INCIDENCE AND FACTORS ASSOCIATED MATERNAL MORTALITY AMONG PREGNANT WOMEN IN MUDUG REGIONAL HOSPITAL GALKIO PUNTLAND SOMALIA RETROSPECTIVE STUDY DESIGN Osman Mohamud VU-MPH-2201-1059-EVE MPH 1.2 Supervisors Nmaasa aeron Background Maternal mortality refers to deaths due to complications from pregnancy or childbirth. From 2000 to 2017, the global maternal mortality ratio declined by 38 per cent – from 342 deaths to 211 deaths per 100,000 live births (UNICEF et.al 2019). • Globally, thousands of women die annually from complications during pregnancy, childbirth, or postpartum period, with most deaths occurring in developing countries These trends over the past decades had been adjudged as unacceptable, as it remained a problem of public health importance necessitating the attention of all stakeholders in maternal and child health care(Sageer et al., 2019) Statement of the problem • Somali women suffer from one of the highest maternal mortality rates in the world. Somalia characterizes a specific low-income country situation with a mix of newly urbanized and nomadic culture combined with a frail health care infrastructure set in a post conflict era. Very little is known about the effects that these contextual factors can have on maternal mortality(Aden et al., 2019) Justification of the study Policy • This study finding will able to be beneficial to the Governments that involved health care will helps to set policies to improve knowledge and change practices of maternal health and also develop health education and trains prevention and management of maternal related issue to reduce mortality, morbidity and to assure possibility of reducing spread of maternal mortality in the country and economic impact of the country and to fulfill the requirement of the people and availability of revenue • Education • This study finding can provide community education and knowledge experience and this could help the prevention risk factors associated maternal mortality • Practice • This study will improve the way many of our community practices, when it comes maternal, it motivate the community the important of visiting antenatal care and postnatal care • Research, • This research will be beneficial in academic Researcher’s to gain knowledge and uses as reference. Research questions 1. What is socio demographic factors associated maternal mortality among pregnant women in Mudug Regional Somalia ? 2. What is short term factors associated maternal mortality among pregnant women in Mudug Regional Somalia? 3.What is long term factors associated maternal mortality among pregnant women in Mudug Regional Somalia Research objectives • 1.4.1 General objectives i. To Determine incidence and factors associated maternal mortality among pregnant women in mudug regional hospital • 1.4.2 Specific objectives i. To examine socio demographic factors associated maternal mortality among pregnant women in Mudug Regional Somalia I. To identify short time factors associated maternal mortality among pregnant women in Mudug Regional Somalia II. To identify long term factors associated maternal mortality among pregnant women in Mudug Regional Somalia Conceptual frame work Maternal related Independent Anemia Pre-eclampsia Dependent Maternal mortality Abortion nutritional status Health care related Lack of trained midwifes delay of health care centres methodology • Study design This is study will adopt a cohort retrospective study design Study site Galkacyo is located in central Somalia in the heart of the mudug region it has population estimated around 540,500 people both North and southern of the city. Local government of Galkacyo, 2020 report Target population • The study population will be mothers who died factors associated maternal mortality between June 2021 to June 2022 and I will be select Regional hospital located in Galkacyo Puntland Somalia. variables • Dependent variables maternal mortality • Independent variables maternal related • Anemia Nutrition status Pre-eclampsia and Abortion • Health care related Lack of trained midwives Delay of health care center Data sources and timeline • Data source will be primary and secondary data • Timeline the timeline of this study will be 4 months Thank you