ArticleFrontiers in nutrition2026
Multidimensional determinants of food insecurity among households in Somalia: evidence from the 2018/2019 Somalia health and demographic survey.
Article in Frontiers in nutrition, 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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Abstract
Background: Food insecurity remains a critical public health and development challenge in Somalia, particularly among rural and nomadic households, who are vulnerable to climate shocks, poor infrastructure, and socioeconomic constraints. Evidence on its scale and determinants is needed to guide targeted interventions. Objectives: To estimate the prevalence of food insecurity and associated multidimensional determinants among rural and nomadic households in Somalia. Methods: This study analyzed 9,399 rural and nomadic households from the 2018/2019 Somalia Health and Demographic Survey (SHDS) using the Food Insecurity Experience Scale (FIES). Multilevel ordinal logistic regression was applied to examine associated factors. Results: Overall, 58.86% of households were food secure or mildly food insecure, 9.13% experienced moderate food insecurity, and 32.01% experienced severe food insecurity. Larger household size was associated with higher odds of severe food insecurity (4-6 members: AOR = 1.22, 95% CI: 1.10-1.37, Conclusion: Food insecurity in Somalia is shaped by socioeconomic, livelihood, and geographic factors. Targeted social protection, livelihood strengthening, and improved access to basic services are essential to reduce inequalities.
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