Obstetric transition: trends in maternal mortality in Somalia over the last two decades

Background This paper sheds light on the trends of the maternal mortality ratio (MMR) and obstetric transition in Somalia over the last two decades.Methods This is a descriptive study comparing aggregate secondary data from the 2006 Multiple Indicator Cluster Survey and the 2020 Somali Health and Demographic Survey to show the transition.Results A 44% reduction of the MMR from 1044 to 692 per 100 000 live births was observed comparing the two surveys.Conclusions Somalia has moved from stage I to stage II of the obstetric transition pathway spectrum and there is optimism that the ongoing strengthening of the health system is paying off.