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LESSON PLANS - ITVS

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HALF THE SKY: MATERNAL MORTALITYStudent Handout C:Somaliland in ContextIt is dangerous to be a pregnant woman in Somaliland.Somaliland is a semi-desert territory in East Africa on the coast of the Gulf of Aden. Itdeclared independence from Somalia after the overthrow of Somali military dictator, SiadBarre, in 1991. Since then, the territory has lobbied hard to win support for its claim to bea sovereign state, but had still not received official international recognition. Despite this,Somaliland has a working political system, government institutions, a police force, and itsown currency, but it suffers from widespread poverty and unemployment.The health of the people of Somaliland is among the worst in Africa, with one ofthe highest maternal and infant mortality rates in the world. Childbirth brings with itserious risks, including lack of access to trained health professionals and high rates ofmalnutrition, all of which increase the chances of complications before and during labor.Because it is not an officially recognized independent state, international aid donors havefound it difficult to provide much-needed support and resources, such as maternal healthservices and funds for training and supplies.While rates of maternal mortality are among the highest in the world, they have begun todecline. In 1997, 16 women would die for every 1,000 live births, but by 2006 that ratehad gone down to approximately 10 per 1,000 births. This improvement is due in part tothe work of Edna Adan Ismail, Somaliland’s first certified nurse-midwife, and the traininghospital she founded in the country’s capital, Hargeisa.

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