Health System Transformation in Somalia

Health System Transformation in Somalia: An Analysis of Justice, Sustainability, and Resilience in a Fragile State

Abdulrazaq Yusuf Ahmed. Japanese Journal of Medical Science. 2026;3(1):01–12. Published 16 February 2026. The publisher labels the paper a Research Article.

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Plain-language summary

The paper considers Somalia’s health system through health justice, sustainability and resilience. Drawing on policy documents, national survey material and relevant literature, it examines financing, service delivery, governance, workforce and climate vulnerability. It argues that durable reform requires these issues to be addressed together, with attention to groups facing exclusion and financial hardship.

Study approach

Qualitative synthesis of policy documents, reports and health policy and systems research literature, organised around governance, financing, service delivery, workforce, equity and climate adaptation.

Policy relevance

The central implication is that progress towards universal health coverage requires both institution building and attention to structural inequity. The numerical indicators cited in the paper refer to its underlying historical sources and are not presented here as current national statistics.

Citation

Ahmed AY. Health System Transformation in Somalia: An Analysis of Justice, Sustainability, and Resilience in a Fragile State. Japanese Journal of Medical Science. 2026;3(1):01–12.

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Related expertise: health financing and UHC · Related perspectives