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By Mohamed-Amin Jibril
HARGEISA, January 15 2009 – Improved healthcare facilities have
considerably reduced the rate of maternal mortality in Somaliland, but
officials say much more still needs to be done.
In 1997, 1,600 out of every 100,000 women giving birth were estimated to
die in Somaliland.
Anwar Mohamed Eggeh, Somaliland's director-general in the Ministry of
Health and Labour, told IRIN the rate in 2006 was 1,044 per 100,000.
He attributed this to “increasing health facilities in the main towns
and remote areas, as well as improvement in living standards. However,
the rate is still high, so the Ministry, with the collaboration of
UNICEF [the UN Children’s Fund] and EU, is planning to further reduce
the rate, establishing new health facilities for the general public.
"There are not enough facilities such as maternal health centres in the
country compared to the population, and we want to reduce maternal
mortality as we did child mortality, which we reduced by 50 percent,” he
added.
Edna Aden Ismail, who set up a maternity and teaching hospital in
Hargeisa in 2002, said the facility had contributed to the reduction in
maternal deaths.
“We train professional midwives in the hospital, who are now working in
the main town hospitals, such as Burou, Lasanod, Borama, Hargeisa Group
hospitals,” she told IRIN.
“The other factor is we have enough equipment, professional midwives,
nurses and doctors here and the most serious cases are referred to this
hospital. Only 32 mothers died in our hospital out of 8,307, and many of
them could have been saved if they had arrived at the hospital early
enough,” she added.
Antenatal care was still inadequate in Somaliland, according to Ugaso
Jama Guled, a midwife and activist fighting female genital
mutilation/cutting, which she said was a major contributor to the
territory’s high rate of maternal deaths.
She said other factors included pre-eclampsia, hypertension, abortions,
pulmonary embolism, ectopic pregnancy and ruptured uteruses.
"Most Somaliland mothers die because of prolonged bleeding, pre-eclampsia,
hypertension, infection and malnutrition, caused by lack of a balanced
diet," Ugaso said.
Source: IRIN
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