Inconsistent healthcare delivery structures
Low demand for health services
Given the high levels of illiteracy among women, and lack of awareness among families and communities about health benefits and risks related to common household practices there is low demand for preventive, promotive and curative health services for maternal and child health.
Low immunization coverage with polio and measles outbreaks
Low immunization coverage has led to an outbreak of polio and measles cases inside Somalia. Since May 2013, 199 polio cases have been reported, mostly from the South and Central areas and in 2014 five more cases were reported from Mudug region in Puntland. The last case was in August 2014 and in August 2015 the outbreak was officially declared over. An increased number of suspected measles cases (10,279 in 2014 and 6,304 from January to October 2015) have been reported. The present immunization coverage (DPT3) of about 43% in Somalia is far from sufficient to prevent a spread of vaccine preventable diseases.