Evidence map›Paper›PMID 42381733›Full record

ReviewInfection and drug resistance2026

Antimicrobial Resistance in Somalia: Surveillance Gaps, Stewardship Barriers, and One Health Priorities.

Abdirahman Mohamed Jimale, Mohamed Ahmed Ali, Nor Haji Osman, Aweis Ahmed Moallim, Abdirahman Ahmed Mohamud, Ismail Dahir Ahmed, Abdiweli Mohamed Abdi, Abdikarim Abdi Adam, Osman Mohamed Mohamud

Abstract readReview
In one paragraph

Review in Infection and drug resistance, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Abdirahman Mohamed JimaleDirectorate of Health and Human Services, Research Section, Banaadir Regional Administration, Mogadishu, Somalia.ORCID 0009-0007-0146-2361
Mohamed Ahmed AliDirectorate of Health and Human Services, Research Section, Banaadir Regional Administration, Mogadishu, Somalia.
Nor Haji OsmanDirectorate of Health and Human Services, Research Section, Banaadir Regional Administration, Mogadishu, Somalia.ORCID 0009-0002-8051-0977
Aweis Ahmed MoallimDirectorate of Health and Human Services, Research Section, Banaadir Regional Administration, Mogadishu, Somalia.
Abdirahman Ahmed MohamudDirectorate of Health and Human Services, Research Section, Banaadir Regional Administration, Mogadishu, Somalia.
Ismail Dahir AhmedDirectorate of Health and Human Services, Research Section, Banaadir Regional Administration, Mogadishu, Somalia.
Abdiweli Mohamed AbdiFaculty of Health Science, Al Hayat Medical University, Mogadishu, Somalia.ORCID 0009-0005-2656-1038
Abdikarim Abdi AdamDepartment of Environmental health and Climate, IPC Section, Federal Ministry of Health, Mogadishu, Somalia.ORCID 0009-0004-5181-4730
Osman Mohamed MohamudFaculty of Medicine and Health Sciences, Zamzam University of Science and Technology, Mogadishu, Somalia.ORCID 0009-0008-7052-4391

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This narrative review examines antimicrobial resistance (AMR) in Somalia, with emphasis on surveillance gaps, stewardship barriers, and One Health priorities. Peer-reviewed and selected grey literature published between 2010 and March 2026 was reviewed using major bibliographic databases and relevant policy sources. The available Somalia-specific evidence remains limited, heterogeneous, and concentrated mainly in facility-based studies from urban settings, particularly Mogadishu. Existing findings indicate concerning resistance patterns among major bacterial pathogens, while national surveillance systems, laboratory capacity, quality assurance, antimicrobial stewardship structures, and regulatory oversight remain underdeveloped. Evidence from animal health, food systems, and environmental sectors is also sparse, limiting operational implementation of a One Health response. Strengthening AMR control in Somalia requires phased investment in sentinel surveillance, microbiology and antimicrobial susceptibility testing, antimicrobial stewardship, pharmaceutical regulation, infection prevention and control, water, sanitation and hygiene, and multisectoral coordination. Addressing AMR in Somalia will depend on both AMR-specific interventions and broader health-system strengthening.

Indexed as

antimicrobial resistanceantimicrobial stewardshipfragile health systemslaboratory capacityone healthSomaliasurveillance

Identifiers

PMID42381733
PMCPMC13317538

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.