Systems Approach to Digital Transformation

Lessons from implementing Electronic Health Record System in Somalia

Radical Ownership

Leading the design, implementation, and long-term success of development efforts

Collaboration

Prioritizing coordinated collaboration across all levels of the health ecosystem

Global Goods

Leveraging Global Goods for Sustainable Digital Health

About HADDA

Started in 2020, Health Alliance for Digital Development and Action (HADDA) is a systems-level initiative strengthening Somalia’s healthcare through digital transformation, governance, and partnerships. Central to the project is the RAAD Electronic Health Record (EHR) system—an adapted, open-source solution for low-resource settings. Beyond technology, HADDA works with the Somali government to enhance leadership, align with national priorities like the Essential Package of Health Services (EPHS), and foster interoperability with national public health platforms such as DHIS2. By coordinating stakeholders, building local capacity, and promoting sustainable digital health ecosystems, HADDA ensures that innovations like RAAD EHR integrate seamlessly into Somalia’s broader health system.

HADDA Pillars

Systems Approach

We achieve true digital transformation through a holistic approach that considers governance, human capacity, and local context. 

Radical Ownership

We allow  local stakeholders to take full responsibility and lead the design, implementation, and long-term success of development efforts. 

Collaboration

We  prioritize inclusive, transparent, and coordinated collaboration across all levels of the health ecosystem through partnerships

Global Goods

We use a global good that enables partners and regions to build on, ensuring continuity and avoiding fragmentation in the digital health space

Recent Articles

Partners

HADDA is a collaborative initiative that unites various stakeholders, including the World Health Organization (WHO), the Swedish International Development Agency, and the SPIDER center. SPIDER has also partnered with local Somali organizations, such as the Somali Institute for Development Research and Analysis (SIDRA) for research and NomadiLab for implementation efforts. This partnership aims to promote sustainable development and enhance health outcomes in Somalia.

We find and partner with organisations that implement and carry out research on the project, also providing digital health expertise and guidance, essential ongoing training and support to ensure the delivery of results. SPIDER connects international, regional and national partners and works in support of the Federal Ministry of Health.

Prof Caroline Wamala Larsson
(Director, SPIDER)

HADDA Milestones

Key Sustainable Development Goals (SDGs)

TARGET 3.1

By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births
Indicators: 3.1.1: Maternal mortality ratio; 3.1.2: Proportion of births attended by skilled health personnel

TARGET 3.2

By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births

Indicators: 3.2.1 Under-five mortality rate; 3.2.2 Neonatal mortality rate

TARGET 3.7

By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national

TARGET 3.7.1

Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods; 3.7.2 Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group

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