Mariam was first baby born at KMC health centers.
Her mother came to the health center at 8:00 am after 8 days of labor in the village with Pre-eclampsia. She came right time at the right place
The skilled health professional at the center .detected and appropriately managed before the onset of convulsions (eclampsia) and other life-threatening complications. Administering drugs such as magnesium sulfate for pre-eclampsia lowered the mother’s risk of developing eclampsia.
Mariam born after 24 hours safe and sound.
Mariam’s death inspired the birth of the kalkaal maternity care .While I was going to the airport for my flight back to America, We noticed two people – a man and an elderly woman – on the roadside waving for help. They had been traveling with the man’s pregnant wife who had been in labor for five days to seek medical intervention. They first went to local health center but they could not help his wife. Than they headed to Garoowe about several hundred miles, but his wife had a convulsion and died in the middle of nowhere.
When we stopped our car they asked our help to bury her. I was in shock. I inquired about her name and suggested that they take her home for a proper burial. In a sad voice, the mother said,” Mariam, she was 19, and she left one son .The husband added that their home is 6 hours away and the car was falling apart. He also worried about the body rotting in the hot weather on the way home so, they decided it was best to bury her there, in the middle of nowhere – with a full term baby inside her. It is unconceivable incident that should not happen to any mother.
Looking Mariams’s dead body and crying more than an hour while they were preparing the burial: I could not help thinking how much she suffered before she died, what she was thinking about before she took her last breath! Maybe her one year old baby.
It was clear to me that if she could have accessed to quality maternal healthcare she would not suffer and die tragedy. Before they buried her I made decision to provide maternal health care in this hard to reach areas of Somalia. not knowing how.so, other Mariams have a safe place for childbirth.
Kalkaal Maternity Care (KMC) was born to tackle this preventable human tragedy. KMC is determined to reduce maternal and child deaths by making sure all women and children have access to quality health care in the regions of Somalia, starting with Sool Sanag and Ayne Regions.
It is my ultimate goal to save mothers and babies in hard to reach areas of Somalia.
Fowzia Esse
KMC Project
In August 2019, Kalkaal Maternity Care opened two Referral Health Centers (RHC) in Awrbogays Sanag region and in Widhwidh, Ayne, Somalia. Each facility has 22 rooms, 24hrs energy sources, and running water. KMC aims to reduce maternal morbidity and mortality rates for women and children by increasing access to health services within the regions.
Donations from individuals and diaspora communities provided the funding needed to cover construction costs and meet basic start-up costs, such as staff recruitment, general supplies, etc. Given the area’s isolation from economic opportunities, available financing mechanisms are not viable. Solutions for health service provisions in the target areas are supplemental funding to ensure continuity and contribute to improving health outcomes.
Health centers are staffed with skilled birth attendants, such as medical doctors, nurses, midwives, and administrative support positions. Furthermore, health center staff are promoting the benefit of child spacing for mothers and social and economic benefits for families and communities.
Community Education
The skilled birth attendants will engage community members on the importance of antenatal care for preventing and early detection of conditions that affect birth outcomes. Increased awareness and sensitization will build awareness of preventable deaths and the warning signs of pregnancy complications to improve the timeliness of engaging skilled birth attendants.
KMC will engage TBAs as community health workers to conduct prenatal and new mother visits and inform them of available support and services. New mothers will also be sensitized with appropriate hygiene practices and potential post-birth health risks, such as bleeding.
Through health worker training, provision of medical supplies, equipment supplies, transportation services, community engagement, community education about maternal health, and effective nutrition practices: the project seeks to reduce maternal and child morbidity and mortality rates.
Building waiting homes in the KMC health centers premises will save more mothers and their newborn in the rural villages and nomads. Women come to KMC health centers from different villages to give birth especially when they suspect complications. Due to lack of money for transportation and accommodations their risk of morbidity and mortality is high. This maternal waiting homes will allow women to stay near the health centers thus avoid complications. There is also opportunity to educate them in various health topic
The detail of this project will come soon.
It is my hope to procure soon
Services Provide ReportFinancial Report
Total number of patient visited in KMC WIDHWIDH and AWRBOGYS referral health centres in year September 2019- September 2020
| s/no. | months | Number of patient | Delivery | C/section |
| 1. | September | 732 | 4 | |
| 2. | October | 738 | 7 | |
| 3. | November | 875 | 8 | |
| 4. | December | 715 | 14 | 2 |
| 5. | January | 856 | 6 | 1 |
| 6. | February | 710 | 13 | 1 |
| 7. | March | 983 | 24 | |
| 8. | April | 844 | 18 | |
| 9. | May | 824 | 25 | 3 |
| 10. | June | 994 | 19 | 1 |
| 11. | July | 1011 | 24 | |
| 12. | August | 960 | 27 | 3 |
| 13. | Total | 10242 | 189 | 11 |
Below is a list of most villages and district served by KMC WidhWidh and Awrbogays referral Health Centers in that period.
| Awrbogays District | Widhwidh District |
| 1. Camare | 1. Dhalaamacune |
| 2. Sarmaayo | 2. Banyaal |
| 3. Damale xarage | 3. Dandan |
| 4. Laso curdan | 4. Qararo |
| 5. Godale | 5. Xamarlaguxidh |
| 6. Tooroboro | 6. Balicad |
| 7. Xiingalool | 7. Geed Dheer |
| 8. Higlada | 8. Dogoble |
| 9. Kulaal | 9. Xaare |
| 10. Fiqifuliye | 10. Dhooboguduud |
| 11. Darar weyne | 11. Cankalaalaad |
| 12. Bodacade | 12. Xidhxidh |
| 13. Godwarabe | 13. Iswadh |
| 14. Waridad | 14. Baliharac |
| 15. Bilcinka | 15. Shululux |
| 16. shoodhe | 16. Yayle |
| 17. Qandhicile | 17. Goljano |
| 18. Laanqudhac dheer | 18. Ceegaag |
| 19. Faraxal | 19. Hurfadhi |
| 20. Dhaban | 20. Carwayn |
| 21. Caligoogan | 21. Iskujiro |
| 22. Wagxin | 22. Dhelaalo |
| 23. Dogoble | 23. Goonle |
| 24. Sincaro | 24. Sarmaan Tuke |
| 25. Garabacad | |
| 26. Shurufle | |
| 27. Xudun | |
| 28. Baadiqariye | |
| 29. Gorfley | |
| 30. Ardaa | |
| 31. Buqdhanaan |
