From Donor Dependence to Local Ownership: Jowhar’s Health Sector at a Crossroads

Governance Briefs

From Donor Dependence to Local Ownership: Jowhar’s Health Sector at a Crossroads

Jowhar’s health system relies heavily on donor-funded hospitals, with its key facilities commonly known by NGO names (“INTERSOS” and “IMC” Hospitals) rather than public institutions, which highlights the city’s dependence on external aid.

Recent cuts in donor funding, including an 80% reduction from the U.S. Government, have led to severe staff shortages, disrupted essential services such as medical supplies, and even caused preventable deaths.

The local municipality and Hirshabelle Ministry of Health have limited capacity to run the hospitals, resulting in fragmented management, inconsistent services, and a reliance on emergency fixes rather than long-term solutions.

Building a sustainable health system requires community contributions, clearer roles for local and state authorities, smarter donor investment in infrastructure, and stronger collaboration with community committees and private partners.

From Donor Dependence to Local Ownership: Jowhar’s Health Sector at a Crossroads

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Somali Public Agenda

Somali Public Agenda is a non-profit public policy and administration research organization based in Mogadishu. Its aim is to advance understanding and improvement of public administration and public services in Somalia through evidence-based research and analysis.

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From Donor Dependence to Local Ownership: Jowhar’s Health Sector at a Crossroads

From Donor Dependence to Local Ownership: Jowhar’s Health Sector at a Crossroads

Somali Public Agenda

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