Date/ Day

Session One

Modules

Session Two

Modules

Session Three

Modules

Saturday

24/01/2026

Introduction to the ToTs sessions

8:30 - 10:00

Introduction to the ToTs

Human Resources Management and Public Leadership

10:20-12:20

Module 1: Strategic HRM, Diversity, Inclusion, And Equal Employment Laws in Somali Context

Performance Management and Measurement in The Public Sector

1:30-3:30

Module 1: Introduction to Performance Measurement in Public Administration

Module 2: Public Value and Integrated Planning

Sunday 25/01/2026

Human Resources Management and Public Leadership

8:10-10:00

Module 2: Job Analysis, Workforce Planning, Recruitment, Selection Processes and Procedures

Module 3: Training, Development, Careers and Rewarding Performance

The Role of African and Somali traditional medicine in the third millennium

10:20-12:20

Module 1:

Overview Session

Coordination Among Public Administrations

1:30-3:30

Module 1: Introduction

Module 2: Why Coordination Matters

Monday 26/01/2026

Designing development

cooperation Projects

8:10-10:00

Module 1: Foundation of Development Cooperation

Module 2: Project Cycle and Needs Assessment

Performance Management and Measurement in The Public Sector

10:20-12:20

Module 3: Performance Measurement Frameworks and Indicators

Module 4: Tools and Techniques for Performance Evaluation

Human Resources Management and Public Leadership

1:30-3:30

Module 4: Organizational Change and Organizational Culture

Tuesday

27/01/2026

Performance Management and Measurement in The Public Sector

8:10-10:00

Module 5: Control Systems for Public Decision-Making

Module 6: Performance-Based Budgeting and Financial Accountability

Establishment of De Martino as SNU Teaching Hospital

10:20-12:20

Module 1:

Overview Session

Designing development

cooperation Projects

1:30-3:30

Module 3: Designing Projects Using the Logical Framework

Module 4: Budgeting and Donor Alignment

Wednesday

28/01/2026

Coordination Among Public Administrations

8:10-10:00

Module 3: Challenges to Effective Coordination

Designing Development

Cooperation Projects

10:20-12:20

Module 5: Monitoring, Evaluation, and Final Project Presentation

Performance Management and Measurement in The Public Sector

1:30-3:30

Module 7: Citizen Engagement and Performance Measurement

Module 8: Digital Transformation and Data-Driven Decision Making

Thursday

29/01/2026

Human Resources Management and Public Leadership

8:10-10:00

Module 5: Public Leadership

Performance Management and Measurement in The Public Sector

10:20-12:20

Module 9: Challenges and Best Practices in Performance Management

Module 10: Final Workshop and Case Study Analysis

Coordination Among Public Administrations

1:30-3:30

Module 4: Strategies and Best Practices

18/04/2026

08:30

10:00

1h30

MODULE 1 Fundamentals of Health Systems

1

10:30

12:30

2h

2

13:30

15:00

1h30

3

15:30

17:00

1h30

4

19/04/2026

08:30

10:00

1h30

5

10:30

12:30

2h

MODULE 2 Management and Organization of Healthcare Facilities

1

13:30

15:00

1h30

MODULE 3 Health Economics and Finance

1

15:30

16:30

1h

2

20/04/2026

08:30

10:00

1h30

MODULE 4 Digital Innovation & Healthcare 4.0

1

10:30

12:30

2h

2

13:30

15:00

1h30

3

15:30

17:00

1h30

4

21/04/2026

08:30

10:00

1h30

MODULE 6 Emergency Management

1

10:30

12:00

1h30

1

13:00

15:00

2h

MODULE 5 Patient Engagement & Empowerment

2

15:30

17:00

1h30

MODULE 10 Scientific & Clinical Research (De Martino DMTH)

1

22/04/2026

08:30

10:00

1h30

MODULE 7 Prevention & Risk Management

1

10:30

12:30

2h

2

13:30

15:00

1h30

MODULE 8 Anticorruption (common to both the Health & Justice trainers)

1

15:30

17:00

1h30

2

23/04/2026

08:30

10:00

1h30

3

10:30

12:30

2h

4

23/04/2026

13:30

15:00

1h30

MODULE 9 Antiterrorism (for the Justice trainers only)

1

15:30

17:00

1h30

2

MODULE 1 Fundamentals of Health Systems

1

History & Organization of the Italian Health System – "One Health Approach"

Historical evolution of the Italian NHS (SSN) since 1978. Multi-level institutional structure (Ministry, Regions, Local Health Authorities). Constitutional right to health (Art. 32). The One Health framework: interconnection between human, animal and environmental health.

Understand the evolution and organization of the Italian NHS as a reference model for public health systems. Analyse the legal foundations and the constitutional right to health.

Fabio Agrò

2

Governance in the Italian Health System + Ministerial Decree 77 (District Organisation)

Multi-level governance model: roles of the State, Regions and Local Health Authorities. Ministerial Decree 77/2022 and the territorial network: Community Health Centres, Community Hospitals, Territorial Operations Centres (COT). Decision-making mechanisms and accountability in the NHS.

