- +252 61 5 57 26 05
- info@nhia.gov.so
SOMALIA’S NATIONAL HEALTH FINANCING REFORM
A New Era of Health Protection for Every Somali Family
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+252 61 5 57 26 05
ABOUT NSHIA
Somalia’s National Institution for Social Health Protection
The National Social Health Insurance Authority (NSHIA) is Somalia’s principal institution for social health protection and health financing reform. Established as a public authority under the Federal Ministry of Health and Human Services, it is structured to pool resources, strategically purchase health services, and safeguard Somali households from financial hardship associated with seeking care. Somalia is currently undergoing a significant transition from fragmented, high out-of-pocket health financing toward a unified national model grounded in solidarity, accountability, and financial protection. NSHIA plays a pivotal role in this shift by aligning public resources, subsidies, and other funding streams into a system designed to promote equitable access to healthcare and enhance stewardship of health expenditures.
Our Services
A National Social Health Insurance Platform Serving Citizens, Providers, and the Health System
Enrollment and Membership
Simplified, inclusive registration ensuring accessible healthcare coverage for every citizen.
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Access to Covered Services
Transparent benefits package ensuring essential, protected healthcare for all members.
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Portability of Benefits
Ensuring seamless, portable healthcare benefits for mobile populations across Somalia.
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Grievance Redress and Appeals
Accessible grievance channels ensuring accountability, fairness, and nationwide trust.
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Support for Vulnerable Groups
Monitoring quality through accreditation, performance standards, and provider directories.
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Provider Contracting
Standardized contracts ensuring quality, accountability, and fair provider service delivery.
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Quality Assurance.
Monitoring quality through accreditation, performance standards, and provider registries.
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Claims and Payments
Structured claims and payment systems ensuring predictable, transparent provider reimbursement.
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Digital Services
Digital-first, integrated systems streamlining healthcare management for all Somali citizens.
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HOW NSHIA WORKS
How the System Works
Resource Pooling
NSHIA pools public funds, contributions, and subsidies to create a national system that supports access to essential health services.
Strategic Purchasing
NSHIA contracts health providers and purchases services strategically to ensure quality care and value for public resources.
Access to Health Services
Members can access covered services under a defined benefits package designed to support essential health needs.
Citizen Protection & Accountability
NSHIA provides grievance channels, transparent reporting, and oversight mechanisms to protect citizens and strengthen trust.
Protecting Health. Expanding Access. Building Trust.
Need More Information?
+252 61 5 57 26 05
WHY NSHIA MATTERS
Somalia is shifting from fragmented health funding toward a unified national system grounded in solidarity, trust, and financial protection. The National Social Health Insurance Authority (NSHIA) is being established to pool resources, purchase services strategically, and protect Somali households from financial hardship when they seek care.
Pooling Resources for Health Protection
NSHIA pools resources, contributions, and subsidies to strengthen financial protection and support equitable access to essential health services across Somalia.
Strategic Purchasing of Health Services
NSHIA purchases health services strategically, contracts providers transparently, and strengthens accountability in health service financing and delivery.
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