Analytics & Reports

SHEF analyses publicly available humanitarian data for Sool, Sanaag, and Cayn — evaluating needs and guiding health, environment, and community programmes.

Regional Analysis

Evidence-based evaluation using data from FSNAU, NBS, OCHA, ACAPS, and UNHCR.

Critical Risk

Sool Region

Key districts: Laascaanood, Caynabo, Taleex, Xudun

Laascaanood, Caynabo, Taleex Districts at IPC risk
<50mm (Gu 2025) Rainfall status
14.3% National GAM median

Evaluation

Sool ranks among Somalia's highest-risk regions for food and nutrition deterioration. Prolonged drought, rainfall below 50mm in northern zones, and failing boreholes are driving water scarcity, livestock losses, and health service strain — especially around Laascaanood and Caynabo.

What Is Needed

  • Safe water trucking and borehole rehabilitation
  • Pediatric and maternal nutrition support
  • Mental health and psychossocial services (Xaruunta Dhimirka)
  • Cholera/AWD prevention and WASH in IDP sites
  • Essential medicines for district hospitals

What SHEF Analyses

SHEF analyses Sool data to prioritise mental health greening, hospital drug supply, and drought-response targeting for the most vulnerable households.

Drought Risk Alerts by Indicator (Apr 2025)

Source: NBS JMR Issue 3, Apr 2025

National Displacement Drivers (Jan–Jul 2025)

Source: FSNAU / UNHCR PRMN, 2025

Critical Risk

Sanaag Region

Key districts: Ceerigaabo, Laasqoray, Dhahar, Fiqi-fuliye

562 in Dhahar Drought arrivals (Sep)
+54.9% Sorghum spike (Ceerigaabo)
Serious (East Golis) Nutrition status

Evaluation

Sanaag recorded the highest food price increases nationally in early 2025, with Ceerigaabo and Laasqoray seeing sorghum price spikes above 47%. East Golis pastoral populations show serious acute malnutrition levels. Dhahar received significant drought-related displacement arrivals in 2025.

What Is Needed

  • Essential drug supply to Fiqi-fuliye G. Hospital
  • Food price shock mitigation for pastoral households
  • Child vaccination and ANC follow-up outreach
  • Community health awareness in remote villages
  • WASH infrastructure for displaced populations

What SHEF Analyses

SHEF tracks Sanaag health facility gaps and food security indicators to guide medical supply deliveries and community awareness campaigns.

Sorghum Price Increase by District (Oct–Nov 2025)

Source: NBS JMR Issue 4, Nov 2025

National GAM Prevalence Trend (%)

Source: FSNAU IPC Analysis, Sep 2025

High Risk

Cayn Region

Key districts: Buuhoodle, Widhwidh, Ceel Afweyn

Buuhoodle Key district
8,599 Cholera cases (national)
244,000 People displaced (national)

Evaluation

Cayn (Buuhoodle district) faces compounding drought stress alongside limited pediatric hospital capacity. OCHA reports worsening conditions across Buuhoodle, Godaalo, and neighbouring northern districts, with pastoral livelihoods under severe pressure.

What Is Needed

  • Pediatric ward equipment and malnutrition beds
  • ANC follow-up and child vaccination campaigns
  • Clean water access for rural pastoral communities
  • Youth engagement through sports and health education
  • Environmental greening around health facilities

What SHEF Analyses

SHEF evaluates Cayn hospital capacity and child health indicators to direct pediatric department support, drug supply, and youth sports programmes.

Somalia Health Cluster Indicators (Jan–Nov 2025)

Source: Somalia Health Cluster / NBS JMR, 2025

Drought Displacement Share (2025 YTD)

Source: ACAPS / UNHCR, Sep 2025

Programme Evaluations

Detailed assessments by sector — filter by focus area.

Mental Health Sool 2025

Mental Health Needs Assessment — Sool

Evaluation: Psychosocial distress is elevated in Sool due to conflict, displacement, and drought. Xaruunta Dhimirka (Mental Health Center) in Laascaanood requires greener recovery environments and expanded outreach.

Key Findings

  • Drought-linked stress reported across Laascaanood IDP sites
  • Limited green space at mental health facilities
  • High demand for community psychosocial first aid

Recommendations

  • Tree planting at mental health centers
  • Train community psychosocial workers
  • Integrate mental health into drought response

Source: SHEF field analysis + NBS JMR Issue 3

Youth Cayn 2025

Youth Health & Participation — Cayn

Evaluation: Youth in Cayn lack structured health education and recreational outlets. Sports sponsorship correlates with improved community cohesion and physical activity among adolescents.

