Abstract
Somali’de,
yoksulluk, iç çatışma, ve zayıf sağlık sistemi nedeniyle ana-çocuk sağlığı
düzeyi düşüktür. Hizmet kalitesinin düşüklüğü, sağlık hizmeti ücretleri ve
nüfus yoğunluğunun düşük olması nedeniyle uzak mesafeler de sağlık hizmeti
kullanımını zorlaştırmaktadır. Doğum öncesi bakım kapsamında gebelere aralıklı
Sıtma proflaksisi ve HIV taraması da yapılmaktadır. Ancak özellikle, kırsal
bölgede yaşayan ve göçebe olan kadınların doğum öncesi bakım ve doğum sonu
bakım alma oranları kentsel nüfusa göre oldukça düşüktür. Doğurganlık hızları yüksek,
aile planlaması kullanım oranları düşüktür. Ergen evliliği ve kadın sünneti
yaygındır. Tüm bunlar sonucunda ana ölüm hızları yüksektir.
Somali’de çocuk sağlığı düzeyi de kötüdür. Beş yaş altı
ölüm hızı 1000 canlı doğumda 137 ile, dünyanın en kötü üçüncü ülkesidir.
Bağışıklama ve emzirme oranları düşük, beslenme düzeyi son otuz yılda dünyanın
en kötü düzeyindedir. Akut yetersiz beslenme
düzeyi genellikle %15 olan
kritik düzeyin üzerindedir. Enfeksiyonlar
yaygındır. Bildirilen Tüberküloz vakalarının %12.3'ü beş yaş altı çocuklardır.
Onbeş yaş altı çocukların %0.4-0.5’i HIV pozitiftir.Bildirilen
sıtma vakalarının %39'u 5 yaş altı çocuklardır. Sonuç olarak, Somali’de güçlü
bir sağlık sistemi kurulmalı ve koruyucu sağlık hizmetleri
yaygınlaştırılmalıdır.
Supporting Institution
YOK
Project Number
-
Thanks
-
References
- 1. Health Sector Strategic Plan (January 2013 – December 2016), The Federal Government Of Somali Republic Ministry Of Human Development And Public Services Directorate Of Health. Mogadishu, Somalia. http://www.nationalplanningcycles.org/sites/default/files/country_docs/Somalia/the_federal_government_of_somali_republic_health_se ctor_strategic_plan_2013-2016.pdf. Erişimtarihi: 01.01.2018.
- 2. UNICEF “Situation Analysis of Children in Somalia 2016”. https://www.unicef.org/somalia/resources_18507.html. Erişimtarihi: 01.01.2018.
- 3. Midwives at heart of Somalia’s new reproductive health strategy, 2013. https://www.who.int/features/2013/somalia_skilled_birth_attendants/en/ Erişimtarihi: 01.04.2018.
- 4. Somali Community Health Strategy’ Health Services at the doorstep of Somali Communities. MOH. Mogadishu-Somalia, 2015.
- 5. https://www.populationpyramid.net/somalia/2019/ Erişim tarihi: 29.12. 2019
- 6. Data for better life tomorrow, population estimations survey, Somalia, UNFPA PRESS, 2014. https://somalia.unfpa.org/sites/default/files/pub-pdf/Population-Estimation-Survey-of-Somalia-PESS-2013-2014.pdf. Erişimtarihi: 01.04.2018.
- 7. UNFPA, WHO, UNICEF, UKaid and the EC. Reproductive Health National Strategy & Action Plan 2010-2015, Somalia. https://www.unicef.org/somalia/health_11684.html. Erişimtarihi: 01.04.2018.
- 8. https://www.who.int/reproductivehealth/topics/fgm/prevalence/en/ Erişim tarihi: 29.12. 2019
- 9. Consultant WHO/UNFPA “A Situation Analysis Of Reproductive Health In Somalia 2009”. https://www.unicef.org/somalia/health_11703.html. Erişimtarihi: 01.04.2018.
- 10. MOH FGS & UNICEF Somalia “Annual HMIS Report 2016”
- 11. https://www.slideshare.net/jarati/national-immunisation-policy-somalia Erişim tarihi: 29.12. 2019
- 12. Countdown to 2015 maternal, newborn & child survival somalia may 2013
- 13. Ministries of Health “Somali Infant And Young Child Nutrition Assesment 2016”. file:///C:/Users/sagal/Downloads/2016-Somali-IYCNAssessment- Final-Report%20(2).pdf. Erişimtarihi: 01.04.2018.
