# What Somalia's public clinics see: health facility records 2020 to 2024

> Counts of illnesses treated, antenatal visits, births and vaccines given at Somalia's public health facilities, 2020 to 2024, from the Ministry of Health via SNBS.

Source page: https://calankii.com/en/data/health-facility-records-2020-2024/
Last checked: 2026-11-12
Publisher: Calankii (https://calankii.com)

## Where these numbers come from

Public clinics and hospitals report every patient they see to the federal Ministry of Health's health information system. The Somali National Bureau of Statistics publishes the yearly totals in its Facts and Figures book ([SNBS, Somalia Facts and Figures 2024, Tables 1.9 to 1.13](https://nbs.gov.so/wp-content/uploads/2026/04/Facts-and-figures-2024.pdf)).

These are **counts of cases seen**, not rates of disease in the whole population. They go up when more clinics report and down when fewer do. Private clinics, which treat many Somalis, are not included. Several lines have gaps or sudden jumps, which usually mean a change in what was reported, not a real change in illness. For rates in the population, see [Somalia health numbers since 1990](/en/data/health-numbers-1990-2025/) and [Health in Somalia: the key numbers](/en/society/health-in-somalia/).

## The illnesses clinics treat most, 2024

Outpatient cases reported by public facilities in 2024, largest first ([SNBS, Table 1.9](https://nbs.gov.so/wp-content/uploads/2026/04/Facts-and-figures-2024.pdf)):

- Watery diarrhoea: 464,273
- Sexually transmitted infections other than HIV: 344,283
- Pneumonia: 203,064
- High blood pressure: 190,681
- Burns and injuries: 181,239
- Diabetes: 56,272
- Skin diseases: 36,551
- Genital ulcers: 32,796
- Ear diseases: 20,617
- Bloody diarrhoea: 17,395

**What changed:** cases of watery diarrhoea rose from 367,465 in 2020 to 464,273 in 2024. Recorded high blood pressure rose from 52,820 in 2020 to 190,681 in 2024, and diabetes from 39,685 to 56,272. (same source). Counts can rise because more people are tested, not only because more people are ill.

## Hospital stays, 2024

Inpatient cases reported in 2024 ([SNBS, Table 1.10](https://nbs.gov.so/wp-content/uploads/2026/04/Facts-and-figures-2024.pdf)):

- Watery diarrhoea: 19,146
- Malnutrition: 17,095
- Pneumonia: 16,603
- Injuries: 7,984
- Heart and blood vessel disease: 3,300
- Severe malaria: 734

## Care in pregnancy

The WHO recommends at least eight antenatal contacts in a pregnancy ([WHO, antenatal care recommendations, 2016](https://www.who.int/publications/i/item/9789241549912)). Visits reported by public facilities ([SNBS, Table 1.11](https://nbs.gov.so/wp-content/uploads/2026/04/Facts-and-figures-2024.pdf)):

- First visit: 777,095 in 2020 and 792,706 in 2024
- Second visit: 479,172 in 2024
- Third visit: 329,548 in 2024
- Fourth visit: 246,235 in 2024

So for every 100 women who came once in 2024, about 31 came a fourth time. In 2024, 293,061 pregnant women at these visits had haemoglobin below 10, a sign of anaemia, and 271,295 were tested for HIV, of whom 21 tested positive (same source).

## Births in public facilities

Public facilities reported 211,319 live births in 2020, 321,272 in 2021 and 235,468 in 2022, of which 6,111 were by caesarean section in 2022 ([SNBS, Table 1.12](https://nbs.gov.so/wp-content/uploads/2026/04/Facts-and-figures-2024.pdf)). The 2023 and 2024 columns of this table are misaligned in the published book, so we do not repeat them here. Most Somali babies are born at home: 79 percent in the 2020 national health survey ([Health in Somalia](/en/society/health-in-somalia/)).

## Vaccine doses given

Doses given at public facilities ([SNBS, Table 1.13](https://nbs.gov.so/wp-content/uploads/2026/04/Facts-and-figures-2024.pdf)):

- BCG (tuberculosis), at birth: 499,667 in 2020 and 528,530 in 2023
- Pentavalent, first dose: 513,465 in 2020 and 566,758 in 2023
- Pentavalent, third dose: 450,048 in 2020 and 494,750 in 2023
- Polio (oral), third dose: 451,615 in 2020 and 504,906 in 2023
- Measles: 433,022 in 2020 and 537,997 in 2023

The book repeats the 2023 numbers in the 2024 column, so 2024 is not yet reported. About 87 of every 100 children who got a first pentavalent dose in 2023 also got the third. For the share of all children vaccinated, see the WHO and UNICEF estimates in [Somalia health numbers since 1990](/en/data/health-numbers-1990-2025/), which put third-dose coverage at 70 percent in 2024 ([WHO GHO, immunization](https://www.who.int/data/gho/data/themes/immunization)).

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