A/HRC/42/62
each year, an average of 2 in each district. However, this number is inadequate because of
the huge but sparsely populated territory. The internationally accepted standard of a
maximum of 500 m to the nearest water point cannot be achieved. It is estimated that every
family requires a minimum of 5 km2 for their livestock. This would require numerous water
points, such as boreholes and dams, to be built across the country within a reasonable
distance of several families at a time. The establishment of peace committees, which have
been tested in Galkayo, could be replicated in other places. The Independent Expert learned
about the successful establishment of women’s committees to manage access to water
points, and their maintenance, in camps for internally displaced persons.
69.
Due to insecurity, the Federal Government cannot rehabilitate wells, nor start new
projects. The international community is urged to assist Somalia to build flood control
systems and dams, drill boreholes and engage in other forms of water preservation, so that
it can supply water to at least 65 per cent of the population, according to its planned target.
12.
Health delivery
70.
Health service delivery in Somalia was for a long time provided by humanitarian
agencies and private hospitals. Recently, the Federal Government has repossessed public
hospitals, which were operated by the private sector since the collapse of the Siad Barre
regime. The Federal Government has upgraded two hospitals and received $1.3 million in
donor funding. The Federal Government will ensure that Federal Member States receive
their fair share of resources, and that health services reach as many people as possible in
spite of the security threats, particularly in Lower Shabelle. According to the Federal
Government’s five-year plan, it is committed to provide affordable primary health care,
prevent diseases, provide nutrition education and health care at schools, and reduce
maternal and child mortality. The 732 deaths per 100,000 live births is one of the highest
maternal mortality rates in the world.
71.
The Independent Expert was informed that the high maternal mortality rate was the
result of the absence of a regulatory framework for safe delivery, and the limited capacity
of medical services. Approximately, 60 per cent of deliveries occur at home and the
majority of women are poor and live in the rural areas. The existing facilities and staff are
neither adequate nor properly qualified. Other reasons include a refusal to grant consent to
perform caesarean operations and to adopt family planning methods.
72.
Other measures to address women rights in the health sector include providing girls
with free access to social services and eradicating female genital mutilation through the
adoption of an “anti-medicalization policy” to counter practitioners who carry out
sterilizations and blood transfusions, use anaesthetics and supply antibiotics. The Federal
Government believes that should the security situation improve, it will have the capacity
and infrastructure to deliver affordable health services provided that resources are made
available. Currently, it relies heavily on donor support. The Federal Government refuted
allegations of discrimination against women in the health sector and stated that it was
drafting a national health professional bill.
13.
Civil society
73.
Civil society in Somalia continues to play a key role in the dissemination and
awareness-raising of human rights. It contributed to the universal periodic review and
follow-up on recommendations. Representatives of civil society informed the Independent
Expert about the challenges facing internally displaced persons, women, young persons,
persons with disabilities and members of minority clans. Such challenges include physical
abuse and sexual offences, and a lack of access to basic services by marginalized groups.
Young persons constitute the largest segment of the population; they are unemployed and
denied their basic rights. They are concerned that they might be denied the right to
participate in the 2020/2021 elections, because of the proposed electoral model.
74.
Civil society organizations reported that persons with disabilities were neither
represented nor involved in the development plans or political processes. The absence of a
census means that their total number is not known. Many of them come from poor
backgrounds and do not have access to education and other services.
13
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