Somalia, located in the Horn of Africa, has a population of 15.64 million people with a life expectancy of 54 years (men) and 57 years (women). The health system is challenged by humanitarian crisis and a high burden of communicable and non-communicable diseases. The National Development Plan (NDP) 2017-2019 includes a health policy focusing on the provision of essential healthcare services; improved capacity building and regulation of the health workforce; implementation of the long-term Medicine and Supply Plan to secure delivery of essential health supplies; strengthening institutional and management capacity at all levels through a ‘Health in all Policies’ approach; creating a sustainable health financing system and an effective health management information system. Based on their respective NDPs, Somalia and Somaliland implement their 2nd Health Sector Strategic Plans (HSSP). In 2018, Somalia joined the UHC Partnership (UHC-P), which supports the development of a roadmap towards health systems in emergencies and the launch of a humanitarian nexus to support health system strengthening in 2019. The UHC-P supports the planned revision of the essential package of health services to ensure a comprehensive package that includes hospitals, health facilities and community level health services to strengthen PHC. Access country documents here.
|TA for the development of a roadmap to move towards UHC in emergency context||Recruit TA for UHC roadmap||Completed|
|Conduct consultative workshops in all the states of Somalia, meetings with donors and other partners and a ratification workshop of the UHC roadmap||Consultation for localization of SDGs, UHC roadmap and EPHS||Completed|
|Revision of Essential Package of Health Services (EPHS) to ensure a comprehensive package that includes hospitals, health facilities and community level health services||Review of EPHS based on DCP3 recommendations and develop plan for revision of EPHS||Completed|
|Launch Humanitarian and development nexus mission with support from regional office and HQ||Humanitarian development nexus mission||Completed|
|Comprehensive essential package of health services have been developed. Health policy / strategy / plans include Equity, Gender & Human Rights approaches.||The complete and finalized Somalia EPHS 2020 document, executive action document, web version. Provide continuous support in mainstreaming UHC principles broadly in policy making, planning, dialogue, technical work, across health system components. Equity, gender and human right approach are well reflected in the National Health Policy, Health Sector Strategic Plan (HSSP III), and the EPHS service delivery framework.||Completed|
|Health workforce improved to support provision of quality health services.||Update the Human Resources for Health (HRH) strategy and plan. NHPC (National Health Professions Commission) launched & functional. Build MOH staff capacity at federal & state levels with regard to the institutional functions of each department / unit. Update HRH situation analysis and figures, assess and develop the HRH information system.||Ongoing|
|Implement the Essential Package of Health Services (support the MoH in this effort)- Develop EPHS implementation guidance. Design options for funding arrangements. Facilitate policy dialogue and partners negotiation. Develop assessment / monitoring tools.||For the EPHS, assist in the development of a comprehensive implementation guidance, standards and tools, to implement / adopt the EPHS. Define a monitoring and evaluation framework to monitor and measure how this UHC benefit package responds to the health needs of the population, to demonstrate results, serve accountability, increase demand for and utilization of PHC. Position the EPHS as the common framework for all health interventions across the development, humanitarian and peace building support. Mobilize resources to expand community based services, also through links to formal financial sector.||Ongoing|