Evidence map›Paper›PMID 42661849›Full record

ReviewFrontiers in global women's health2026

Emergency obstetric and newborn care in conflict-affected Somalia: rural access inequities, referral barriers, and health-system priorities - a policy and practice review.

Abdukadir Mohamed Hassan, Abdiwali Mohamed Hussein, Ahmed Omar Siyad

Abstract readReview
In one paragraph

Review in Frontiers in global women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Abdukadir Mohamed HassanDepartment of Critical Care Medicine, Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia.
Abdiwali Mohamed HusseinDepartment of Obstetrics and Gynecology, Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia.
Ahmed Omar SiyadDepartment of Critical Care Medicine, Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emergency obstetric and newborn care remains a critical maternal-health and health-system priority for reducing preventable maternal and neonatal deaths in Somalia. Prolonged conflict, displacement, recurrent climate shocks, poverty, and rural access inequities continue to expose pregnant women and newborns to delays in reaching timely emergency care. Although previous reviews have described broad maternal and newborn health challenges in Somalia, less attention has been given to how emergency obstetric and newborn care gaps interact with rural geography, insecurity, referral barriers, workforce shortages, weak facility readiness, and humanitarian service-delivery constraints. This policy and practice review synthesizes peer-reviewed literature, national survey evidence, policy documents, technical guidance, and authoritative reports to examine emergency obstetric and newborn care in conflict-affected Somalia. Sources published or made available between 2010 and 2026 were prioritized, while older seminal sources were retained only when they provided foundational frameworks or technical definitions. The review focuses on rural access inequities, referral barriers, facility readiness, workforce capacity, sociocultural determinants of care-seeking, and policy-practice priorities. The evidence indicates that low rates of skilled birth attendance, limited institutional delivery, inadequate basic and comprehensive emergency obstetric and newborn care coverage, weak referral systems, financial barriers, and shortages of skilled personnel continue to undermine timely care for obstetric and newborn emergencies. Strengthening emergency obstetric and newborn care in Somalia requires an integrated service-delivery and policy approach that expands rural coverage, improves referral coordination, invests in midwifery and emergency obstetric skills, stabilizes essential supplies and blood transfusion capacity, strengthens maternal and perinatal death surveillance, and aligns humanitarian and development programming. Addressing these priorities is essential for improving equitable maternal and newborn survival in conflict-affected and resource-limited settings.

Indexed as

armed conflictemergency obstetric and newborn carehealth-system resiliencehealth systemshumanitarian healthmaternal healthmaternal mortalityneonatal mortality

Identifiers

PMID42661849
PMCPMC13518568

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.