Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Sep 14:11:1210401.
doi: 10.3389/fpubh.2023.1210401. eCollection 2023.

Constraints to maternal healthcare access among pastoral communities in the Darussalam area of Mudug region, Somalia "a qualitative study"

Hodan A Duale  1 , Abdiqani Farah  1   2 , Abdi Salad  3 , Sumaya Gele  4 , Abdi Gele  1   5
Affiliations

Constraints to maternal healthcare access among pastoral communities in the Darussalam area of Mudug region, Somalia "a qualitative study"

Hodan A Duale et al. Front Public Health. .

Abstract

Background: While countries embrace efforts to achieve Sustainable Development Goals (SDG) goal 3.1 (to reduce the global maternal mortality ratio to less than 70 per 100,000 live births by 2030 and end preventable deaths of new-borns and children), an estimated 2.5 million pastoralists in Somalia are struggling to access maternal and child healthcare services. Institutional delivery and access to antenatal care remained to be a challenge in Somalia, where pastoralism is a common means of livelihood. The aim of this study is to explore the maternal health services available for settled pastoralists (transhumant) and their families who still practice nomadic pastoralism in the Mudug region of Somalia.

Methods: A qualitative study, including 14 interviews and one FGD, was conducted in Darussalam village (a transhumant village along the border between Somalia and Ethiopia), Puntland State, from December 2022 to January 2023. The study participants were community members who support the maternal and child health clinic (MCH), village administration, and health providers.

Results: We found that the efficiency of the health facilities that serve for pastoralist women and children are hampered by staff-related, supply-related, patients-related and referral-related constraints. This study highlights that the absence of essential supplies, the unmet need for training among the staff as well as the absence of important facilities in the MCH such as ambulance and blood bags.

Conclusion: Numerous strides could be made in the provision of affordable maternal healthcare to pastoralist communities in Darussalam areas of the Mudug region when organizations that support health care in Somalia and the Ministry of Health include pastoralists' healthcare in their priorities.

Keywords: health care services; maternal death; mother and child health; newborn; pastoralist; transhumant.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Study area.
Figure 2
Figure 2
Themes and categories of challenges faced by the maternal health facilities in pastoralist areas.
See this image and copyright information in PMC

References

    1. WHO, UNICEF, UNFPA, The World Bank, The United Nations Population Division . Trends in Maternal Mortality: 1990 to 2015. Geneva: WHO; (2015).
    1. WHO, UNICEF, UNFPA, the World Bank, United Nations population division (2014). Trends in maternal mortality: 1990 to 2013: WHO. Available at: http://apps.who.int/iris/handle/10665/112697 (Accessed March 7, 2023).
    1. OMS (2015). Tendances de la mortalité maternelle: 1991-2015: estimations de l'OMS, l'UNICEF, l'UNFPA. In: le Groupe de la Banque mondiale et la Division de la population des Nations Unies: résumé d'orientation.
    1. SHDS (2020). The Somali Health and Demographic Survey 2020. Available at: https://www.nbs.gov.so/home (Accessed February 13, 2023).
    1. Muriithi FG, Banke-Thomas A, Gakuo R, Pope K, Coomarasamy A, Gallos ID. Individual, health facility and wider health system factors contributing to maternal deaths in Africa: a scoping review. PLoS Glob Public Health. (2022) 2:e0000385. doi: 10.1371/journal.pgph.0000385 - DOI - PMC - PubMed

LinkOut - more resources