Somaliland Builds Thriving Health System Amid Global Neglect

Somaliland, a self-declared republic in the Horn of Africa, is developing a healthcare system that rivals those of many recognized nations. Dr Essa Abdi Jama, CEO of Better Health Somaliland, highlighted the progress made since the region began rebuilding its health infrastructure in 1991. “Somaliland’s health system has been built from scratch,” Dr Jama explained, emphasizing the need for greater support in areas such as human resources and medical services.

Unlike much of the Horn of Africa, Somaliland now faces major health issues related to non-communicable diseases instead of the infectious diseases traditionally associated with the continent. “The number one causes of disease are non-communicable illnesses like diabetes and hypertension, similar to Western countries,” Dr Jama noted. He also pointed out the increasing burden of cancer, calling for enhanced early detection programs and specialized resources. “We see people at late stages of cancer,” he said, stressing the urgent need for advancements in oncology and cardiac surgery.

Geographical advantages, climate stability, and effective social organization contribute to the relative success of Somaliland’s healthcare system. “Sanitation is good, living conditions are stable, and air pollution is low,” Dr Jama stated. The region boasts functioning immunization programs that are lacking in many other parts of Africa.

When comparing Somaliland to Somalia, which receives significantly more international aid, the differences in healthcare infrastructure are stark. “Somaliland has built accessible, safe, and higher-quality systems despite not being recognized internationally,” Dr Jama explained. He believes that with global recognition, Somaliland’s healthcare could evolve into a “five-star health system.”

The healthcare system in Somaliland relies heavily on initiatives from private entities, with local doctors and communities investing their own resources to establish hospitals and clinics. “The resilience of our people is remarkable,” Dr Jama said, highlighting the effectiveness of public-private partnerships that enhance healthcare delivery without depending on external aid.

International collaborations are also taking shape, with Somaliland forming ties with medical institutions in countries such as Israel, Australia, and the UK. These partnerships facilitate knowledge transfer and specialist training, enhancing the capabilities of healthcare providers in the region. Nevertheless, the lack of global recognition continues to limit Somaliland’s potential, preventing it from being acknowledged alongside regional leaders like Kenya and Rwanda.

Dr Jama’s message to the international community is clear: Somaliland is not a failed state but rather an emerging success story. “If donors and international medical associations invest here, the difference would be dramatic,” he asserted. With a functioning democracy and a capable healthcare system, Somaliland is ready to demonstrate its potential.

The call for recognition of Somaliland as a sovereign state is gaining momentum. Advocates argue that while other entities with less stable governance receive diplomatic recognition, Somaliland remains overlooked. They urge Western governments to acknowledge Somaliland’s democratic success and support its burgeoning healthcare system.

As Somaliland continues to grow and improve its health services, the potential for transformation remains strong. With the right support and recognition, this self-reliant region could become a leader in healthcare in the Horn of Africa.