MNCH in Somaliland
Somaliland has a population of between 3.5 and 4 million people, and one of the world’s highest maternal, neonatal and infant mortality levels. Female genital mutilation is widespread, with a prevalence of around 99%.
Somaliland has one of the worst maternal mortality ratios in the world, estimated to be between 1,000 and 1,400 deaths per 100,000 live births. Women have a 1 in 15 risk of dying of maternal-related causes (National Health Policy, 2011).
Only 10% of married women aged 15-49 years use a contraceptive method, and only 32% of women aged 15-49 years receive antenatal care at least once by skilled personnel during pregnancy (Multiple Indicator Cluster Survey, 2011).
Most Somaliland women have:
- Little to no reproductive health knowledge
- Insufficient antenatal and postnatal care
- Little access to, or knowledge of, child spacing solutions
Somaliland children also have one of the lowest chances of survival in the world and, unfortunately, many die of causes that could have been easily prevented.
The infant mortality rate in Somaliland is 72 deaths per 1,000 live births and under-five mortality rate 91 deaths per 1,000 live births. This means 1 in every 14 children die before reaching age one, and 1 in every 11 children do not survive to their fifth birthday (Multiple Indicator Cluster Survey, 2011).