What question did this study set out to answer?

The aim is to explore the necessity of integrating One Health into primary care systems in Somalia affected by conflict and crises.

June 20, 2026Open Access

Embedding One Health into primary care in Somalia

Key Points

The aim is to explore the necessity of integrating One Health into primary care systems in Somalia affected by conflict and crises.
Focused on primary care settings in Somalia with a historical context of conflict and health service challenges.
Analyzed the impacts of chronic underfunding and lack of coordination in health services.
Identified the gaps in health infrastructure and reliance on private health service provision.
Revealed critical shortages of trained health personnel across primary care.
Highlighted the fragmented and inequitable nature of existing health systems.
Demonstrated the need for improved coordination to address urgent health service gaps.

Abstract

Health systems in fragile and conflict-affected settings are shaped by a convergence of pressures, including chronic underinvestment, protracted conflict, humanitarian crises, and accelerating climate shocks.1,2 Somalia exemplifies this intersection, with more than three decades of fragile governance and recurrent emergencies having left the country’s health services fragmented, under-resourced, and deeply inequitable.1,2 Primary care, the cornerstone of universal health coverage, remains chronically underfunded and poorly coordinated, characterised by shortages of trained personnel, weak infrastructure, and heavy reliance on largely unregulated private health service provision.

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