Participants at the project launch, Mogadishu, Somalia, 9 September 2023. Photo credit: WHO Somalia/I. Taxta

29 September 2023, Mogadishu, Somalia – The Federal Government of Somalia, through its Federal Ministry of Health and Human Services, has launched a new project that aims to strengthen the medical emergency services at federal and state referral hospitals. Critical care capacities will be a particular focus.The US$ 11.4 million project is funded by the World Bank under the Somalia Crisis Recovery Project (SCRP). The World Health Organization (WHO) will support the delivery of the ‘Strengthening the Medical Emergency Services at Federal and State Referral Hospitals’ project.

This collaborative initiative comes as the country’s health system grapples with high levels of communicable and noncommunicable diseases, as well as injuries and disabilities caused by ongoing conflict and widespread use of improvised explosive devices.

“We have started important work to strengthen Somalia’s emergency health care through the Somalia Crisis Recovery Project,” said Abdi Tawane, Co-Project Manager of SCRP, who is based in the Project Implementation Unit of the Federal Ministry of Finance. “By upgrading facilities, training staff and coordinating health services, we are building sustainable capacity to respond to health crises and serve citizens across the country. This targeted support will have a significant impact on Somalia’s health care system both now and in the future.”

Following the official launch, representatives of WHO, the Project Implementation Unit of the Federal Ministry of Finance, the Federal Ministry of Health and Human Services, and Federal Member States met to discuss the project implementation in detail.

Strengthening of critical care

The new project aims to get emergency, critical and operative care services up and running in 8 hospitals across the country. The selected facilities can then properly function as regional referral hospitals, delivering emergency and critical care services. This is part of the Government’s vision for delivering integrated health services as set out in the Essential Package for Health Services (EPHS 2020) for Somalia.

The project also seeks to strengthen the referral mechanisms between primary health care and higher levels of health care in the country for critical care support. This will establish a model integrated health care delivery system that can be replicated to meet every person’s health needs across the life course.

“This crucial component of the Somalia Crisis Recovery Project builds on the strong partnership between the Ministry of Health and Human Services, Ministry of Finance, the World Bank and WHO in Somalia,” said Dr Ali Hadji Adan Abubakar, Minister of Health and Human Services. “Somalia made great strides during the COVID-19 pandemic to strengthen national capacity to prepare for, respond to and recover from public health crises, with the support of partners like WHO and the World Bank. More action is needed to meet the immediate needs of the population and strengthen surveillance and laboratory systems to detect and respond to emerging public health threats.”

“Close collaboration among all partners and open reporting to our Project Implementation Unit will be vital to demonstrate governance and maximize outcomes for Somali citizens. With transparency and shared commitment, I’m hopeful this project will save many lives while also sustaining public trust in our institutions,” said Saleiman Sheik Umar, Director-General of the Ministry of Finance.

Dr Mamunur Rahman Malik, WHO Representative and Head of Mission to Somalia, recognized the commitment of the federal and state health ministries. “Using a health system approach, this project will underscore the need for greater investment in emergency and critical care services across Somalia, as highlighted in the recent resolution WHA76.2,” said Dr Malik. “Improving integrated emergency, critical and operative care services as a continuum of care is an important ingredient for achieving universal health coverage. Improving these services will also enable the country to be better prepared for and ready to manage critical care patients in any future pandemics and promote the enjoyment of health as a human right.”

About the Somalia Crisis Recovery Project

SCRP is a holistic project that supports recovery from past disasters while enhancing resilience to future shocks. SCRP recognizes how important it is to bolster Somalia’s health system as it responds to climate- and conflict-related crises.

For component 3 of SCRP, the Project Implementation Unit is working closely with the Ministry of Health and Human Services to pilot approaches for building resilience in the health sector. Emergency telehealth networks are being set up to ensure that remote populations can access care during disasters. Disease early warning systems are being upgraded to predict outbreaks, and community health workers are being trained in first aid and trauma response.

Innovative capacity-building of this nature will help Somalia’s health system to withstand future climate shocks. In this way, SCRP aims to lay the groundwork for more resilient health care nationwide and to support the basic right to health for all in Somalia in this challenging context. 

For more information, please contact:

Somalia Crisis Recovery Project

Abdi Tawane
Co-Project Manager of SCRP, Project Implementation Unit, Ministry of Finance
Email: هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.   

Ministry of Health and Human Services

Bile Abdi
Communications Officer, Ministry of Health and Human Services
Email: هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.  

