REPRODUCTIVE, MATERNAL, NEONATAL, CHILD AND ADOLESCENT HEALTH STRATEGY 2020-2024

Introduction and Background
The extended periods of conflict and insecurity exacerbated by recurrent extreme droughts, floods and subsequent food insecurity have together devastated the health status of the population and seriously damaged its fragile health system, resulting in some of the worst health outcomes for mothers and children globally. The shortage of the health workforce, their skills and their uneven distribution coupled with dilapidated health facilities have equally harmed the delivery of lifesaving RMNCAH services, particularly for the nomadic and rural communities, the 2.6 million internally displaced persons (IDPs) and the urban poor. The under-five, infant and neonatal mortality rates stand at 123, 80 and 39 per 1000 live births1 , respectively, which is considered the highest under-five mortality in Eastern Mediterranean Region (EMR), while the maternal mortality ratio (MMR) stands at 732 per 100,000 live births. With the transition to recovery finally underway, this is the time to consolidate the delivery of RMNCAH essential interventions and translate them into better health, population and nutrition indicators. This realization has led to the development of a five-year Somali RMNCAH Strategic plan designed in the aftermath of the 40th anniversary of revitalizing the historic PHC Declaration of Alma-Ata in 1978 and reiterating the call to the global community to strengthen their PHC mechanisms as the crucial path towards achieving UHC. This undertaking is based on the philosophy that health is an inalienable fundamental right of every human being, who needs to enjoy the highest attainable standards of health regardless of any consideration. In the framework of this global momentum, the Somali RMNCAH strategic development will accelerate its effort to eliminate or substantially mitigate the numerous barriers and bottlenecks that impede the effective utilization of these services. The envisaged RMNCAH Strategic plan provides a real opportunity forscaling up the relevantservices by extending millions of the target underprivileged populations with requisite care. WHO assisted in the design of this RMNCAH Strategic plan led by the Somali health authorities, in close consultation with a wide range of UN and other health development partners. The concept of this Strategic Plan/ Investment case is consistent with the revitalization of PHC, lending support to UHC and the overall poverty reduction effort based on human-rights by promoting equity and recognizing health as a peace dividend and a major factor of solidarity contributing to community development.
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The platform Somali Medical Archives has been developed as a tool to promote cooperation between Somali health professional in their mother country and abroad, engaging the diaspora for the improvement of Somali Health Services.

 
SOMAR Somali Medical Archives is an idea by Edna Moallin Abdirahman

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