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AAH Somalia worked with the Ministry of Health in Puntland since 1997 to 2011 laying the groundwork for an effective health system in Bari Region despite on-going conflict and insecurity.

In 1999, initial work to support Gardo Hospital was extended to Iskushuban and Bandar-Beyla Districts with funding from the European Union and USAID (1999 and 2004). Between 2002 and 2006, AAH-I implemented the European Commission- funded, Integrated Basic Health Services project, to support Bosasso Hospital. This included providing integrated Primary Health Care services in the six districts of Bari (Gardo, Waiye, Iskushuban, Bender Beyla, Bosasso and Rako) through rehabilitating and strengthening Bosasso Hospital, 18 health posts, and four MCH facilities. Hospital management procedures were strengthened, accounting and management structures established, hospital buildings rehabilitated and laboratories and departments equipped. AAH-I established a constant supply of essential drugs and trained administrative and medical staff. It supported the Hospital to come up with a cost-sharing mechanism, resulting in 30% of costs being met by users.