A new environment is emerging in the Somali health sector, resulting from the peace dividend along with the investment made by international partners. Over the years, Somalia adopted a federal system where Somaliland (North-West), and Puntland (North-East) have been existing so long and new federal member states emerged from South Central regions of Somalia, namely Jubbaland, South-West, Galmudug, Hirshabeles states, and Banadir Regional administration.
Due to decades of civil war, many health indicators are very poor. In 2015, the maternal mortality ratio was estimated at 732 per 100,000 live births1– an improvement since 1990, when the figure was 1210 per 100,000 live births2, but still poor compared to Kenya (510) or Ethiopia (353) in 2015. Under- 5-mortality rate was 137 per 1000 live birth3 in 2015, compared to Kenya (49) and Ethiopia (59). At 42%, Somalia has one of the lowest Diphtheria-tetanus-pertussis (DTP3) coverage rates in the world (Gavi 2016). In terms of JRF data, Penta I coverage was estimated at 50%, Penta III at 46 %, and Measles at 43% (Gavi 2016).
The Federal Government of Somalia (FGS) developed a three-year National Development Plan (2017-2019) (NDP) that will replace Somalia’s New Deal Compact (2014 – 2016). The NDP reflects the priorities of the health sector and includes key objectives defined in Somalia’s National Health Policy 2014.

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