Evidence map›Paper›PMID 40964046›Full record

ArticleJournal of healthcare leadership2025

Transforming Health in Post-Conflict Somalia: Priorities from a Multi-Stakeholder Roundtable on the 2025-2029 National Plan.

Najib Isse Dirie, Mohamed Mustaf Ahmed, Yakub Burhan Abdullahi, Jihaan Hassan, Bashiru Garba, Ahmed Adam Mohamed, Abdirazak Hersi Hassan, Amal Naleye Ali, Ali Haji Adam Abubakar

Abstract read
In one paragraph

Article in Journal of healthcare leadership, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Najib Isse DirieDepartment of Urology, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.ORCID 0000-0003-3401-8383
Mohamed Mustaf AhmedSIMAD Institute for Global Health (SIGHt), SIMAD University, Mogadishu, Somalia.ORCID 0009-0006-5991-4052
Yakub Burhan AbdullahiFaculty of Health Sciences and Tropical Medicine, Somali National University, Mogadishu, Somalia.ORCID 0009-0001-8535-198X
Jihaan HassanSIMAD Institute for Global Health (SIGHt), SIMAD University, Mogadishu, Somalia.
Bashiru GarbaSIMAD Institute for Global Health (SIGHt), SIMAD University, Mogadishu, Somalia.
Ahmed Adam MohamedDepartment of Research, eHealth Somalia, Mogadishu, Somalia.
Abdirazak Hersi HassanDepartment of Research, eHealth Somalia, Mogadishu, Somalia.
Amal Naleye AliDepartment of Research, eHealth Somalia, Mogadishu, Somalia.ORCID 0009-0007-5964-1696
Ali Haji Adam AbubakarMinistry of Health and Human Services, Mogadishu, Somalia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Somalia's health system remains among the world's most fragile, with a Universal Health Coverage index of only 25% and a critical health workforce density of 0.11 clinicians per 1000 population. While previous national strategies such as NDP-9 and HSSP III provided broad frameworks, the National Transformation Plan (NTP) 2025-2029 represents a paradigm shift toward multi-stakeholder engagement and evidence-based priority-setting for health system transformation. Aim: This roundtable aimed to identify priority areas and implementation strategies for the NTP health pillar through structured stakeholder consultation, moving beyond traditional top-down planning approaches to incorporate diverse perspectives from Somalia's fragmented health landscape. Methods: A qualitative multi-stakeholder roundtable was conducted in Mogadishu with 30 purposively sampled participants representing federal and state ministries, universities, public and private providers, non-governmental organizations, and civil society. Ethical approval was waived, and informed consent was obtained. Audio-recorded discussions were transcribed, translated, and analyzed thematically according to the four NTP health domains. Results: Thematic analysis identified four critical priorities. Participants emphasized that primary health care expansion should prioritize female community health workers and rural facility rehabilitation to increase service coverage beyond the current 25%. Participants emphasized that health workforce constraints, with only 0.11 clinicians per 1000 population, require regional training hubs and rural deployment incentives. Participants emphasized that regulation and governance through the newly established National Health Professionals Council need sustainable funding and federal-state accountability frameworks. Participants emphasized that public-private partnerships and digital health integration could leverage telemedicine and private sector capacity for underserved areas. Conclusion: The roundtable produced actionable strategies linking community-centered primary care, workforce development, regulatory strengthening, and technology-enabled partnerships. However, implementation faces significant constraints, including limited domestic financing, weak governance coordination, and ongoing fragility. Success will require sustained political commitment and innovative approaches adapted to Somalia's unique post-conflict context.

Indexed as

governancehealth workforcenational transformation planprimary health carepublic-private partnershipSomalia

Identifiers

PMID40964046
PMCPMC12439833

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.