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Somali Mothers A re Dying Dr.Abdirizak Yussuf Abdillahi National 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 dying due to pregnancy-related causes 6.5 births per woman
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Somali Mothers Are DyingDr.AbdirizakYussufAbdillahiNational RH coordinator
Why Maternal Health? • 1400 maternal deaths per 100,000 live births • 1 in 10 women have a life-time risk of dying due 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 health personnel • 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 not available • Lack of trained lab staff that can provide blood transfusions
Availability of essential EmONCdrugs • Shortage of essential drug antibiotics, anticonvulsants, antihypertensive, uterotonics, prostaglandins,anddrugs for use emergencies. • Shortage essential medical equipments(ambu-bag,MVA)
IAWG Needs to….. Invest in human resources • qualified paediatrician, anaesthetist and OT technicians.,qualifiedmidwives, • Promote motivation of the staff • Introduce and/or strengthen community midwifery program
Drugs Supply and management • Strengthen the chain/mechanism to ensure availability of essential EmONC medications, • Availability RH equipment
Referral system • Improving the refferral system for safer motherhood specially at rural area • Deployment radio phones at the far facilities • Establish fund for the poor women for transportation.
conclusion If There is a Will There is a Way