Poor education among women and lack of access to health facilities in many rural areas of war-torn Somalia have increased risks surrounding child birth, according to health officials. 'Home delivery and hospital maternity is not the same; when women deliver at home, some traditional midwives use unclean knives, increasing the risk of death even in cases where the process gets completed successfully,' said Habiba Isack Adan Hurmo, a doctor in Galkayo, Mudug Region, central Somalia.