Background on the Establishment of HESAD

1ST IGAD/WHO  Conference on the Horn of Africa Initiative of 1996.

  • Provide better services to border populations of the 7 countries.
  • Contribute increased inter-country collaboration, reduced border tensions.
  • foster peace and development

2nd Conference on the Horn of Africa initiative of 1998 (led to the signing of the horn of Africa initiative, protocol for cooperation and plan of action of march 1998).

  • WHO was asked to facilitate the implementation of the provisions of the protocol
  • Cooperation agreement between IGAD and WHO AFRO and EMRO (2001).
  • Maputo Summit of Heads of States and Government decided of the establishment of HESAD
  • 1st AU conference of Ministers of Health, Tripoli 2003 requested".....all Regional Economic Communities (RECs) to establish Health and Social Affairs Desks...."
  • 22nd Session of the IGAD Council of Ministers in Kampala in Oct 2003 " mandates the Executive Secretary of IGAD to take immediate action to implement this resolution on the Establishment and operalisation  of the Health and Social Affairs Desk at IGAD in collaboration with WHO, the World Bank and others Stakeholders.

Establishment of HESAD

  • HESAD established within IGAD structure in april 2005 following IGAD council of Ministers decision in Nairobi in march 2005.
  • Health and Education are main priorities areas of HESAD, but also migration, culture, promotion of employment...

Mandate of HESAD


  • Facilitate consultation and harmonization of common social
  • Initiate development of common strategies/programmes for control of major Health problem at their borders
  • Promote the establishment/coordination of regional health information system (HIS) and exchange of information and experience
  • Promote joint operational research and establish/disseminate a roster of Experts and consultants in the field of health and social affairs
  • Promote optimization of Health services on border areas
  • Facilitate joint planning and coordinate implementation of international initiatives ( polio etc..) with cross border implications eg same day
  • Promote peace building health activities ( Health as a bridge for peace).
  • Monitor the implementation of the various health protocols signed by IGAD

Cooperation with Partners

  • African union ( Regional Economic Communities (RECs)  are the pillars of the African Union).
  • UNFPA   ( cooperation agreement
  • UNESCO (cooperation agreement
  • WHO ( cooperation agreement
  • IOM ( cooperation agreement


Launched in august 2003 with a WB grant to IGAD (US 495,000) to strengthen M&E of HIV/AIDS in the Horn of  Africa in order to complement the efforts of Member States. Four priority components:

  1. Strengthen the M&E capacity of IGAD Member States
  2. Establish a network of M&E practitioners in the region dealing with HIV/AIDS with a view to share experiences and contribute to sustainability of the initiative
  3. create a means to monitor trans-border HIV prevalence level as well as other factors relevant to HIV transmission
  4. strengthen IGAD capacity to coordinate the harmonization of the sub-regional response to HIV/AIDS

A workshop to develop a road map for the development and improvement of M7E HIV was held in Addis in Dec 2003.

In Sept 2005 regional workshop for the national experts including regional experts.

Mapping exercise was conducted and concluded in the seven IGAD countries.