Beneficiaries of conflict: a qualitative study of people’s trust in the private health care system in Mogadishu, Somalia

Authors: Abdi A Gele, Mohamed Yusuf Ahme, Prabhjot Kour, Sadiyo Ali Moallim, Abdulwahab Moallim Salad, Bernadette Kumar

Publiched in 2017 on Risk Management and Healthcare policy


In 2005, the World Health Conference called for all nations to move toward universal health coverage, which is defined as “access to adequate health care for all at an affordable price”. Despite this, an estimated 90% of Somalia’s largely impoverished population use private health care. Therefore, considering that the private health care system is the dominant health care system in Mogadishu, Somalia, exploring the accessibility to, as well as people’s trust in, the private sector is essential to help contribute an equitable and affordable health care system in the country.


A qualitative study using unstructured interviews was conducted in Mogadishu from August to November of 2016. A purposive sampling approach was used to recruit 23 participants, including seven medical doctors who own private health centers, eight patients, five medical students and three senior officials who work for the Ministry of Health. Data were analyzed using a thematic analysis.


Our findings show that the private health care system in Mogadishu is not only unregulated but also expensive, with the cost of health care often unaffordable for the majority of the country’s citizens. There is evidence of prescription of inappropriate treatment, tendency to conduct unnecessary laboratory tests, excessive use of higher diagnostic technologies and overcharging – including the widespread practice of further appointments for follow-up – which inflates the costs. The study also found poor patient–provider relationship and widespread distrust of the private health care system.


The study findings underline the need for the Somali government to develop regulatory mechanisms and guidelines with the potential to guide the private health care sector to provide equitable and affordable health care to people in Mogadishu. The doctor–patient relationship has been – and remains – a keystone of care; thus, there is an urgent need for guidelines for private health care providers to treat their patients with dignity and respect. The education system, particularly the syllabus used by medical faculties, should be reviewed and improved to provide medical students with necessary knowledge, skills and attitudes to maintain patient dignity and rights.

Connect with us

AMEB Mother and child care Italia



Privacy & Cookie Policy


The platform Somali Medical Archives has been developed as a tool to promote cooperation between Somali health professional in their mother country and abroad, engaging the diaspora for the improvement of Somali Health Services.

SOMAR Somali Medical Archives is an idea by Edna Moallin Abdirahman

Cookies user preferences
We use cookies to ensure you to get the best experience on our website. If you decline the use of cookies, this website may not function as expected.
Accept all
Decline all
Read more
User state
Joomla user state
Set of techniques which have for object the commercial strategy and in particular the market study.