Determinants of Antenatal Care Utilization Among Reproductive Age Women in Somaliland Using Somaliland Health Demographic Survey 2020 Data
Background: This study aimed to identify the determinants of antenatal care (ANC) utilization among reproductive-aged women in Somaliland. Understanding these factors is crucial for improving maternal health. This study utilized data from the 2020 Somaliland Demographic Health Survey (SLDHS), which...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Mary Ann Liebert
2025-01-01
|
| Series: | Women's Health Reports |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/10.1089/whr.2024.0155 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850131232374915072 |
|---|---|
| author | Hodo Abdikarim Abdisalam Hassan Muse Mukhtar Abdi Hassan Saralees Nadarajah Yahye Hassan Muse |
| author_facet | Hodo Abdikarim Abdisalam Hassan Muse Mukhtar Abdi Hassan Saralees Nadarajah Yahye Hassan Muse |
| author_sort | Hodo Abdikarim |
| collection | DOAJ |
| description | Background: This study aimed to identify the determinants of antenatal care (ANC) utilization among reproductive-aged women in Somaliland. Understanding these factors is crucial for improving maternal health. This study utilized data from the 2020 Somaliland Demographic Health Survey (SLDHS), which encompasses urban, rural, and nomadic residencies across six geographic zones in Somaliland. Methods: This cross-sectional study included 2741 women aged 15–49 based on data from the SLDHS 2020. The primary outcome variable was ANC utilization, which was measured as a binary variable (utilization vs. nonutilization). Descriptive statistics and binary logistic regression analyses were conducted to identify the factors associated with ANC utilization. Results: The study found that higher maternal education levels (adjusted odds ratios [OR] = 2.15, 95% confidence interval [CI]: 1.47–3.14), urban residence (adjusted OR = 1.36, 95% CI: 1.09–1.70), higher household wealth quintiles (adjusted OR = 3.45, 95% CI: 2.50–4.76), husband’s education level (adjusted OR = 1.87, 95% CI: 1.36–2.56), and exposure to mass media (adjusted OR = 1.75, 95% CI: 1.32–2.31) were significantly associated with increased ANC utilization. Conclusion: Education, economic status, and accessibility are the key determinants of ANC service uptake in Somaliland. These findings provide valuable insights for health planners and policymakers aiming to improve ANC utilization and maternal health outcomes in Somaliland. |
| format | Article |
| id | doaj-art-550fa618f95c4f849399c55107a76d2e |
| institution | OA Journals |
| issn | 2688-4844 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj-art-550fa618f95c4f849399c55107a76d2e2025-08-20T02:32:29ZengMary Ann LiebertWomen's Health Reports2688-48442025-01-016160561410.1089/whr.2024.0155Determinants of Antenatal Care Utilization Among Reproductive Age Women in Somaliland Using Somaliland Health Demographic Survey 2020 DataHodo Abdikarim0Abdisalam Hassan Muse1Mukhtar Abdi Hassan2Saralees Nadarajah3Yahye Hassan Muse4Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama 25263, Somalia.Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama 25263, Somalia.Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama 25263, Somalia.Department of Mathematics, University of Manchester, Manchester M13 9PL, UK.Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama 25263, Somalia.Background: This study aimed to identify the determinants of antenatal care (ANC) utilization among reproductive-aged women in Somaliland. Understanding these factors is crucial for improving maternal health. This study utilized data from the 2020 Somaliland Demographic Health Survey (SLDHS), which encompasses urban, rural, and nomadic residencies across six geographic zones in Somaliland. Methods: This cross-sectional study included 2741 women aged 15–49 based on data from the SLDHS 2020. The primary outcome variable was ANC utilization, which was measured as a binary variable (utilization vs. nonutilization). Descriptive statistics and binary logistic regression analyses were conducted to identify the factors associated with ANC utilization. Results: The study found that higher maternal education levels (adjusted odds ratios [OR] = 2.15, 95% confidence interval [CI]: 1.47–3.14), urban residence (adjusted OR = 1.36, 95% CI: 1.09–1.70), higher household wealth quintiles (adjusted OR = 3.45, 95% CI: 2.50–4.76), husband’s education level (adjusted OR = 1.87, 95% CI: 1.36–2.56), and exposure to mass media (adjusted OR = 1.75, 95% CI: 1.32–2.31) were significantly associated with increased ANC utilization. Conclusion: Education, economic status, and accessibility are the key determinants of ANC service uptake in Somaliland. These findings provide valuable insights for health planners and policymakers aiming to improve ANC utilization and maternal health outcomes in Somaliland.https://www.liebertpub.com/doi/10.1089/whr.2024.0155antenatal careANC utilizationSomalilandmaternal healthsociodemographic factorsSLDHS 2020 |
| spellingShingle | Hodo Abdikarim Abdisalam Hassan Muse Mukhtar Abdi Hassan Saralees Nadarajah Yahye Hassan Muse Determinants of Antenatal Care Utilization Among Reproductive Age Women in Somaliland Using Somaliland Health Demographic Survey 2020 Data Women's Health Reports antenatal care ANC utilization Somaliland maternal health sociodemographic factors SLDHS 2020 |
| title | Determinants of Antenatal Care Utilization Among Reproductive Age Women in Somaliland Using Somaliland Health Demographic Survey 2020 Data |
| title_full | Determinants of Antenatal Care Utilization Among Reproductive Age Women in Somaliland Using Somaliland Health Demographic Survey 2020 Data |
| title_fullStr | Determinants of Antenatal Care Utilization Among Reproductive Age Women in Somaliland Using Somaliland Health Demographic Survey 2020 Data |
| title_full_unstemmed | Determinants of Antenatal Care Utilization Among Reproductive Age Women in Somaliland Using Somaliland Health Demographic Survey 2020 Data |
| title_short | Determinants of Antenatal Care Utilization Among Reproductive Age Women in Somaliland Using Somaliland Health Demographic Survey 2020 Data |
| title_sort | determinants of antenatal care utilization among reproductive age women in somaliland using somaliland health demographic survey 2020 data |
| topic | antenatal care ANC utilization Somaliland maternal health sociodemographic factors SLDHS 2020 |
| url | https://www.liebertpub.com/doi/10.1089/whr.2024.0155 |
| work_keys_str_mv | AT hodoabdikarim determinantsofantenatalcareutilizationamongreproductiveagewomeninsomalilandusingsomalilandhealthdemographicsurvey2020data AT abdisalamhassanmuse determinantsofantenatalcareutilizationamongreproductiveagewomeninsomalilandusingsomalilandhealthdemographicsurvey2020data AT mukhtarabdihassan determinantsofantenatalcareutilizationamongreproductiveagewomeninsomalilandusingsomalilandhealthdemographicsurvey2020data AT saraleesnadarajah determinantsofantenatalcareutilizationamongreproductiveagewomeninsomalilandusingsomalilandhealthdemographicsurvey2020data AT yahyehassanmuse determinantsofantenatalcareutilizationamongreproductiveagewomeninsomalilandusingsomalilandhealthdemographicsurvey2020data |