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Shamsa Abdullahi Bybook: A champion for Somali women’s reproductive health rights

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Mogadishu – Shamsa Abdullahi Bybook was a young nurse in her twenties when she fled the mounting chaos and tensions of Mogadishu in 1989 to start a new life in the United Kingdom. She became an experienced midwife at a North London hospital with a master’s degree from Middlesex University and raised a family.

But she never forgot Somalia. On her periodic visits to her homeland, the mother of six was appalled by the poor medical facilities available to young pregnant women and the numbers who died during childbirth.

“We saw the suffering the mothers were going through,” the 59-year-old native of Kismaayo recalls. “The babies were also dying unnecessarily for (the lack) of a simple procedure called resuscitation and oxygen.”

In 2016, she decided to do something about it. Shamsa and her husband packed their bags and moved back to Mogadishu to found a maternity hospital offering quality reproductive services to Somali women – the Bybook Maternity Hospital.

Shamsa fully realized the risks her homecoming entailed. She was working in London as a part-time newsreader for the British Broadcasting Corporation’s Somali language service when she was sent to Kismaayo on assignment in 1997 and was briefly abducted by armed militia.

Within months of her return to Mogadishu, the maternity hospital opened its doors in the Hodan district of the Somali capital in October 2017. It offers a wide range of inpatient and outpatient services that include safe birthing, pediatric and childcare, female genital mutilation counselling, diagnostic sonography, postpartum care and infertility care.

“We decided to be different by focusing more on quality care. For example, we ensured that no newborn baby dies for lack of oxygen or resuscitation equipment or even incubators. This is important for the country,” she observes, adding that she has also launched a campaign touting the benefits of giving birth in a tub of warm water to reduce maternal mortality rates.

The importance of high-quality medical facilities for Somalis cannot be overstated. According to the United Nations Children’s Fund (UNICEF), mortality rates among Somali children are amongst the highest in the world. One out of every seven Somali children dies before their fifth birthday, which translates into a death rate of 137 out of every 1,000 live births. Mortality rates for mothers are also high, with UNICEF flagging that one out of every 12 women dies due to pregnancy-related causes – a death rate of 732 out of every 100,000 live births.

The 45-bed Bybook Maternity Hospital records an average of 50 safe deliveries each month and also treats newborns with breathing complications. Word of mouth has spread the reputation of the hospital far and wide, with pregnant women coming from towns as distant as Afgooye and Jowhar.

“Due to our positive effort, many people now know about our services,” notes Shamsa. “Even less educated mothers tell me they have been told that we have special equipment that help mothers and their newborn babies survive.”

However, the lack of effective regulation in Somalia’s health care sector remains a source of constant concern for Shamsa. She blames poor training and inadequate equipment for causing bodily harm and unnecessary loss of life on a regular basis.

UNICEF notes that Somalia is plagued by inconsistent health care delivery structures, with medical services provided by a mix of health authorities, private entities and international and national non-governmental organizations. The former nurse urges Somalis wishing to improve the state of health care in their country to consider medicine as a career option and expand the number of hospitals that can save lives.

“My husband and I have left our children and our grandchildren to have this (maternity hospital) and help the people who are in need of our services,” she says. “I would advise everyone who has that ambition to go ahead with it because we have been through it. Do not stop, do not become discouraged.”

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Puntland

As climate change parches Somalia, frequent drought comes with conflict over fertile land

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PBS — Desert sand is slowly taking over Somalia. Just six years after the last major drought emergency, the rains have failed again — a devastating trend in a country where around 80 percent of people make their living on the land. Special correspondent Jane Ferguson and videographer Alessandro Pavone report on how climate change is threatening a way of life that has sustained Somalia for millennia.

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Somali News

Somalia: Roadside Bomb Kills 4, Including 2 Officials

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A roadside bomb struck a car Wednesday southwest of the Somali capital Mogadishu, killing two government officials and two of their bodyguards, regional officials said.

The blast occurred on the main tarmac road linking Mogadishu to southwestern regions, near Afgoye, about 40 kilometers southwest of the capital, villagers told VOA.

“The state minister for security of the Southwest Regional State and a state lawmaker from Hirshabelle Regional State and two of their guards were killed in the attack,” said Mohamed Sidow Abdirahman, the Wanlaweyne District Commissioner.

He said the officials were returning from talks attended by the Southwest Regional State president, former parliament speaker Sharif Hassan Sheikh Adan, senior Somali military officials and advisers for U.S. forces in Somalia.

