Evidence map›Paper›PMID 41867265›Full record

ArticlePublic health in practice (Oxford, England)2026

Effects of pregnancy intention at conception on the continuity of care in maternal healthcare services use in Somalia.

Md Badsha Alam, Shimlin Jahan Khanam, Md Awal Kabir, Ibrahim Yasin Khalif, Md Nuruzzaman Khan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health in practice (Oxford, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Md Badsha AlamDepartment of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh.
Shimlin Jahan KhanamDepartment of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh.
Md Awal KabirDepartment of Social Work, Pabna University of Science and Technology, Pabna, Bangladesh.
Ibrahim Yasin KhalifFaculty of Economics, Somali National University, Somalia.
Md Nuruzzaman KhanDepartment of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Unintended pregnancies present a substantial challenge to the utilization and continuity of maternal healthcare services, particularly in low-resource settings. Continuity of care (CoC) refers to consistent access to healthcare services throughout the pregnancy period. This study examines the effects of pregnancy intention at conception on the utilization of CoC in Somalia. Study design: Cross-sectional survey design. Methods: Data of 7079 women were extracted from the 2020 Somali Health and Demographic Survey and analyzed in this study. Multilevel multinomial logistic regression model was used to assess the effects of pregnancy intention at conception on CoC completion. Results: Approximately 38% of live births in Somalia were unintended at conception. Only 2.4% (95% CI: 1.9-3.1) of mothers achieved full CoC, with higher rates observed among those with intended pregnancies (3.0%, 95% CI: 2.3-3.9) compared to those with mistimed (1.6%) or unintended pregnancies (1.1%, 95% CI: 0.4-3.2). Mothers having mistimed (aRRR, 0.59, 95% CI, 0.37-0.95) and unintended (aRRR, 0.28, 95% CI, 0.10-0.79) pregnancies had significantly lower likelihoods of achieving moderate and higher levels of CoC compared to those having intended pregnancies after adjusting for socio-demographic factors. Conclusion: Unintended pregnancies are associated with lower level of CoC in Somalia. Strengthening family planning, promoting contraceptive use, enhancing sexual education, and raising awareness about maternal healthcare are key to reducing unintended pregnancies and improving maternal and child health outcomes.

Indexed as

Continuity of care in accessing maternal healthcare servicesMaternal and child healthSomaliaSomali health and demographic surveyUnintended pregnancy

Identifiers

PMID41867265
PMCPMC13000724

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.