{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T07:32:33Z","timestamp":1792481553705,"version":"4.5.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>This paper sheds light on the trends of the maternal mortality ratio (MMR) and obstetric transition in Somalia over the last two decades.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A 44% reduction of the MMR from 1044 to 692 per 100 000 live births was observed comparing the two surveys.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/inthealth\/ihad121","type":"journal-article","created":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T11:23:03Z","timestamp":1705749783000},"page":"471-473","source":"Crossref","is-referenced-by-count":17,"title":["Obstetric transition: trends in maternal mortality in Somalia over the last two decades"],"prefix":"10.1093","volume":"16","author":[{"given":"Ahmed","family":"Aweis","sequence":"first","affiliation":[{"name":"Department of Public Health, Benadir University , Mogadishu \u00a0 Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdirahman H","family":"Osoble","sequence":"additional","affiliation":[{"name":"Department Gynaecology and Obstetric, Osoble Hospital , Mogadishu \u00a0 Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suleyman A","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kalkaal Hospital , Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulkadir","family":"Aweis","sequence":"additional","affiliation":[{"name":"Department of Research, Bidhaamiye Centre for Social Development and Rebuilding , Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,19]]},"reference":[{"key":"2024070218063651000_bib1","article-title":"Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA\/Population Division","author":"WHO","year":"2023"},{"key":"2024070218063651000_bib2","year":"2020"},{"key":"2024070218063651000_bib3","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1055\/s-0034-1395275","article-title":"Towards ending preventable maternal deaths by 2035","volume":"33","author":"Bergevin","year":"2015","journal-title":"Semin Reprod Med"},{"key":"2024070218063651000_bib4","first-page":"1","article-title":"Somalia\u2014Multiple indicator Cluster Survey 2011, Somaliland","author":"Library","year":"2016","journal-title":"United Nations Child Fund, Somalil Minist Natl Plan Dev"},{"issue":"Suppl","key":"2024070218063651000_bib5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/1471-0528.12735","article-title":"Obstetric transition: The pathway towards ending preventable maternal deaths","volume":"121","author":"Souza","year":"2014","journal-title":"BJOG"}],"container-title":["International 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