1. Health Care in Somaliland
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2. 95% of Hargeisa was destroyed in civil war.
I first returned to Somaliland when on a UN fact-finding mission on the 27th of June 1991
Findings:
95% of Hargeisa was destroyed in civil war.
Hargeisa had less than 10 thousand
City was strewn with landmines
No potable water, no food, no health care
250,000 had died in the war
One million of our people were in refugee camps wherever they could find refuge
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5. My thoughts ….options…. Is there anything I can do for country ?
Should I go as far away as possible and spend my retirement years somewhere else ?
My decision:
I will Go home and build a hospital that helps the women and children of my country
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12. The Edna Adan Hospital 0pened in March 2002
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13. 13,315 were normal deliveries 1797 were C. Sections
Since 9th March 2002 and 30th September, 2014, The hospital has achieved the following:
Delivered over 15,682 babies
13,315 were normal deliveries
1797 were C. Sections
Performed thousands of other operations
16,703 were treated in the General Wards
143,333 patients attended the out-patients clinics
210,766 Laboratory tests were performed
Open your presentation with an attention-getting incident. Choose an incident your audience relates to. The incidence is the evidence that supports the action and proves the benefit. Beginning with a motivational incident prepares your audience for the action step that follows.
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14. Training 162 Nurses 32 Critical care nurses 75 Post Basic Midwives
103 Direct entry Midwives
161 Medical Laboratory Technicians
297 Pharmacy technicians
8 Health Officers
7 Anaesthesia Technicians
21 Midwives with Bachelor of Science Degree
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15. University
Since two years, we have opened the Edna Adan University where we offer the following:
Nursing and Midwifery
Laboratory and Pharmacy
Public Health
Dental technologists
Anesthesia
We have also welcomed 145 International Volunteers, Interns and Experts
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16. Berbera and Gabiley
Since May 2014, we have started the training of Midwives in two new hospitals:
Berbera
Gabiley
If circumstances permit it, we plan to start training in Erigavo and in Las Anood.
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17. The Somaliland Solution
With our limited resources, we know that country-wide 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 !

18. Midwives lower MMR When the national MMR for Somaliland is
1600/100, 000
The training of midwives has helped us lower the MMR rate at our hospital to less than 400/100,000

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20. Training Department: 30 General Nurses graduated in 2003 and
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21. Somaliland Midwives
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22. Training Department:
24 Post-Basic Midwives graduated in 2004 and an additional 18 graduated in 2007.
21 Community Midwives are currently in training, as well as 46 Nurses and 29 Lab. Technicians
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24. Second Batch of Laboratory Graduating from Edna Adan Hospital
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25. Achievements Setting high standard of patient care
Improved International cooperation promoting links with hospitals in Africa, Australia, Europe and the USA
Employment opportunity for 127 employees and improved income for their families thus contributing to poverty reduction initiatives in Somaliland
Empowering women to take Leadership roles and positions of responsibility
Conducting studies on harmful Traditional Practices such as Female Genital Mutilation (FGM) and fighting the practice on a national as well as international levels.
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26. Twins
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31. Maternal Mortality
When the Maternal Mortality of Somali women is 1600/100,000 live births, we have reduced maternal mortality in our hospital to 400/100,000 which is a quarter of he national average.
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32. A lesson for the world: The Somaliland experiment
If Somaliland which receives the least support from the International community can reduce Maternal Mortality through the training of midwives, then anybody can do it !