Analyse the Italian multi-level governance model. Understand the territorial organisation under DM 77 and the role of community-based care.

Fabio Agrò

3

Somali Health Model – Information Collection (Workgroup)

Group work session based on the Essential Package of Health Services (EPHS 2020). Mapping of health services in Somali districts: Canvas A (services), Canvas B (human resources), Canvas C (governance). A shared picture of the Somali health system built by participants from the inside.

Compare the structure and functioning of the Italian and Somali health systems. Build a shared knowledge base on participants' own districts.

Fabio Agrò / Paolo Pogliani

4

Comparison with the Current Somali Health Model – Discussion

Structured comparison across 5 dimensions: governance, service delivery, human resources, financing, and health information systems. Transferability matrix: Transfer / Adapt / Invent. Demand mapping: reading health needs across participants' territories.

Assess elements of transferability from the Italian model to the Somali context (ToT). Apply health needs analysis tools at the district level.

Fabio Agrò / Paolo Pogliani

5

Feedback and Discussion – Setting Up the Training Activity (ToT)

Consolidation of the reference model built in lessons 3–4. ToT session: participants define their role as future trainers. Common language and course structure seen through the lens of the Somali health system.

Consolidate a shared vision and common language as the foundation for the rest of the course. Define participants' role as trainers in the Somali context.

Fabio Agrò / Paolo Pogliani

MODULE 2 Management and Organization of Healthcare Facilities

1

Roles and Responsibilities in Managing Healthcare Expenditure – Central, Federated and Local Levels

Roles and responsibilities in healthcare expenditure management across institutional levels. Financial coordination mechanisms and expenditure control. Principles of strategic planning and resource allocation in public health systems.

Understand the mechanisms governing healthcare expenditure at different institutional levels. Develop critical reading skills for investment decisions in health (ToT).

Fabio Agrò / Paolo Pogliani

MODULE 3 Health Economics and Finance

1

Analysis of Major Strategic Spending and Investment Lines

Main strategic spending areas in public health systems: staff, technologies, infrastructure, pharmaceuticals. The Italian healthcare procurement model: procedures, criteria, transparency. Discussion on applicability to the Somali context.

Analyse the main expenditure and investment lines in public health systems. Understand the Italian procurement model and discuss its transferability to Somalia (ToT).

Fabio Agrò

2

Analysis of Major Strategic Spending and Investment Lines – Discussion

Practical session: participants analyse real healthcare expenditure cases applying the frameworks learned. Focus on translating content for teaching in the Somali context (ToT activity facilitated by Jimale).

Apply expenditure analysis frameworks to concrete cases. Support the translation of content for teaching purposes (ToT).

Fabio Agrò / Mohamed A. Jimale

MODULE 4 Digital Innovation & Healthcare 4.0

1

Digital Health – Basic Concepts and Trends: eHealth, mHealth, Telemedicine, EHR, AI (Part 1)

Overview of digital health technologies: eHealth, mHealth, telemedicine, Electronic Health Records (EHR) and interoperability, Artificial Intelligence and data analytics. Opportunities and risks of adoption in public health systems. Somali context: DHIS2, mobile penetration, leapfrog strategy.

Introduce the main concepts and trends in digital health. Critically discuss EHR, interoperability and AI applications in health systems (ToT).

Paolo Pogliani

2

Digital Health – Culture, Skills and Digitization of Care Processes (Part 2) + Somalia Context

Organisational culture and skills to support digital innovation in healthcare. Italy–Somalia comparison across 6 dimensions (EHR, mobile, connectivity, HIS, telemedicine, AI). Leapfrog strategy: how Somalia can adopt scalable digital solutions by bypassing legacy systems.

Understand the role of organisational culture in the digitisation of care processes. Apply the Italy–Somalia framework to participants' own districts (ToT).

Paolo Pogliani

3

Brief Health Technology Assessment (HTA)

WHO definition of HTA: a multidisciplinary process to determine the value of a health technology across its lifecycle. The 9 EUnetHTA dimensions. Mini-HTA in 5 steps for digital technologies. Mandate of the Somali Health Policy 2014 §8.7 and relevance to NTP KRA C (>USD 200M in investments).

Introduce HTA as a decision-making tool for health technology investment. Apply Mini-HTA to Somali cases aligned with the NTP 2025–29 (ToT).

Paolo Pogliani

4

Planning and Management of Remote Care for Rural Areas – Discussion (Somali Context)

Models for planning digital health in rural and low-density settings. Hub-and-spoke telemedicine, offline-capable apps, district-level teleconsultation. Practical application of theoretical models to the specificities of the Somali health system.

Understand models for managing digital health in rural contexts. Evaluate the adaptability of digital health models to Somalia and remote areas (ToT).

Paolo Pogliani

MODULE 6 Emergency Management

1

The Lombardia Regional Emergency Model (AREU) – Framework and Application to Somalia

The Lombardy emergency-urgency model (AREU): regulatory, organisational and operational structure. The chain of survival: dispatch, first response, transport, hospital. Key elements of the model and criteria for adaptation to the Somali context (rural areas, infrastructure, human resources).

