located in the Horn of Africa. It is bordered by Ethiopia to the west, Djibouti to the northwest, the Gulf of Aden to the north. Its population is 6 million and GDP per capita of USD 145.
Somalia is faced with the challenge of rebuilding state institutions after decades of conflict, which has undermined basic services and had a severe impact on human development. ife expectancy at birth is 51 years, and one in every 10 children dies in the first year. Nomadic pastoral communities make up a large part of the population. HIV prevalence is low, but with a generalized epidemic in the northwestern zone of Somaliland. TB remains a public health emergency in Somalia, which has one of the highest burdens of multidrug-resistant TB in the Middle East and North Africa region. Most cases of multidrug-resistant TB remain unidentified and continue to spread in the communities. Malaria remains an important public health problem in Somalia.
AHO PRIORITIES FOR HEALTH DELIVERY PLAN IN SOMALIA
- Perinatal deaths.
- Injuries and accidents
- Teenage pregnancies and low birthweight babies.
- Malignant neoplasms
- Diabetes and hypertension.
- Environmental health (prevention of outbreaks of dengue and diarrhoeal diseases and monitoring of food, water, and environmental determinants of chronic diseases).
- Hospital information/surveillance systems.
- Health promotion, focusing on healthy lifestyles (risk factors for heart disease, diabetes, hypertension, and cancers).
PROGRAMMES & PROJECTS
1. HEALTH SYSTEMS DEVELOPMENT
To strengthen the institutional capacity of the Ministry to improve quality health services and systems
- Support provided for the development of methods, models, and technologies to improve the quality of health services/systems.
- Comprehensive policies, plans, and programs developed for vulnerable groups.
- Plans, projects, and policies introduced to strengthen the leadership role of AHO
- Management capacity improved.
- Program implementation, monitoring, and evaluation mechanisms in place.
2. HEALTH PROMOTION AND DISEASE PREVENTION
To apply health promotion approaches appropriately.
- Plans, projects, and policies designed to strengthen the regulatory role of the Ministry.
- Support provided for the introduction of methods, models, and technologies to enhance the role of cooperation networks to control selected disorders.
- Support provided to models, methods, and technologies to promote awareness of selected conditions.
- Direct support provided to strengthen the capacity to manage and implement programs and services for selected conditions.
AHO SOMALIA 2020 (USD million)* based on 2017 pop 14.74 million World Bank
|1||Combating communicable diseases||
|2||Tackling non communicable diseases||
|3||Addressing determinants of health & risk factors||
|4||Modernising health system and health service||
|5||Improving preparedness, surveillance and response||
|6||Developing good governance & corporate services||
AHO estimates that it needs to spend at least USD100 per capita on health to meet the basic health needs of the people in Africa. This is too far below developed countries e.g. in England it is US$1,300 per capita (2017)