🩺
Stop Maternal Mortality
Countries🇸🇴Somalia
WHO · UNICEF · UN IGME 2024← All Countries
🇸🇴
Maternal & Child Mortality
in Somalia
East Africa · #3 of 30 worst globally
Child Deaths Since Jan 1, 2026
0
93 per 1,000 live births · Somalia
Deaths at Birth Today
0
est. newborns today
Infant Mortality Rate
93.0
per 1,000 · 3.4× world avg
Maternal Mortality Rate
621
per 100,000 · 3.2× world avg
Flag of SomaliaEast Africa
Birth Mortality Crisis

Mothers & Newborns
Dying in Somalia
During Childbirth

621 maternal deaths per 100,000 — a Somali woman faces a 1 in 22 lifetime risk of dying from pregnancy-related causes.

Newborn & Infant Mortality
93.0deaths per 1,000 live births
3.4× the world average
Maternal Mortality During Birth
621deaths per 100,000 live births
3.2× the world average
👶

Newborn & Child Deaths During Birth in Somalia

Somalia has experienced continuous civil war since 1991 with no functioning national health system. Vaccination coverage is below 30% nationally. 1 in 5 Somali children is acutely malnourished.

Limited progress from a very high baseline. Pockets of improvement exist in Mogadishu and Somaliland.

Leading Causes of Child Death at Birth
Neonatal causes29%
Pneumonia20%
Diarrheal diseases17%
Measles & vaccine-preventable10%
Malaria9%
Other15%

* Neonatal deaths (first 28 days) represent the largest share of under-5 mortality.

What Happens in the Delivery Room
🏥
Births in a health facility~77%
estimated — lower in conflict/rural areas
👩‍⚕️
Skilled birth attendant present~31%
doctor, midwife or trained nurse
⚠️
Neonatal deaths (first 28 days)48%
of all under-5 deaths occur at birth
🩸
Most preventable with skilled care~75%
of child and maternal deaths
🤱

Maternal Mortality During Birth in Somalia

Only 9% of births are attended by a skilled birth attendant — one of the lowest rates globally. FGM prevalence is ~98%, contributing to obstructed labour and fistula. Al-Shabaab actively restricts health services.

Minimal improvement over the past decade. International NGOs provide the majority of maternal health services.

Causes of Death During Labour & Delivery
Haemorrhage31%
Obstructed labour / fistula19%
Sepsis18%
Eclampsia15%
Unsafe abortion9%
Other8%

* Haemorrhage and eclampsia together cause over 50% of deaths — both are treatable with basic skilled care.

Why Mothers Die at Birth Here
🩺
Emergency obstetric care availableLimited
few facilities can manage haemorrhage
🩸
Blood transfusion accessCritical gap
haemorrhage kills within 2 hours
💊
Magnesium sulphate (eclampsia)Often absent
costs $1 — saves lives instantly
If skilled care were universal~75% fewer deaths
WHO estimate for this mortality level
⚠️

Why Is This Still Happening?

Structural Barriers to Safe Birth in Somalia
Continuous armed conflict since 1991
Near-complete collapse of the state health system
Near-universal FGM (98%) causing obstetric complications
2.9 million internally displaced persons
Al-Shabaab restricting health worker access
🎯
SDG 3 Progress Assessment

Rebuilding Somalia's health infrastructure requires sustained peace and a decade of intensive investment.

💡
Prevention & Solutions

How Can We Prevent This in Somalia?

📍 The Situation

Somalia has one of the lowest skilled birth attendance rates in the world — estimated at below 30% nationally, and far lower in conflict-affected areas. The country lacks a functioning national health system in large areas, and the majority of health services are delivered by NGOs, community health workers, and informal traditional birth attendants.

🔬 How Ultrasound Helps

In Somalia's context, the most impactful use of portable ultrasound is gestational age assessment and fetal position screening at community level. Many Somali women do not access antenatal care until late in pregnancy or not at all. A handheld POCUS device allows a community health worker to perform a rapid assessment during a home visit — identifying twins, malpresentations, and placenta previa that would otherwise be discovered only at the moment of delivery.

🎓 The Training Gap

Traditional birth attendants (TBAs) attend a significant proportion of deliveries in Somalia. Task-shifting POCUS skills to existing nurses and midwives within NGO health networks — GUSI's OB POCUS fellowship model is well-suited here — can create trained ultrasonographers within months rather than years.

🩺
Global Ultrasound Institute · GUSI
The training that closes the gap exists today.

GUSI trains physicians, nurses, midwives, and community health workers in Point-of-Care Ultrasound — the technology that detects the conditions killing mothers and babies before they become emergencies. OB POCUS · Pediatric POCUS · Primary Care POCUS · Online & in-person.