WHO

Kyle DeFreitas
External Relations Officer, WHO Somalia Country Office
Email: هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.  

Fouzia Bano
Communications Officer, WHO Somalia Country Office
Email: هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.

USAID’s support contributed to fully vaccinating 47% of eligible Somalis with the COVID-19 primary series vaccines. Credit: WHO/Somalia

Mogadishu, 9 September 2023 – Nearly 47% of the eligible Somali population (1) are now fully vaccinated against COVID-19, thanks to the successful collaboration between the World Health Organization (WHO), Federal Government of Somalia and the United States Agency for International Development (USAID) under the COVID-19 response in Somalia project. This project was implemented from July 2022 to July 2023, by the Somali Federal and state-level ministries of health with the technical support of WHO and USAID and aimed to strengthen health care systems and train community health care workers as part of an integrated vaccination campaign for COVID-19 and other vaccinations covered under the Expanded Programme on Immunization (2). By the end of June 2023, Somalia had administered a total of 10 527 700 doses of COVID-19 vaccines (64.4 doses of primary series COVID-19 vaccines per 100 people) — one of the highest vaccination rates in Africa (3). 

“Considering the fragility of our health system, achieving such a high rate of the primary COVID-19 vaccination series in Somalia is no small accomplishment,” said Dr Mukhtar Abdi Shube, the Head of Vaccines and Immunization Programme at the Federal Ministry of Health. “It puts Somalia on par with the more stable and advanced countries in Africa and elsewhere. The project helped address existing gaps in our immunization services and infrastructure, such as coordination, surveillance, shortage of vaccinators, and an operational response to COVID-19,” he added. 

The COVID-19 response project worked with the Somali Federal and state ministries of health to ensure that the most vulnerable and hard-to-reach populations would be reached with the COVID-19 vaccination campaign. Under this project, nearly 2000 community health workers were trained and deployed in 71 high-priority districts, including 31 drought-affected districts. The community health workers made house-to-house visits in marginalized settings, conducted case detection and contact tracing for COVID-19, and identified people, especially female household members, who needed to be vaccinated and refered them to nearby outreach teams set up at  community centres for COVID-19 vaccination. In addition, more than 85% of the vaccinators for the community outreach teams deployed by the COVID-19 response project were women. This gender focus helped increase the vaccination rate for women from 19% (at the start of 2022) to 44% (in July 2023). The COVID-19 response project also helped fully vaccinate 57% of the nearly 3 million internally displaced persons (IDPs) in Somalia and 21% of its nomadic populations. 

“This collaboration between WHO and USAID not only contained transmission of COVID-19 in Somalia, but improved coverage for other critical vaccinations,” said Ted Lawrence, USAID Somalia’s acting Mission Director. “By focusing on community-based initiatives, this project helped build a more resilient health system that is better prepared for future health emergencies.” The stronger immunization system also enabled Somalia to roll out supplementary immunization targeting children who had never received critical childhood vaccinations. This contributed to over 84 600 zero-dose children being identified and receiving their first dose of vaccines (BCG, diphtheria-tetanus-pertussis and polio vaccine). 

For additional information, please contact:

Kyle DeFreitas
WHO External Relations Officer
هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.

Fouzia Bano
WHO Communications Officer
هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.

Sila Kimanzi
USAID Somalia Maternal, Child Health, Nutrition and Family Planning Specialist
هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.

Danielle Botti
USAID Somalia Development Outreach and Communications Specialist
هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.

Keisha Herbert
USAID Somalia Program Office Deputy Director
هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.

Related links

WHO EMRO | WHO continues to support and invest in community-based surveillance system for COVID-19 and epidemic-prone diseases with USAID support | News | Somalia site

1. People at least 18 years old and with no disqualifying health conditions were eligible for COVID-19 vaccines in Somalia.

2. Routine vaccination includes tuberculosis, polio, diphtheria, pertussis, tetanus, Hib pneumonia and meningitis, measles, hepatitis B and pneumococcal pneumonia.

3. In addition to fully vaccinating nearly 47% of the eligible population, through this project an additional 11% of the population received at least one dose of a COVID-19 vaccination series, and 28 000 people received booster doses of a COVID-19 vaccination.

Health worker during house-to-house visits in camp for internally displaced people, Kismayo. Credit: WHO/Somalia

MOGADISHU, 20 August 2023 –The World Health Organization (WHO) country office of Somalia alongside the Government of Somalia, UN sister agencies and other partners marked World Humanitarian Day on 19 August 2023 under the global theme of “No Matter What”. 

