Title : Traditional maternal health and childbirth practices among pastoral nomadic communities in Somaliland
Abstract:
Pastoral nomadic communities in Somaliland have preserved unique maternal health and childbirth practices rooted in cultural beliefs and traditional knowledge systems. These practices are shaped by centuries of adaptation to harsh environmental conditions and the socio-cultural dynamics of nomadic life. Despite the growing influence of modern healthcare systems, traditional practices remain integral to maternal and childbirth within these communities. This presentation explores the complexities of traditional maternal healthcare and childbirth practices among pastoral nomadic women in Somaliland, examining their cultural significance, challenges, and potential for integration with modern healthcare services. Drawing on ethnographic fieldwork and qualitative interviews with midwives, traditional birth attendants, and women from nomadic communities, this research uncovers the deeply rooted cultural norms that shape pregnancy, childbirth, and postpartum care. The presentation will delve into the rituals, dietary practices, and community support systems that uphold maternal well-being, as well as the spiritual and social dimensions of childbirth. Practices such as taraaraysi (spiritual gatherings for pregnant women) and umal-igadha (cultural practices related to lactation and grief following infant loss) are analysed in depth to highlight their cultural relevance and practical implications. Furthermore, the presentation will discuss the inherent challenges faced by nomadic women including geographic isolation, mobility patterns, and social barriers. The tension between traditional knowledge and biomedical interventions is critically examined, highlighting the importance of culturally responsive healthcare policies that respect indigenous knowledge systems while addressing maternal health risks. By emphasising the resilience and cultural preservation of these traditional practices, this presentation calls for a balanced approach that values indigenous knowledge while fostering collaboration between traditional practitioners and modern healthcare providers. Ultimately, the aim is to advocate for healthcare frameworks that are culturally sensitive and contextually grounded, ensuring that maternal healthcare strategies effectively serve pastoral nomadic communities in Somaliland.
