Over the course of 20 years of conflict in Somalia, data collection on infant mortality has been practically impossible. It is believed that Somali women and their unborn children face the most dismal health conditions in the world. According to the UN, no country has a higher mortality rate for children under 5.
Access to maternal health care is limited by Al Shabaab, an Islamist militant organization that opposes all forms of Western intervention. In November 2011, 16 major nongovernmental organizations were banned from operating in Somalia, including UNICEF, the WHO, and the UNHCR.