This occasion commemorates the day in 2003 when 22 of the United Nations colleagues lost their lives in an attack on the United Nations compound in Baghdad, Iraq. Since then, the humanitarian community across the world has been remembering the fallen heroes and showing their unwavering commitment to meeting the needs of the most under-served and marginalized communities during conflicts, climatic shocks and health emergencies. 

With over half the population of Somalia (8.3 million people) in need of humanitarian assistance[1] and approximately 6.6 million people facing acute food insecurity[2], reaching out to these vulnerable populations with humanitarian aid including health services is crucial. Somalia has faced one of the most severe droughts in its history: 7.8 million have been affected and 1.4 million have been forced from their homes in search of food, water and health care.[3]

“WHO exists to save lives and ensure that every woman, man and child has access to health care – no matter what. Since the beginning of the drought, WHO has been racing against time to save the lives of the most vulnerable in Somalia and, with our humanitarian partners, have successfully pushed famine back. This would not be possible without the dedicated, skilled humanitarians that we work with every day,” said WHO Representative Dr Mamunur Rahman Malik. “With millions impacted by the ongoing drought, disease outbreaks and insecurity, our staff and partners, particularly front-line health care workers, are working in the most difficult circumstances to respond to multiple emergencies at the same time. They do this because of their commitment, dedication and the belief that together we can make a difference. Together, we will continue to serve the people of Somalia, no matter what,” he contended.

WHO Somalia is maintaining 3 warehouses across the country to maintain and sustain provision of life-saving health services across the country. Credit: WHO/Somalia

Since 2022, WHO Somalia has stepped up its integrated response to provide essential lifesaving health and nutrition services, to enhance community-based surveillance to detect and respond to disease outbreaks in a timely manner, and to improve coordination with all partners. WHO-deployed community health workers and outreach teams have brought healt hcare services directly to those who need them the most. Community health workers in towns and villages impacted by drought, as well as camps for internally displaced people, have screened children for malnutrition, referring the most severe cases to stabilization centres, which WHO has supported with essential supplies and capacity-building. At the same time, the threat of violence and terror attacks remains and WHO has been working with international experts, like UK-MED, to build the capacity of Somali first responders to offer lifesaving trauma care. 

Besides meeting the immediate humanitarian needs of the local populations, WHO is also working to build the resilience of the health system to respond to future shocks and better meet the needs of the populations it serves. In partnership with the Ministry of Health and other stakeholders, WHO is conducting capacity-building, providing essential supplies, and in some cases upgrading and solarizing entire health facilities. In this way, the WHO country office is working across the development-humanitarian-peacebuilding nexus, to support the health system and infrastructure of Somalia for now and for years to come. 

WHO Somalia is grateful to the donors and partners who have supported this work, including ECHO, FIND, the governments of Germany, Japan and the United Kingdom, donors contributing to the Central Emergency Relief Fund and WHO’s Contingency Fund for Emergencies. 

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For additional information, please contact:

Kyle DeFreitas
External Relations Officer
هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.

Fouzia Bano
Communications Officer
هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.  

Related links

Please see the links below for additional information on WHO Somalia’s humanitarian work:

An overview of Drought situation in Somalia: Drought Video wr 2023 (1) | WHO Somalia | Flickr

WHO EMRO | Cholera cases on the rise in Somalia amid rising displacement of people | News | Somalia site

WHO EMRO | At-risk ‘zero dose children’ get vaccines as Somalia drought woes mount | News | Somalia site

WHO EMRO | New study finds that 43 000 “excess deaths” may have occurred in 2022 from the drought in Somalia | News | Somalia site

WHO EMRO | Emergency medical team deployed in Somalia as WHO scales up efforts to strengthen trauma care services | News | Somalia site

[1] https://reliefweb.int/report/somalia/somalia-humanitarian-response-plan-february-2023

[2] https://reliefweb.int/report/somalia/somalia-ipc-food-security-nutrition-snapshot-march-june-2023-published-april-25-2023

[3] https://reliefweb.int/report/somalia/somalia-drought-response-and-famine-prevention-15-november-15-december-2022

Five-day single dose reactive cholera vaccination campaign begins in 5 districts of Jubaland State bordering Kenya and Ethiopia. Credit: WHO/ Somalia

Mogadishu, 13 August 2023 – A single dose reactive cholera vaccination campaign gets under way in 5 districts of Jubaland State, bordering Kenya and Ethiopia, classified as the Mandela triangle, from 12 to 16 August, 2023. The campaign aims to vaccinate 590 803 people aged one year and above, including pregnant women in Afmadow, Belet Xaawo, Luuq, Doolow, Dhobley districts. The oral cholera vaccination campaign will be synchronized among border communities with Ethiopia and Kenya.

