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Health Systems Governance in Somalia: An Examination of Validity, Digital Accountability, and Community Health Workforce through Mixed Methods Research

October 17, 2025 By

Authors: Dr Abdulrazaq Yusuf Ahmed

Somalia’s health system faces major challenges due to weak governance and conflict. To improve services, two new efforts were introduced: the Marwo Caafimaad community health worker program and a digital reporting system using DHIS2. This study reviewed health data from 2018–2024 and gathered insights from interviews and focus groups. The results showed clear progress; antenatal care, skilled birth attendance, and child immunization rates all improved, especially in areas using both community health workers and digital tools. The study concludes that combining local health workers with transparent digital systems can strengthen health services and rebuild public trust in fragile settings like Somalia.

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Resource Topic: CHW, health systems

Resource Type: Mixed Methods

Year: 2025

Region: Sub-Saharan Africa (SSA)

Country: Somalia

Publisher May Restrict Access: No

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