DIGITAL HEALTH SOMALIA 2019-2022 DIGITAL HEALTH SOMALIA 2019-2022 Den föreslagna insatsen har till syfte att inrätta ett Nationellt System för hantering av hälsoinformation och data så kallad "Health Management Information System” (HMIS) i Somalia. Det finns inget sådant initiativ för närvarande i Somalia. Etablering av ett effektivt HMIS är inkluderat i WHO:s sex grundläggande byggstenar för hälso- och sjukvårdssystem. Nuvarande fragmentering och brist på data och information gör det svårt om inte omöjligt för Somaliska hälsovårdsaktörer att kostnadseffektivt planera, hantera och leverera kvalitetshälsovård över hela landet. Insatsen skall implementeras av SPIDER (Swedish Program for ICT in Developing Regions). SPIDER grundades 2004 på Sidas initiativ och är idag ett oberoende centrum för expertis inom ICT för utveckling vid Stockholms Universitet. Sida har sedan etableringen av SPIDER fortsatt att tillhandahålla ett flerårigt icke-öronmärkt/kärnstöd till SPIDER i tillägg till specifika projekt stöd. SPIDER fungerar som den svenska operativa motparten och rådgivaren för ett antal Sida ICT för utveckling (ICT4D) projekt i Sida prioriterade länder. SPIDER mobiliserar ett nätverk av svenska och internationella experter på informations- och kommunikationsteknik för utveckling för att hjälpa utvecklingsländer använda ICT som ett verktyg för att effektivt och strategiskt driva utvecklings- och fattigdomsminskningsmål - i detta fall, hälsa.

För denna insats, föreslår SPIDER en initial 12-månaders start-fas under vilken SPIDER kommer att genomföra granskning av nuvarande data och informationssituationen och kapaciteten i Somalia, analys av regionala behov, inklusive bedömning av hälsosystemet i de två utvalda regionerna (Galmudug och Puntland ), rekrytering och utstationering av projektpersonal och kartläggning av relevanta aktörer. De två utvalda regionerna bestämdes av SPIDER i samråd med det federala hälsoministeriet i Somalia. De två utvalda regionerna återspeglar det nuvarande hälsovårdssystemet i Somalia. Galmudug-regionen representerar ett av de svagaste hälsosystemen med begränsad kapacitet och räckvidd. Galumudug-regionen kontrolleras också delvis av Al-Shabaab som gör det svårt att få tillgång till kritisk mödra-och barnhälsovård. Puntland regionen å andra sidan har ett av de mest utvecklade hälsosystemen inom Somalias federala regering. Regionen är ganska stabil och hälsoministeriet har erfarenhet jämfört med Galmudug. SPIDER föreslår vidare att skapa ett centralt nav för datalagring och hantering i Mogadishu.

Sammanfattningsvis syftar projektet till att utforma, upprätta och leverera ett HMIS som är lämpligt för Somalias infrastruktur och folkhälsobehov. Utvecklingen av HMIS är en viktig fråga för den federala regeringen och prioriteringen är inkluderad i den nationella hälsostrategin. SPIDER was founded as a center for expertise concerning ICT for development at Sida's initiative and was initially housed by the Royal Institute of Technology and later by Stockholm University, which is Sida's agreement partner. Sida has since continued to provide a multi-year non-earmarked support to SPIDER. SPIDER acts as the Swedish operational counterpart and advisor for a number of Sida’s ICT for development (ICT4D) projects in countries prioritized by Sida. SPIDER mobilizes a network of Swedish and international experts in the area of information and communications technology (ICT) for development to help developing countries use ICT as a tool to efficiently and strategically drive development and poverty reduction goals - in this case, in the area of health. The proposed initiative aims to establish a National Health Management Information System (HMIS) in Somalia. There is no such initiative currently in the country. Establishing an effective HMIS is included in WHO's six basic building blocks for health systems. Current fragmentation and lack of data and information make it difficult, if not impossible, for Somali healthcare providers to plan, manage and deliver quality healthcare across the country in a cost-effective manner.

SPIDER proposes an initial 12-month start-up phase during which SPIDER will conduct a review of the current data and information situation and capacity in Somalia, analysis of regional needs, including an assessment of the health system in the two selected regions (Galmudug and Puntland), recruitment and posting of project staff and mapping of relevant stakeholder. The two selected regions were determined by SPIDER in consultation with the Federal Ministry of Health in Somalia. The two selected regions reflect the current healthcare system in Somalia. The Galmudug region represents one of the weakest health systems with limited capacity and reach. The Galumudug region is also partially controlled by Al-Shabaab, which makes it difficult to access critical maternal and child health care. The Puntland region, on the other hand, has one of the most developed health systems in Somalia's federal government. The region is quite stable, and the Ministry of Health has sufficient capacity and experience compared to Galmudug. SPIDER also proposes to create a central hub for data storage and management in Mogadishu. Lessons learned from the first introductory phase will guide decisions to scale up the initiative to other regions. In summary, the project aims to design, establish and deliver a health information management system for that is suitable for Somalia's infrastructure and public health needs. The development of HMIS is an important issue for the federal government and is included among seen health care priorities. The main objective of the SPIDER initiative - Health Alliance for Digital Development and Action (HADDA) is to design and establish and deliver a National Health Management Information System (HMIS) appropriate for Somalias infrastructure and public health needs in close collaboration with the Federal Government Authorities in Somalia. The total budget for the initiative is 40 million SEK over the periods of 2019-2022. 
The existence of an effective and efficient national HMIS has by WHO been identified as one of six core building blocks for health systems. SPIDER will utilize digital development tools for the effective planning, management and strengthening of the health system in order to increase both the capacity and quality of health service delivery especially to hard-to-reach communities. These digital tools are expected to enhance the capacity of health care workers and policy makers to plan, manage and provide quality, accessible and equitable health care to people.
The program further aims to focus on digitalization of the health system with regards to both data storage and sharing. The program is expected to integrate capacity building and data management components to foster the ongoing digitalization of HMIS. 
Galmudug and Puntland has been selected as pilot regions. The two selected regions reflect the full spectrum of the current health care system in Somalia. Galmudug region represents one of the weakest health systems, with limited capacity and reach. Galumudug region is also partially controlled by Al-Shabaab, which makes access to critical maternal and child health care services difficult. Puntland region on the other hand has one of the most developed health systems within the Federal Government of Somalia. The region is fairly stable, and the ministry of health has sufficient capacity and experience compared to Galmudug. SPIDER further proposes to create a central hub in Mogadishu for data storage and management.