The talks at Baledogle airfield centered on plans to reopen the road linking Mogadishu and the town of Baidoa, according to Abdirahman.

Somali officials say the Baledogle airfield is where U.S. military experts train Somali forces and help them launch attacks on al-Shabab positions.

Other government officials told VOA that Wednesday’s meeting concluded preparations for a major military operation aimed at opening main supply routes to ease access to humanitarian aid in the drought-stricken Horn of Africa nation.

There was no immediate claim of responsibility, although al-Shabab has carried out similar attacks on the road, targeting government officials, civilians and forces of the African Union mission in Somalia, AMISOM.

In April 2013, AMISOM troops backing the Somali National Army recaptured the main road from Mogadishu to Baidoa from al-Shabab, forcing them out of main towns, but the militant Islamic group continued to control most villages and rural areas around the road.

Since 2015, the road has remained completely cut, after heavily armed al-Shabab militants over ran an AMISOM base in the Leego district, killing more than 70 Burundian soldiers.

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Somali News

AMISOM Warns of Increased Al-Shabab Ambushes

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VOA — Al-Shabab attacks against African Union peacekeepers and Somali government forces could worsen as troops try to reopen Somalia’s main supply roads, currently cut off by the militants, a spokesman for the peacekeepers warns.

Lieutenant Colonel Wilson Rono said the African Mission in Somalia (AMISOM) troops and Somali National Army forces are trying to reopen the highway linking the capital, Mogadishu, to Baidoa, 240 kilometers (150 miles) to the west. It’s one of three main roads linking Mogadishu the south, southwest and central regions.

Rono spoke to VOA’s Somali service this week after al-Shabab militants ambushed an AMISOM supply convoy about 40 kilometers (25 miles) north of Mogadishu on Friday, killing at least 10 soldiers and destroying most of the 20 trucks. It was the latest of many deadly attacks the militant group has waged against the AU forces.

Al-Shabab was pushed out of Mogadishu in 2011 and in following years lost control of almost all the country’s major towns. It had to resort to “difficult” guerrilla tactics, Rono said.

Rono said AMISOM soldiers repulsed another al-Shabab ambush Friday near the town of Fafahdhun in Somalia’s Gedo region.

He said the soldiers killed 23 Al-Shabab fighters. Mohamed Hussein al-Qadi, the district’s deputy governor, put the Shabab death toll at five.

“We learn from each incident,” Rono said. “But the nature of the asymmetrical warfare and fighting of insurgency makes you certain that this kind of thing will happen” again.

Bal’ad ambush

The deadly attack Friday occurred near the town of Bal’ad. At least five armored AMISOM vehicles were escorting a convoy transporting supplies to Jowhar, the main headquarters of the Burundian peacekeepers operating in the Middle Shabelle region.

Rono said the militants were hiding in thick vegetation along the road when they detonated explosives then attacked the convoy with machine guns, rocket-propelled grenades and gunfire.

Just three weeks ago after an attack on a military checkpoint killed several Somali soldiers, AMISOM and Somali troops cleared vegetation along the road to improve visibility and remove possible militant hiding spots.

Al-Shabab claimed it killed 23 Burundian soldiers, a figure Rono disputes.

“We lost three of our troops and six of them are injured and are here in Mogadishu,” Rono said.

But other sources put the AU death toll higher. Burundi Vice President Gaston Sindimwo told VOA’s Central Africa Service that five of his country’s soldiers had died.

At least 10 AU peacekeepers were killed in the ambush on Friday, according to three separate Somali officials. If correct, that makes the ambush one of al-Shabab’s deadliest attacks on AMISOM since the AU mission arrived in Somalia 11 years ago.

Withdrawal?

AMISOM currently has over 20,000 peacekeepers in Somalia. Last year, the mission announced plans to gradually reduce its troop strength. The Mission says eventual withdrawal will be “conditions-based,” but has made it clear to Somali leaders it wants to see concrete progress in building a national force to take over security responsibilities.

Few soldiers have actually been withdrawn, on the grounds that Somalia’s army needs more time to strengthen and cohere in order to hold off al-Shabab.

Hussein Arab, former Somali defense minister and current head of the Parliamentary Defense Committee, welcomed the plan to rebuild Somali forces and improve their coordination with AMISOM.

“The important thing is that we focus on our forces that will be taking over the security,” he told VOA Somali.

Soon after his February 2017 election as Somalia’s president, President Mohamed Abdullahi Farmajo vowed to build a capable Somali army within two years. Farmajo, a dual U.S.-Somali citizen, now has less than a year to meet that deadline.

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