as mentioned, sexual and reproductive health is a unique sub-sector, due to its close association with important and sensitive socio-cultural factors and gender roles which define and prescribe appropriate opportunities and avenues of action. the field is uniquely sensitive and therefore must involve explicit exploration across all areas of activity of some critical cross cutting issues – among them gender, adolescent health, sexually transmitted infections and HIV/AIDs. Most maternal deaths arise from complications during childbirth that can be safely addressed through effective medical intervention. therefore the availability, accessibility and quality of these services are critical. in the Somali environment, where the.