- 14. Save the Children "Pneumonia, the forgotten killer disease in Somalia” https://reliefweb.int/sites/reliefweb.int/files/resources/Pneumonia%20press%20release%20final.pdf. Erişimtarihi: 01.04.2018.
Abstract
In Somalia, maternal and child health services are low
due to poverty, internal conflict, and inadequate healthcare. Due to the low
quality of service, health care fees and low population density, the use of
health services makes it difficult to use distances.However, the rates of
prenatal care and postnatal care of women living in rural areas and who are
nomadic are quite low compared to urban population.Fertility rates are high and
family planning usage rates are low.Adolescent marriage and female genital
mutilation are common.As a result, maternal mortality rates are high.
The level of child health in Somalia is also poor.With a
mortality rate of 137 per 1000 live births, it is the third worst country in
the world.Immunization and breastfeeding rates are low, and the level of
nutrition has been at its worst in the last three decades.The level of acute
malnutrition is often above the critical level of 15%.Infections are
common.12.3% of the reported cases of tuberculosis are children under five
years of age. 0.4-0.5% of children under the age of fifteen are HIV
positive.39% of reported malaria cases are children under 5 years of age.As a
result, a strong health system should be established and preventive health
services should be expanded in Somalia.
Project Number
-
References
- 1. Health Sector Strategic Plan (January 2013 – December 2016), The Federal Government Of Somali Republic Ministry Of Human Development And Public Services Directorate Of Health. Mogadishu, Somalia. http://www.nationalplanningcycles.org/sites/default/files/country_docs/Somalia/the_federal_government_of_somali_republic_health_se ctor_strategic_plan_2013-2016.pdf. Erişimtarihi: 01.01.2018.
- 2. UNICEF “Situation Analysis of Children in Somalia 2016”. https://www.unicef.org/somalia/resources_18507.html. Erişimtarihi: 01.01.2018.
- 3. Midwives at heart of Somalia’s new reproductive health strategy, 2013. https://www.who.int/features/2013/somalia_skilled_birth_attendants/en/ Erişimtarihi: 01.04.2018.
- 4. Somali Community Health Strategy’ Health Services at the doorstep of Somali Communities. MOH. Mogadishu-Somalia, 2015.
- 5. https://www.populationpyramid.net/somalia/2019/ Erişim tarihi: 29.12. 2019
- 6. Data for better life tomorrow, population estimations survey, Somalia, UNFPA PRESS, 2014. https://somalia.unfpa.org/sites/default/files/pub-pdf/Population-Estimation-Survey-of-Somalia-PESS-2013-2014.pdf. Erişimtarihi: 01.04.2018.
- 7. UNFPA, WHO, UNICEF, UKaid and the EC. Reproductive Health National Strategy & Action Plan 2010-2015, Somalia. https://www.unicef.org/somalia/health_11684.html. Erişimtarihi: 01.04.2018.
- 8. https://www.who.int/reproductivehealth/topics/fgm/prevalence/en/ Erişim tarihi: 29.12. 2019
- 9. Consultant WHO/UNFPA “A Situation Analysis Of Reproductive Health In Somalia 2009”. https://www.unicef.org/somalia/health_11703.html. Erişimtarihi: 01.04.2018.
- 10. MOH FGS & UNICEF Somalia “Annual HMIS Report 2016”
- 11. https://www.slideshare.net/jarati/national-immunisation-policy-somalia Erişim tarihi: 29.12. 2019
- 12. Countdown to 2015 maternal, newborn & child survival somalia may 2013
- 13. Ministries of Health “Somali Infant And Young Child Nutrition Assesment 2016”. file:///C:/Users/sagal/Downloads/2016-Somali-IYCNAssessment- Final-Report%20(2).pdf. Erişimtarihi: 01.04.2018.
- 14. Save the Children "Pneumonia, the forgotten killer disease in Somalia” https://reliefweb.int/sites/reliefweb.int/files/resources/Pneumonia%20press%20release%20final.pdf. Erişimtarihi: 01.04.2018.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Letter to the Editor |
| Authors | |
| Project Number | - |
| Publication Date | January 31, 2020 |
| Submission Date | July 26, 2019 |
| Published in Issue | Year 2020 Volume: 10 Issue: 1 |
Cite
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Periodical scientific publication of Mersin University School of Medicine. Can not be cited without reference. Responsibility of the articles belong to the authors
Ayşegül Tuğuz
from composition of İlter Uzel named “Dioscorides and his Student
Address
Mersin Üniversitesi Tıp Fakültesi Tıp Tarihi ve Etik Anabilim Dalı Çiftlikköy Kampüsü
Yenişehir / Mersin