Health systems development A health system is the way in which all health services are provided. Somaliland which has been recovering from conflict in the past two decades is facing serious challenges, especially so in the health sector. Somaliland lies in one of the poorest regions in the world, and it has an extremely weak health system major towns and cities. Brain drain Across the Somali region, estimates indicate that there are only around 6000 doctors, nurses and midwives in 2014. Well below the World Health Organisaion’s minimum 30,000. This is despite the fact many health professionals graduating from local and international universities. This is due in part of the lure of better pay and work conditions in the private sector in Somaliland and abroad. Working in government owned hospitals and health centres means paltry wages, poor infrastructure/equipment and certainly no professional development.