A paper presented at the annual conference on Higher Education in Post-Conflict Societies held in Jazera palace in Mogadishu in 2019

1. Maternal & Neonatal Health care status
in Somalia. A facility based survey
Omar Osman (MPH, BSc)
Lecturer of Biostatistics at JUS & founder of ASRA
omarosmaneid

2. Outline
• Background information/introduction
• Methodology
• Results/ findings
• Conclusion
• Recommendation

3. Background information
• According to WHO, 287,000 women
worldwide die annually from pregnancy
and childbirth-related conditions,
• 6.9 million under-five children die each
year, of which about 3 million are
newborns.
• In Somalia, One out of every 12 women
dies due to pregnancy related causes
(Unicef, 2015)

4. Background information (continued)
• This study assessed the availability,
accessibility and quality of emergency
obstetric care services and essential
resources available for maternal and
Neonatal Health services in Somalia.

5. Methodology
• The study employed multistage,
cluster sampling method
• The health facility tools developed by
the Averting Maternal Death and
Disability program were adapted for
local use
• Structured questionnaire and
observation methods were used for
data collection. Descriptive, bivariate
and multivariate logistic regression
analyses were conducted

6. Results
Health Facilities by their level in the 9 signal
functions of EmONC
Status Frequency (N=37) Percent %
CEmONC 4 10.8%
BEmONC
11 29.7
Partial EmONC
Non EmONC
13
09
35.2
24.3

7. Results (continued)
Availability of qualified birth
attendants Frequency (N=37) Percent %
Available 8 21.6
Not available 29 78.4
Availability of Pediatricians Frequency (N=37) Percent %
Available 6 16.22
Not available 31 83.78

8. Results (continued)
• The study observed that majority
89.4% of health facilities do not have
telephone services and a significant
majority 86.5% do not have
Ambulance services for emergency
obstetric care

9. Conclusion
• According to the study there is a high
need of a qualified birth attendants
and pediatricians as well as necessary
equipment's including infant
incubators and essential drugs in
prepartum, intrapartum and
postpartum care

10. Recommendations
• The study recommends to FMOH and
related agencies to train birth
attendants and provide essential
drugs and equipment's to MCH
facilities
• The study also recommends to MCH
facilities to initiate Obstetric
emergency services and telephone
services for pregnant women