Comoros

The Comoros National Health Development Plan (PNDS) 2022-2026 is a strategic framework aligned with the "Comoros Emergent 2030" vision, aiming for universal health coverage and improved health outcomes. The plan is structured around key pillars, including governance, infrastructure, human resources, and financial sustainability. It integrates lessons learned from the 2015-2019 plan while addressing persistent challenges such as resource limitations, uneven healthcare access, and governance inefficiencies. The PNDS prioritizes universal access to essential health and nutrition services, ensuring the availability and quality of care through service expansion and enhanced preventive interventions. A significant focus is placed on governance reform, emphasizing leadership, regulatory frameworks, and public-private partnerships. Additionally, strengthening healthcare infrastructure, optimizing human resources, and ensuring financial sustainability are central to the plan's execution. Challenges include healthcare infrastructure deficits, uneven distribution of healthcare workers, and financial barriers limiting access to quality services. While efforts to enhance governance and coordination have been initiated, systemic inefficiencies remain. Furthermore, the plan underscores the need for improved data management and research to inform evidence-based decision-making. The PNDS is ambitious yet pragmatic, recognizing the necessity of cross-sectoral collaboration and international support. The government seeks to leverage digital health solutions and international partnerships to optimize health outcomes. However, achieving its objectives requires sustained political commitment, increased health financing, and effective implementation of monitoring and evaluation mechanisms. The plan's success will hinge on its ability to address systemic inefficiencies while ensuring equitable service delivery nationwide​.