Historical overview and health summary for Somaliland.

Situated in the North West region of Somalia, Somaliland is a self-declared nation with an estimated population of between 2.5 and 3.5 million. The capital, Hargeisa has an estimated population of between 600,000 and 1,000,000. The country has essentially governed itself with its own president, constitution, passport, and currency. Somaliland has a history of peaceful presidential elections. The country has had three elected presidents, the current President Ahmed Mahamoud Silanyo was elected in 2010.


Somaliland’s public health system has faced numerous challenges, there is a lack of qualified health workers, equipment and funds to finance the development of the health system and to address health needs of the nation.


Health indicators:

Reliable figures disaggregated for Somaliland are hard to come by, but the following are reasonable estimates:

The maternal mortality ratio for Somaliland is exceptionally high: 1,000 – 1,400 maternal deaths per 100,000 live births. Less than 10 per cent of births are attended by skilled personnel.

FGM/C is almost universal and performed on young and adolescent girls.

It is estimated that almost one million children under-5 are acutely malnourished, of which more than 40 per cent are severe cases.

WHO estimates the perinatal mortality rate in Somalia at 81 per 1,000 total births.

Under-5 mortality is estimated at 200 per 1,000 live births, due to pneumonia (24%), diarrhoea (19%), neonatal disorders (17%), and measles (12%).

Under-5 mortality is estimated at 200 per 1,000 live births