Health Care in Somaliland 18022021 1 I first

Health Care in Somaliland 18/02/2021 1

• I first returned to Somaliland when on a UN fact-finding mission on the 27 th 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 18/02/2021 2

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 18/02/2021 5

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The Edna Adan Hospital 0 pened in March 2002 18/02/2021 12

Since 9 th March 2002 and 30 th 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 18/02/2021 13

• • • 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 18/02/2021

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 18/02/2021 15

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. 18/02/2021 16

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 !

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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Training Department: • • 30 General Nurses graduated in 2003 and 29 General Nurses graduated in 2008 18/02/2021 20

Somaliland Midwives 18/02/2021 21

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 18/02/2021 22

Second Batch of Laboratory Graduating from Edna Adan Hospital 18/02/2021 24

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. 18/02/2021 25

Twins 18/02/2021 26

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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. 18/02/2021 31

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 !