INTRODUCTION

The political turmoil and factional fighting that followed the collapse of central Somali government in 1991 has left large parts of Somalia without any effective form of government. As a result, These prolonged civil conflicts in Somalia resulted great challenges in ensuring adequate health care for all and in controlling the enormous burden of disease especially NTDS and poor access to safe sufficient supply of water.

Neglected Tropical Diseases (NTDs) are communicable diseases that afflict poor and marginalized communities, and prevalent in areas with poor sanitation, inadequate safe water supply and substandard housing conditions

THEY SHARE COMMON FEATURES INCLUDING

• a proxy for poverty and disadvantage:  NTDs have enormous impact of individuals,  families and communities in terms of quality of life, loss of productivity and aggravation of  poverty

(b) affect populations of with low visibility and little political voice:

NTDs affect low income and politically marginalized people

 (c)   Impact on morbidity and mortality of populations;

(e) Cause stigma and discrimination, especially for girls and women;

(f) Can be controlled, prevented and possible eliminated using effective and feasible interventions. While globally,  17 diseases are categorized as NTDs,