The 5-day house-to-house campaign will be implemented by 788 vaccination teams each composed of 2 vaccinators, data clerk and cold chain attendant. Each team will be supported by a social mobilizer. The World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) are supporting the Federal Ministry of Health and Human Services and State Ministry of Health of Jubaland State to conduct the campaign. Gavi - the Vaccine Alliance, is providing vaccines and funds to implement this life-saving intervention. As of the end of July 2023, 11 704 suspected cases of cholera, with 30 associated deaths, were reported from 28 drought-affected districts in Somalia. Around 54% of these cases were children aged under 5: 52% of them were girls.

The Minister of Health of Jubaland State H.E. Ismail Ahmed Garas expressed deep gratitude to Gavi for this timely support to stop the spread of cholera and measles in the Mandela triangle. He said, “We are thankful to both WHO and UNICEF for their continued technical and operational support in preparing health workers, social mobilizers and data collectors for this very critical and life-saving cholera vaccination campaign. Our health system might be weak and fragile but our resolve to save lives is firm and together with our trusted partners we are hopeful that this intervention will help stop the transmission of cholera and measles and save scores of precious lives.”

Since 2017, Somalia has witnessed uninterrupted cholera outbreaks. These can be attributed to a large number of people having poor access to safe water and sanitation services, and natural hazards, including drought and floods, further exacerbated by protracted conflict and large-scale population displacement. Meanwhile, the ongoing drought and other climatic shocks in the country has had a grave impact on Somalis – while displacing over 770 000 people internally. It has dried up surface water sources and led to food insecurity in communities, which increases the risk of cholera infection, as well as other waterborne diseases. An estimated 49% of the population – 7.7 million people – require some form of humanitarian or protection assistance in Somalia, of whom 6.13 million are estimated to be affected by the current drought. 

WHO Representative to Somalia Dr Mamunur Rahman Malik said, “Somalia might have averted the threat of a famine but not the threat of disease, because the prolonged drought is showing a real and life-threatening impact on the lives of the people across the country and especially in Mandela triangle. It’s a race against time to try to prevent major outbreaks of cholera and measles.”Emphasizing the need for a collective and timely response, he added, “Cholera and measles can spiral out of hand in no time because of its contagious nature, therefore, we just cannot wait and see this unfolding crisis balloon out of our hands. Our collective emergency response to the global pandemic of COVID-19 is just living proof of how timely collaborative action and delivery of a high-quality and evidence-based intervention can lead to protecting the health and well-being of populations, even if the health system is fragile.”

While cholera remains endemic in Somalia and the current drought situation may have exacerbated the risk of a major outbreak across the country, vaccination against cholera with a single dose is used as a supplementary measure to control any possible outbreak and spread across the region. To curb the transmission of cholera and other waterborne diseases, the Ministry of Health, with the support of WHO and UNICEF, will be raising awareness among the target populations on precautionary measures like maintaining good personal hygiene, improving access to safe water, practising safe sanitation, scaling up active surveillance, community engagement and sensitization. Since January 2023, over 1.4 million people in 15 drought-affected districts have received a single dose cholera vaccine.

For additional information, kindly contact:

Khadar Hussein Mohamud
Head of Coordination and Communications
Ministry of Health
Federal Government of Somalia
هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.  

Mukhtar Abdi Shube
Head of the Expanded Programme on Immunization (EPI) section
Ministry of Health
Federal Government of Somalia
هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.

Fouzia Bano
WHO Chief of Staff ai
Communications Officer
هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.  

Lisa Hill
UNICEF Communications Specialist
هذا البريد محمى من المتطفلين. تحتاج إلى تشغيل الجافا سكريبت لمشاهدته.

Related links

Drought Video wr 2023 (1) | WHO Somalia | Flickr

WHO EMRO | Cholera cases on the rise in Somalia amid rising displacement of people | News | Somalia site

Saving lives from cholera in drought-hit districts: WHO steps up vaccination campaign using oral cholera vaccines

Stepping up humanitarian operations for drought: cholera vaccination campaign rolled out to protect over 900 000 Somalis in drought-affected districts