Somaliland now suffers from a severe shortage of health workers, recently estimated at 197 doctors, 1,256 nurses and 344 midwives, serving a population of around 3.5 million. This level of coverage falls far short of the WHO-recommended minimum health worker/population ratio of 2.3/1,000. This shortage is compounded by significant skills gaps in the workforce, with very few opportunities for clinicians to access formal postgraduate training, leading to the absence of specialists in most areas of clinical practice.
Somaliland is one of the sites that HEPTO will expand its operation by the end of 2019. Maternity, mental health, and infectious diseases are the primary area that the country suffers a lot. HEPTO constructed a concrete plan of establishing the health-training centers in two large and populated regions in Somaliland. These health-training centers located east and west of the country to cover significant areas.