Former British Somaliland Protectorate became independent ......Jun 20, 2011  · 21/06/2011 1 ‘ Former British Somaliland Protectorate became independent in June 1960 and became

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‘ Former British Somaliland Protectorate became independent in June 1960 and became the first Independent and Sovereign Somali State. One week later in July, united with former Italian Somalia when it too became independent. The two separated in 1991 after a ten-year Civil War

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The ten year Civil war from 1982 to 1991 caused the death of a quarter million people of our and destroyed 95% of the country including schools and hospitals.

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The Edna Adan HospitalHargeisa, Somaliland

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30 General Nurses graduated in 2003 and 29 General Nurses graduated in 2008

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24 Post-Basic Midwives graduated in 2004 and 18 Post-Basic Midwives graduated in 2007

Community Midwives in training

Maternal Mortality Rate Women in Somaliland / Those in Developed countries

• At 1100/100,000 they have the / At 12/100,000, they have thehighest MMR in the world the lowest MMR in the world

• 1 in 13 are at risk to die of causes / 1 in 4000 are at risk to die of pregnancy and childbirth pregnancy related causes

• Less than 10% attended by trained / All are assisted by trained health workers health professionals

• Too few health facilities to respond / Health facilities are efficient, to the need of community well equipped and accessible

• No roads, communication and / They have a good referraltransportation system in place and transportation system in placefor referral

43 Maternal deaths among 10,789 women attended between March 2002 to April 2011

Looking for solutions in Somaliland:

• With 65% of our people being nomads, we need more senior midwives and doctors as well as hospitals that are strategically located throughout the country.

• We do have an ongoing training of doctors and senior midwives doing a Bachelor of Science Degree in Midwifery

• With our limited resources, we know that coverage with doctors and graduate midwives will not be possible for a long time which is why we have chosen a low-tech, low-cost and time-effective solution : To train as many Community Midwives as we can, now !

Somaliland needs 1000 Community Midwives : • Each one costs $3700 to train over a period of 18

months ( $6.8 a day )

• They are educated and trained to perform clean and safe deliveries .

• They can identify major problems to refer in good time women needing a higher level of obstetrical care.

• Community Midwives have helped reduce the MMR at our referral hospital from

1600/100,000 to 40/100,000