somalia - World Health Organization

Dec 3, 2006 - Access to, and quality of health care in Somalia remains inadequate to meet ... Increase access to essential health services of adequate quality by the most vulnerable population groups ... hospital management team, District/ ...
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HEALTH SITUATION South-central Somalia, affected by one of the most long lasting crises, is facing mounting political turmoil and violence, resulting in an increasing influx of refugees into northern Kenya. In addition, together with the other countries of the Horn of Africa (Djibouti, Eritrea, Ethiopia and Kenya), Somalia has been affected by a severe drought in 2006, which has further strained the already exhausted livelihood strategies of the population. Life expectancy is 48 years. One in four children dies before the age of five and 1600 women per every 100 000 live births die because of pregnancy-related causes. Diarrhoeal diseases, respiratory infections and malaria are the main causes of death among children, accounting for more than half of all deaths. The major underlying causes of diarrhoea are the lack of access to safe water, poor food and inadequate domestic hygiene. Cholera is endemic and claims hundreds of lives annually, particularly in densely populated areas. Despite the number of polio cases dropping from 185 in 2005 to 30 between Janaury and September 2006, the outbreak has spread across the country, affecting 14 out of 19 regions. Every effort is being made to ensure that immunization campaigns are synchronized with other Horn of Africa countries to halt the spread of the virus. Access to, and quality of health care in Somalia remains inadequate to meet the needs of the population. In addition, health services are unequally distributed, with vast areas completely deprived of basic health care. There are only 39 qualified doctors per one million inhabitants, mainly concentrated in urban areas and only 141 qualified midwives, There is an urgent need to gradually increase access to basic health care by expanding and scaling up primary health care, targeting the most under-served areas.


Increase access to essential health services of adequate quality by the most vulnerable population groups, especially IDP women and children Scale up reproductive health services, focusing on emergency medical obstetric care and family planning

Health Action in Crises

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Increase the coverage of the public health programme, especially of the Expanded Programme of Immunization (EPI) and vitamin A distribution Support health services providers through training and capacity building Strengthen existing surveillance systems, supporting their integration with the health information systems Strengthen coordination of health activities and stakeholders at all levels with special emphasis on emergency preparedness, response, gap filling, early recovery and capacity building Increase the availability of mental health services to communities

WHO Proposed Projects in the CAP 2007

Funds Requested *

Six national polio immunization campaigns SOM-07/H04A

5 691 336

Provision of life saving health services SOM-07/H08A

3 295 600

Implementing Partners

Local health authorities, UNICEF, NGOs

Delivery of essential health care services for children in IDP settlements SOM-07/H09

100 000

MoH, Somali Red Crescent Society, SCFUK, Women Groups

Establish voluntary counselling and testing centres and conducting HIV seroprevalence study in IDP camps in south central, north west and north east zones SOM-07/H10A

312 750


Communicable disease early warning, surveillance and outbreak response SOM-07/H11

559 778

Local health authorities, UNICEF, ACF, CSP, MSF-S, Somali Red Crescent Society

Upgrading the health information system SOM-07/H12A

317 790

UNICEF/UNFPA/FSAU/Int ernational Agencies