What a trained provider can detect with a portable ultrasound device
🩸Placenta previa
🔄Malpresentation
👥Twin pregnancy
📉Fetal growth restriction
Pre-eclampsia markers
🫁Childhood pneumonia
💉Internal bleeding
🧠Hydrocephalus
🧮
Interactive Model

POCUS Impact Calculator — Somalia

Model based on: 600 scans/provider/year · 15% high-risk detection rate · 47% mortality reduction for detected cases (Swanson et al. 2014 · WHO POCUS in LMICs review)
50
1 provider250500 providers
Scans per Year
30,000
pregnant women screened
High-Risk Detected
4,500
flagged for referral / intervention
Maternal Deaths Prevented
42
mothers saved per year
Newborn Deaths Prevented
75
babies saved per year
Total Lives Saved Per Year
117deaths prevented
2.3
lives per provider
$212
est. cost per life saved
$24,750
total training investment

* This calculator uses a conservative evidence-based model. Actual impact varies by deployment context, provider experience, and health system capacity. Training cost based on GUSI OB POCUS Essentials (~$495/provider). Mortality reduction from peer-reviewed POCUS implementation studies in low-resource settings.

Technology & Education

A Practical Plan to Bring POCUS to Somalia

🗺️ Our Plan to Bring POCUS to Somalia

Our goal is to partner with GUSI (Global Ultrasound Institute) and leading portable ultrasound manufacturers to place life-saving diagnostic tools directly in the hands of trained local providers across Somalia — so that dangerous complications are caught early, not discovered too late.

  1. Start with the ground truth.Our plan begins by mapping what already exists — facilities, referral pathways, blood supply, and the midwives, nurses, and physicians who are closest to mothers at the moment of crisis.
  2. Train local champions through GUSI.We enrol a core group of local providers in GUSI's OB POCUS Essentials and Pediatric POCUS courses — then certify them to train others, so the knowledge multiplies without depending on outside experts indefinitely.
  3. Put the right device in the right hands.We partner with portable ultrasound brands — Butterfly iQ+, Philips Lumify, GE Vscan Air — to source devices suited to Somalia's power infrastructure, connectivity, and budget. No unnecessary complexity, just what works in the field.
  4. Build a referral system around what the scan finds.A scan without a clear next step saves no one. Our plan defines exactly what to look for, which findings require immediate referral, and how to document everything at the point of care — so no warning sign is lost in translation.
  5. Sustain it through ongoing quality assurance.Regular image review sessions, outcomes tracking, and refresher training keep skills sharp and standards high — turning a one-time intervention into a durable change in how care is delivered.
📡 Recommended Portable Ultrasound Devices
🦋 Butterfly iQ+
Website →
Single-probe whole-body device covering OB, cardiac, lung, and FAST exams. App-based platform with built-in AI guidance. Designed for low-resource environments — charges via USB and works with any smartphone.
🔵 Philips Lumify
Website →
App-based probe that plugs into Android phones. Multiple transducer heads available for OB and point-of-care use. Widely used in GUSI-supported training programs globally.
🟢 GE Vscan Air
Website →
Wireless, pocket-sized dual-probe handheld. Streams live images to a smartphone app. Excellent battery life — purpose-built for rapid bedside OB and FAST-style assessments.
🔷 Clarius HD3
Website →
High-resolution wireless handheld. Multiple probe configurations available. Strong image quality in a compact form factor — suitable for OB, lung, and neonatal scanning.
Global Ultrasound Institute · GUSI

The training that closes the gap — built for providers in settings like Somalia

GUSI trains physicians, nurses, midwives, and community health workers in Point-of-Care Ultrasound. Courses are designed from the ground up for providers in resource-limited settings — short, practical, competency-based, and available online or in person. Every course maps directly to the conditions killing mothers and babies during childbirth.

50+
Countries trained
OB · Peds · Emergency
POCUS specialties
Online + In-person
Flexible delivery
WHO-aligned
Curriculum standard
Available Courses
Online + hands-on
OB POCUS Essentials
The core obstetric ultrasound curriculum — fetal presentation, placenta location, amniotic fluid, gestational age, and fetal heart. Designed for physicians, nurses, and midwives with no prior ultrasound experience.
Learn more →
Online + hands-on
Pediatric POCUS
Point-of-care ultrasound for newborn and child emergencies — pneumonia, pneumothorax, cardiac tamponade, intussusception, and more. Critical for settings where neonatal and child mortality is highest.
Learn more →
Online + hands-on
FAST & Emergency POCUS
Focused Assessment with Sonography in Trauma — rapid detection of internal bleeding, haemothorax, and pericardial effusion. Life-saving in obstetric haemorrhage settings.
Learn more →
On-site program
Global Health Initiative
GUSI partners with hospitals, NGOs, and governments to deploy POCUS training at scale in sub-Saharan Africa, South Asia, and Latin America — including train-the-trainer models for local sustainability.
Learn more →