Médecins du Monde Participative Health System Diagnosis and Programing Consultancy in Bosaso, Somalia

Bosaso District, Participative Health System Diagnosis and Programing
Terms of Reference

Title: Assessment
of the health system with a focus on sexual and reproductive health
department and proposed intervention strategy in collaboration with the
MoH in Bosaso, Somalia

Origins of Request

Médecins du Monde (MdM) is an international humanitarian organization whose mission is:
  • to
    provide medical care for the most vulnerable populations when they are
    faced with crisis or exclusion from society, the world over, including
  • to
    stimulate voluntary commitment from doctors, other health care
    providers, and from those whose expertise in other fields is needed for
    its activities, 
  • to enlist all competent support required for the achievement of its projects, 
  • to seek at all times to encourage close working relationships with populations in its care.
is most widely known for its political instability and chronic health
crises. Because of extended periods of conflict and instability, Somalia
has become the quintessential fragile state. As a result of this
prolonged fragility, existing health infrastructures have been destroyed
and effective institutional investment in quality health services has
been prevented.  

breakdown of health service provision is a symptom of a dysfunctional
health system, which is in turn characterized by poor infrastructure; an
inability of governments to deliver services; an absence of equity,
incoherent, or non-existent policies; a scarcity of actionable
information; and poor management.  
characteristics have meant that, in many regions of Somalia, health
services are largely non-existent, exposing an already vulnerable

the years of fragmentation and near total collapse, various efforts
have been undertaken in a bid to reconstruct a functioning and dynamic
health system. The recent Joint Health and Nutrition Programme (JHNP) is
one such effort.  

is divided into three administrative regions— Somaliland in the
northwest, south-central regions, and Puntland state in the northeast. 

goal of MdM in the region of Puntland in Somalia is to strengthen
health care services to the civilian and internal displaced people’s
(IDP’s) in Bosaso with a specific focus on sexual and reproductive
health, Puntland.

the Health System Strengthening (HSS) workshop conducted by WHO (World
Health Organization) in August 2015 and afterward during the Ministry of
Health (MoH) annual review meeting, the needs of decentralization of
the MoH health services has been recognized as a major priority. 
MdM intervention takes place in a fragile health system, continuously
struggling to operate effectively and to deliver accessible standard
quality care. 

in 2016, Somalia MdM project proposed to support a health system
strengthening analysis and programming in Bosaso town (Puntland), after
discussion with regional health office of Bari region. 
main objective of this diagnosis is to identify what are the main
strengths and weaknesses at of Bosaso district health system in relation
to the 6 blocks of the health system

specific diagnosis of Bosaso district health system will be
instrumental in providing clear information on the main challenges to
the MOH and decision makers. 
health system strengthening is also a prerequisite to a sustainable
integration of specific sexual and reproductive health and gender-based
violence services and migrant’s reception into the public health system,
as transversal issues.
CLICK HERE for a detailed terms of reference

How to Apply

Applications must be received by Sunday 26th of June 2016. 

MdM will communicate its final decision not later than Friday 1st of July 2016.

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