Somali Mothers Are DyingDr.Abdirizak Yussuf AbdillahiNational RH coordinator
• Somalia is a Failed state
Why Maternal Health?
•1400 maternal deaths per 100,000 live births
•1 in 10 women have a life-time risk of dyingdue to pregnancy-related causes
•6.5 births per woman
•8% of babies die within 4 weeks of their lives
Poor Maternal Health Care
•1 in 4 women use antenatal care
•Quality of services are poor
•New-born care is neglected
•90% of births are delivered at home
•1 in 5 births are attended by skilled healthpersonnel
•Only 5% of married women use contraceptives
Causes of maternal mortality
• Haemorrhage
• Prolonged and obstructed labour
• Pre-eclampsia/eclampsia
• Infection
Gaps in Staffing Health Facilities
Number of people
Lack of qualified staff at referral hospital.
•Paediatric unit is managed by a GP.
•Qualified anaesthesia technicians are notavailable
•Lack of trained lab staff that can provide bloodtransfusions
Availability of essential EmONC drugs
•Shortage of essential drug antibiotics,anticonvulsants, antihypertensive,uterotonics, prostaglandins,and drugs for useemergencies.
•Shortage essential medical equipments(ambu-bag,MVA)
IAWG Needs to…..
Invest in human resources
qualified paediatrician, anaesthetist and OTtechnicians.,qualified midwives,
Promote motivation of the staff
Introduce and/or strengthen communitymidwifery program
Drugs Supply and management
Strengthen the chain/mechanism to ensureavailability of essential EmONC medications,
Availability RH equipment
Referral system
•Improving the refferral system for safermotherhood specially at rural area
•Deployment radio phones at the far facilities
•Establish fund for the poor women fortransportation.
Sufficient Skilled Birth Attentent.
conclusion
If There is a Will There is a Way
Many Thanks
Somaliland map and distribution ofsettelmnts