Somalia has committed to the Sustainable Development Goals (SDGs), particularly the targets of reducing the maternal mortality ratio (MMR) to less than 70 per 100,000 live births, the neonatal mortality rate (NMR) to less than 12 per 1,000 live births, and the under-five mortality rate to less than 25 per 1,000 live births. These commitments are reflected in national frameworks led by the Federal Ministry of Health Somalia, including the Health Sector Strategic Plan (HSSP III 2022–2026) and the national Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition (RMNCAH) strategy, which guide coordinated efforts to strengthen service delivery across the continuum of care.

Somalia has made gradual progress in the implementation of RMNCAH interventions despite persistent health system challenges. Improvements have been observed in key service delivery indicators, particularly in expanded access to antenatal care, skilled birth attendance, and immunization services, as reported in national surveys such as the Somalia Health and Demographic Survey (SHDS 2020) and routine health information systems. However, maternal and child mortality rates remain high compared to global targets, reflecting ongoing gaps in access, quality of care, and equitable service coverage.

Key maternal health indicators show encouraging trends, including increased utilization of antenatal care services and a gradual rise in facility-based deliveries supported by skilled health personnel. Efforts to expand emergency obstetric and newborn care services and strengthen referral systems are contributing to improved outcomes. At the same time, challenges persist in reducing neonatal and perinatal mortality, addressing unmet need for family planning, and lowering the total fertility rate, particularly in rural and underserved populations.

These trends have reinforced the commitment of both government and partners to accelerate progress in RMNCAH. Through strengthened coordination, community-based interventions, and health system strengthening initiatives, Somalia continues to prioritize equitable access to high-impact maternal, newborn, and child health services, with a focus on resilience and sustainability in line with national health priorities.