Prolonged instability; no stable central government; rival factions/armed groups vie for power.
Al-Shabaab controls rural areas, attacks government, AU forces, civilians—impedes aid.
Drought, conflict, instability cause malnutrition, disease vulnerability; many depend on international aid.
Decades of conflict left healthcare, education, electricity severely lacking; reconstruction hindered by insecurity.
Kenya, AMISOM (AU), UN, donors provide military/humanitarian support; regional coordination on peace/security continues.