Strengthening Somalia’s Healthcare Sector Decentralization in a Federal System
In September 2024, the Heritage Institute for Policy Studies (HIPS) funded a comprehensive study to assess structural and capacity challenges within Somalia’s federal and state ministries of health. The study aimed to inform the development of a resilient, innovative, and sustainable decentralized healthcare system aligned with Somalia’s federal governance framework. It identified major weaknesses in policy formulation and limited use of evidence in decision-making, as well as overlapping and unclear mandates between federal and state entities that undermine coordination and accountability. Health planning was found to be largely donor-driven and poorly integrated across levels of government, reducing strategic coherence. In response, the study proposes a set of targeted recommendations. These include strengthening the Federal Ministry of Health’s (MOH) planning capacity, policy development, and regulatory oversight through structured engagement with research institutions and international partners; empowering state and district-level authorities to serve as the operational core of decentralized service delivery, with tailored support for planning and resource allocation; diversifying revenue streams through selective health-related taxes (such as on tobacco, khat, and sugary drinks) and licensing of private health actors; and clearly defining federal and local planning responsibilities to better align budgeting with service delivery. Overall, the study offers a strategic roadmap for policymakers to advance health sector decentralization in Somalia. By addressing structural gaps, enhancing institutional capacity, and promoting inclusive governance, Somalia can build a health system that is more equitable, responsive, and consistent with its federal aspirations.
Strengthening Somalia’s Healthcare Sector Decentralization in a Federal System
Bishii Sebteember ee sannadkii 2024, ayaa Machadka Daraasaadka Siyaasadda ee Heritage (HIPS) qiimayn cilmibaadhiseed oo baaxad leh ku sameeyay caqabadaha la xidhiidha qaabdhismeedyada iyo awoodaha waxqabad ee Wasaaradda Caafimaadka Dowladda Dhexe ee Federaalka iyo kuwa Dowlad Goboleedyada Soomaaliya. Daraasaddan waxa looga gol lahaa in lagu baraarugo hormarka ku saabsan adkaysiga, hal-abuurka iyo waaritaanka maamul-daadajinta nidaamyada caafimaadka iyo sida ay ula jaanqaadayaan shuruucda dowladda federaalka Soomaaliya.
Xoojinta Bahda Caafimaadka Soomaaliya: Maamul-daadajinta Nidaamka Faderaalka