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Official websites use. Share sensitive information only on official, secure websites. Correspondence to Md Nuruzzaman Khan email: sumonrupop gmail. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL. The Somali Health and Demographic Survey showed that maternal mortality as well as that of children younger than five years, is very high in the country, with deaths per 10 population and 71 deaths per population, respectively.
The health survey estimates that unintended and short-interval pregnancies are also common. These unfavourable indicators place Somalia among the worst countries globally in terms of sexual and reproductive health indicators, as well as in maternal and child health. These figures also reveal that despite the successful implementation of the millennium development goals between and 2 and the sustainable development goals being halfway to the target year, very little improvement is observed in Somalia.
The country is significantly lagging behind in achieving these goals. Addressing these critical challenges requires prioritizing the availability, accessibility and use of modern contraception. However, Somalia falls considerably short of attaining these objectives. The recently published findings of the Somali Health and Demographic Survey 1 reveal a concerning situation. Significant determinants of contraception use and unmet need for contraception include age; education level; number of children; exposure to family planning messages through mass media; and region and location of residence.
Given the connection between contraception and other maternal and child health outcomes, including maternal and child mortality, these findings indicate that Somalia is unlikely to see improvements in maternal and child health, including maternal and child mortality, in the coming years unless initiatives to increase uptake of modern contraception are taken.
The prolonged political instability, armed conflicts and widespread poverty in Somalia has resulted in an underdeveloped health-care infrastructure and a severe shortage of health-care personnel. However, dedicating private areas for this purpose is nearly impossible with the existing poor health-care systems, which primarily prioritize emergency health-care services, including the treatment of serious maternal health complications.