Key Findings

  • Limited youth health literacy in rural Cayn
  • Sports programmes show high participation rates
  • Adolescent nutrition gaps in pastoral areas

Recommendations

  • Expand sponsored sports teams (SSC, Kaah FC model)
  • Youth-led WASH and hygiene awareness
  • School-based vaccination catch-up

Source: SHEF programme evaluation

Vulnerable Communities Sanaag Post-Gu 2025

Vulnerable Households Analysis — Sanaag

Evaluation: Sanaag pastoral households face the steepest food price shocks in Somalia. Sorghum price surges above 47% in key districts threaten household food security.

Key Findings

  • Ceerigaabo: +54.9% sorghum price increase
  • Laasqoray: +47.9% sorghum price increase
  • East Golis: serious acute malnutrition levels

Recommendations

  • Targeted food aid for highest-risk households
  • Nutrition screening at Fiqi-fuliye Hospital
  • Monitor food prices monthly

Source: NBS JMR Issue 4 + FSNAU IPC 2025

IDPs Sool Jan–Sep 2025

IDP Needs Monitoring — Sool & Sanaag

Evaluation: Drought accounts for 14% of national displacement year-to-date, with spikes in January and March. Dhahar (Sanaag) recorded 562 drought arrivals in September alone.

Key Findings

  • 244,000 displaced nationally Jan–Jul 2025
  • Drought: 28% of September displacements
  • IDP sites lack adequate WASH and shelter

Recommendations

  • WASH kits for new IDP arrivals
  • Cholera prevention in displacement sites
  • Food rations for drought-displaced families

Source: ACAPS / UNHCR PRMN, 2025

Environment Sool Gu–Deyr 2025

Environmental Health & Drought — Sool

Evaluation: Northern Somalia experienced a poor Gu rainy season with cumulative rainfall below 50mm in Sool and Sanaag. Vegetation indices show heightened drought stress across pastoral zones.

Key Findings

  • 134+ boreholes non-operational in affected areas
  • Water trucking costs rising with fuel prices
  • Pasture depletion threatening livestock livelihoods

Recommendations

  • Tree planting for shade and soil retention
  • Borehole rehabilitation partnerships
  • Environmental health awareness campaigns

Source: OCHA Flash Update + NBS JMR, Aug 2025

Health Programs Sanaag 2025

WASH & Community Awareness — Sanaag

Evaluation: Limited safe water access is driving AWD/cholera outbreaks nationally (8,599 suspected cases Jan–Nov 2025). Community awareness and WASH are critical in Sanaag's remote districts.

Key Findings

  • 3 active outbreaks: cholera, measles, diphtheria
  • Poor sanitation in high-displacement districts
  • Low hygiene awareness in pastoral communities

Recommendations

  • Community WASH education sessions
  • Hygiene kit distribution
  • Safe water point mapping

Source: Somalia Health Cluster, 2025

Health Programs Cayn 2025

ANC Follow-up & Child Vaccination — Cayn

Evaluation: Buhodle G. Hospital pediatric capacity is essential for malnutrition care in Cayn. ANC follow-up rates remain low in rural pastoral areas without mobile outreach.

Key Findings

  • Pediatric ward constructed at Buhodle G. Hospital
  • GAM national median rose to 14.3% in 2025
  • Rural ANC attendance gaps in Buuhoodle district

Recommendations

  • Mobile ANC clinics for pastoral communities
  • Child vaccination outreach campaigns
  • Malnutrition bed capacity expansion

Source: FSNAU IPC 2025 + SHEF hospital project data

Health Programs Sanaag 2025

Essential Medicines Gap Analysis — Fiqi-fuliye

Evaluation: Fiqi-fuliye G. Hospital requires twice-yearly essential drug resupply to maintain continuous care. Glucose IV infusion and monitoring equipment are priority items.

Key Findings

  • Two drug supply deliveries completed in 2025
  • IV fluids critical for malnutrition treatment
  • Remote location increases supply chain risk

Recommendations

  • Quarterly drug supply monitoring
  • Cold-chain assessment for vaccines
  • Pre-position emergency drug stocks

Source: SHEF supply chain evaluation

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