1. Somalia Team Reaching the unreached population in Central Somalia IAWG CAIRO 19-21 March - 2012

3. Somalia Indicators Population7.9 Million Life Expectancy50 (2008) Fertility rate6.8 births per woman Maternal mortality rate1044 deaths per 100,000 live births (2006) Use of modern contraceptive1.5% of women in fertile age HIV /Aids prevalence0.9% Female genital mutilation/cutting 98% have been circumcised with 78 % having experienced the Extreme form of FGM infibulated or type 3 circumcisions *Estimated number of IDP’s1.46 Millions(April 2011)

4. Maternity Waiting Homes The are 3 possible ways to improve access to obstetrical services when needed 1.Bringing medical services to women in need - "flying squads" 2. Bringing women to medical services - emergency transport 3.Decentralization of care so that women have easy access to skilled obstetric care

5. Maternity Waiting Homes The 3 option requires provision of obstetric facilities close to every community MWH : Provide a setting where high-risk women can be accommodated during the final weeks of their pregnancy near a HF with essential obstetric facilities  low-cost way to bring women closer to obstetric care 5

6. Maternity Waiting homes in Mudug region  60,000 IDPS  21 Settlements  Assessment was done by IP NGO  9 MWH  1Midwive +2 HP  1 Doctor supervise 5 MWH 6

7. Maternity Waiting homes in Mudug region Small Rented house in the IDP settlement with 2 rooms to accommodate 2 pregnant ladies at a time. served by 1 Midwives+ 2promotors Normal deliveries Referral of complications Focused ANC,Education &counseling focusing on FGM,BF,early marriage.. 7

8. Maternity Waiting Home 8

9. Maternity Waiting Home in Mudug IDP 9

10. Information Flow 10 1Midwife 2Promotrs 1-2Midwife Doctor Supervisor HOSPMCHMWH MCHMWH

11. Maternity Waiting Home referral service 11

12. United Nations Population Fund Somalia Country Office