Understand the Lombardy emergency-urgency model. Identify transferable elements and those requiring adaptation to the Somali health system.

Fabio Agrò / Vittorio Colizzi

2

Theoretical Implementation in Somali Regions – Sustainability and Discussion

Definition of a theoretical implementation pathway for an emergency model in Somalia: phases, actors, required resources. Analysis of opportunities, risks and economic sustainability. Discussion session with Somali participants.

Analyse the adaptability of the emergency model to the Somali context (ToT). Evaluate the opportunities, risks and economic sustainability of an emergency-urgency system.

Fabio Agrò / Vittorio Colizzi / Mohamed A. Jimale

MODULE 5 Patient Engagement & Empowerment

1

Patient Engagement and Empowerment – Techniques and Tools

The engagement continuum: from information provision to co-production. 6 tool clusters: communication and health literacy, Shared Decision Making, digital tools, FCHWs 'Marwo Caafimaad', self-management programmes, community mobilisation (xeer, village health committees). Engagement as an enabler of prevention (NTP KRA A) and emergency response (NTP Enabler 5).

Understand patient engagement models and tools as enablers of prevention and emergency-urgency processes. Define 1 ToT action anchored to an NTP KRA A target.

Vittorio Colizzi

MODULE 10 Scientific & Clinical Research (De Martino DMTH)

1

Introduction to the DMTH – The Role of Scientific Research in a Public Hospital

The Didactic Medical Teaching Hospital (DMTH): integration of care, training and research. The role of scientific research in the public health system: value, opportunities and challenges. Applicability of the teaching hospital model to the Somali context. [Remote lesson]

Understand the role of research in the NHS and the value of a teaching hospital model. Evaluate opportunities for clinical research development in Somalia (ToT).

Roccaro (remote) / Vittorio Colizzi

MODULE 7 Prevention & Risk Management

1

Citizen Science, Environmental Control, Quality Systems and Clinical Risk Management (Part 1)

The role of citizens in environmental monitoring and prevention (Citizen Science). Quality management systems in healthcare: principles, certifications, indicators. Clinical Risk Management: identification, analysis and mitigation of clinical risk. Protocols and procedures as tools for patient safety.

Understand the citizen's role in prevention and environmental control. Apply engagement techniques to prevention campaigns (ToT). Introduce the principles of quality management in healthcare.

Vittorio Colizzi

2

Citizen Science, Environmental Control, Quality Systems and Clinical Risk Management (Part 2)

In-depth session: incident reporting, Root Cause Analysis, FMEA in healthcare. Knowledge sharing as a tool for continuous improvement. Application to the Somali context (NTP M&E, Enabler 3). Practical workshop on a clinical risk case study.

Analyse the role of protocols and procedures in patient safety. Promote knowledge sharing as a tool for continuous quality improvement (ToT).

Vittorio Colizzi

MODULE 8 Anticorruption

1

Anticorruption – Legal Framework and Principles (Part 1)

The Italian anti-corruption legal framework: Law 190/2012, Legislative Decree 33/2013, ANAC. Principles of transparency, integrity and prevention of conflicts of interest. The Three-Year Anti-Corruption Prevention Plan (PTPC).

Understand the anti-corruption legal framework in public administration. Analyse the mechanisms for preventing and controlling corruption.

Andrea Merlo

2

Anticorruption – Practical Application and Liability (Part 2)

Administrative, civil and criminal liability. Case studies on corruption and analysis of countermeasures. Whistleblowing and protection of reporters. Practical compliance tools for healthcare managers.

Analyze the liability of managers in anti-corruption matters. Apply operational compliance and integrity tools to management.

Andrea Merlo

3

Anticorruption – Procurement, Public Contracts and Case Law (Part 3)

Anti-corruption issues in healthcare procurement: tenders, supplies, concessions. The Public Contracts Code (Legislative Decree 36/2023) and its implications. Analysis of relevant case law. Parallels with the Somali regulatory framework.

Understand anti-corruption issues in procurement. Analyze the Italian procurement model in comparative perspective with the Somali context.

Andrea Merlo

4

Anticorruption – Synthesis, Somali Context and Final Discussion (Part 4)

Synthesis of anti-corruption principles applied to public governance. Comparative analysis of Italian and Somali regulatory frameworks. Opportunities for strengthening integrity systems in Somalia (ToT). Final discussion and Q&A session.

Evaluate opportunities to develop integrity systems in the Somali context (ToT). Consolidate the anti-corruption competencies acquired throughout the training week.

Andrea Merlo

MODULE 9 Anticorruption

1

Antiterrorism – Legal Framework and Principles

The Italian antiterrorism legal framework The measures fo antiterrorism prevention.

Understand the antiterrorism legal framework. Analyse the mechanisms for preventing terrorist activities.

Andrea Merlo

2

Antiterrorism – The Italian experience

The role of the Ministry of Justice, the judiciary and the police forces in preventing and fighting against terrorism. Parallels with the Somali regulatory framework.

Analyze the instruments available for the Ministry of Justice, the judiciary and the police forces in preventing and fighting against terrorism.Identify the possible corrective measures to adopt in the Somali context according to the Italian experience.

Andrea Merlo