RESUMO
BACKGROUND: This paper sheds light on the trends of the maternal mortality ratio (MMR) and obstetric transition in Somalia over the last two decades. METHODS: This is a descriptive study comparing aggregate secondary data from the 2006 Multiple Indicator Cluster Survey and the 2020 Somali Health and Demographic Survey to show the transition. RESULTS: A 44% reduction of the MMR from 1044 to 692 per 100 000 live births was observed comparing the two surveys. CONCLUSIONS: Somalia has moved from stage I to stage II of the obstetric transition pathway spectrum and there is optimism that the ongoing strengthening of the health system is paying off.
Assuntos
Mortalidade Materna , Humanos , Somália/epidemiologia , Mortalidade Materna/tendências , Feminino , Gravidez , Adulto , Serviços de Saúde Materna/tendências , Serviços de Saúde Materna/estatística & dados numéricos , Parto Obstétrico/estatística & dados numéricos , Parto Obstétrico/mortalidade , Adulto Jovem , Obstetrícia/tendênciasRESUMO
BACKGROUND: We describe an innovative strategy implemented to support national staff at Istarlin Hospital in the conflict setting of Somalia; and report on inpatient morbidities, mortality and adverse hospital exit outcomes. METHODS: This was a retrospective analysis of hospital data for 2011. RESULTS: Of 8584 admitted patients, the largest numbers were for lower respiratory tract infections (LRTI) (2114; 25%), normal deliveries (1355; 16%) and diarrhoeal diseases (715; 8%). The highest contributors to mortality were gunshot wounds in surgery (18/30; 60%), LRTIs in internal medicine (6/32; 19%) and malnutrition in paediatrics (30/81; 37%). Adverse hospital exit outcomes (deaths and absconded) were well within thresholds set by Médecins Sans Frontières. CONCLUSIONS: With a support package, satisfactory standards of care were met for hospital care in Somalia.