Evidence map›Paper›PMID 41880080›Full record

ArticleResearch in health services & regions2026

Prevalence, sociodemographic determinants and regional disparities in health facility delivery in Somalia.

Salad Halane, Abdiwali Ahmed, Mohamed Mustaf Ahmed, Jamilu Sani, Jamal Hassan Mohamoud

Abstract read
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Article in Research in health services & regions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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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.

Salad HalaneDepartment of Public Health, Ministry of Health, Galmudug, Somalia. salaad.halane@gmail.com.ORCID http://orcid.org/0009-0008-1618-8745
Abdiwali AhmedDepartment of Health System Strengthening, Ministry of Health, Galmudug, Somalia.ORCID http://orcid.org/0000-0001-9879-6577
Mohamed Mustaf AhmedFaculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.ORCID http://orcid.org/0009-0006-5991-4052
Jamilu SaniDepartment of Demography and Social Statistics, Federal University Birnin Kebbi, Birnin Kebbi, Kebbi State, Nigeria.ORCID http://orcid.org/0009-0001-9089-5973
Jamal Hassan MohamoudDepartment of Public Health, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.ORCID http://orcid.org/0000-0002-6593-271X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal mortality in Somalia remains alarmingly high, with an estimated ratio of 692 deaths per 100,000 live births. Health facility delivery, a key intervention for reducing maternal and neonatal mortality, is underutilized, with only 22.3% of women delivering to health facilities. This study examined the prevalence, regional disparities, and sociodemographic determinants of health facility delivery among Somali women.

methodsData from 8,951 women aged 15–49 years who reported their place of delivery in the Somali Demographic and Health Survey (SDHS) were analyzed. Descriptive statistics were used to assess the prevalence of health facility deliveries and regional disparities. Bivariate and multivariable logistic regression models were used to identify sociodemographic factors associated with health facility delivery, including education, wealth, residence, and geographic region.

resultsThe overall prevalence of health facility deliveries was 22.3% with substantial regional variation. Woqooyi Galbeed had the highest prevalence (58%), while Bakool recorded the lowest (2%). Women with higher education (AOR: 4.24, 95% CI: 2.16–8.32) and those in the highest wealth quintile (AOR: 6.01, 95% CI: 4.04–8.94) were significantly more likely to deliver at health facilities. Rural and nomadic residences as well as distance to health facilities were associated with lower odds of health facility delivery.

conclusionEducation, wealth, and geographic access significantly influence health facility delivery in Somalia. Addressing these disparities through targeted investments in education, healthcare infrastructure, and culturally tailored interventions is essential to improve maternal health outcomes.

Indexed as

Healthcare accessHealth facility deliveryMaternal healthMaternal mortalityRegional disparitiesSDHSSkilled birth attendanceSociodemographic determinantsSomalia

Identifiers

PMID41880080
PMCPMC13018515

What Socratic holds

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LicenceCC BY
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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.