A Multinomial Logistic Regression Analysis of Fertility Decisions and Associated Determinants Among Reproductive Age Women in Somaliland: Utilization of 2020 SLHDS Data

Background: Somaliland, despite a global trend toward lower fertility rates, exhibits a high total fertility rate of 5.7 per woman. This study aimed to investigate the prevalence and associated determinants of fertility decisions among married reproductive-age women in Somaliland. Methodology: A cro...

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Main Authors: Hodo Abdikarim, Hibo Abdirashid, Mohamed A. Hussein, Abdirashid M. Yousuf, Abdisalam Hassan Muse, Saralees Nadarajah
Format: Article
Language:English
Published: Mary Ann Liebert 2025-01-01
Series:Women's Health Reports
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Online Access:https://www.liebertpub.com/doi/10.1177/26884844251365809
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author Hodo Abdikarim
Hibo Abdirashid
Mohamed A. Hussein
Abdirashid M. Yousuf
Abdisalam Hassan Muse
Saralees Nadarajah
author_facet Hodo Abdikarim
Hibo Abdirashid
Mohamed A. Hussein
Abdirashid M. Yousuf
Abdisalam Hassan Muse
Saralees Nadarajah
author_sort Hodo Abdikarim
collection DOAJ
description Background: Somaliland, despite a global trend toward lower fertility rates, exhibits a high total fertility rate of 5.7 per woman. This study aimed to investigate the prevalence and associated determinants of fertility decisions among married reproductive-age women in Somaliland. Methodology: A cross-sectional study using data from the 2020 Somaliland Health and Demographic Survey was conducted. A multinomial logistic regression analysis was employed to explore the association between individual-level (age, education, occupation, contraceptive use) and community-level (residence, region) factors and fertility decisions. Results: The study found that 54.4% of married reproductive-age women in Somaliland desire more children within the next 2 years, indicating a strong preference for larger families. Younger women, those residing in rural areas, and those with lower education levels were more likely to desire more children. Exposure to mass media was associated with a lower desire for more children, while contraceptive use intentions also significantly influenced fertility decisions. Conclusion: This study provides valuable insights into the complex interplay of socioeconomic, cultural, and individual factors shaping fertility decisions in Somaliland. The findings highlight the need for targeted interventions, including education, access to family planning services, and mass media campaigns, to empower women to make informed choices about family size.
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spelling doaj-art-57202a7528b147eb81860fbd3871d2d02025-08-20T03:44:50ZengMary Ann LiebertWomen's Health Reports2688-48442025-01-016173174110.1177/26884844251365809A Multinomial Logistic Regression Analysis of Fertility Decisions and Associated Determinants Among Reproductive Age Women in Somaliland: Utilization of 2020 SLHDS DataHodo Abdikarim0Hibo Abdirashid1Mohamed A. Hussein2Abdirashid M. Yousuf3Abdisalam Hassan Muse4Saralees Nadarajah5Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somaliland.Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somaliland.Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somaliland.Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somaliland.Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somaliland.Department of Mathematics, University of Manchester, Manchester, UK.Background: Somaliland, despite a global trend toward lower fertility rates, exhibits a high total fertility rate of 5.7 per woman. This study aimed to investigate the prevalence and associated determinants of fertility decisions among married reproductive-age women in Somaliland. Methodology: A cross-sectional study using data from the 2020 Somaliland Health and Demographic Survey was conducted. A multinomial logistic regression analysis was employed to explore the association between individual-level (age, education, occupation, contraceptive use) and community-level (residence, region) factors and fertility decisions. Results: The study found that 54.4% of married reproductive-age women in Somaliland desire more children within the next 2 years, indicating a strong preference for larger families. Younger women, those residing in rural areas, and those with lower education levels were more likely to desire more children. Exposure to mass media was associated with a lower desire for more children, while contraceptive use intentions also significantly influenced fertility decisions. Conclusion: This study provides valuable insights into the complex interplay of socioeconomic, cultural, and individual factors shaping fertility decisions in Somaliland. The findings highlight the need for targeted interventions, including education, access to family planning services, and mass media campaigns, to empower women to make informed choices about family size.https://www.liebertpub.com/doi/10.1177/26884844251365809fertility decisionwomenmultinomial analysisSLHDS dataSomaliland
spellingShingle Hodo Abdikarim
Hibo Abdirashid
Mohamed A. Hussein
Abdirashid M. Yousuf
Abdisalam Hassan Muse
Saralees Nadarajah
A Multinomial Logistic Regression Analysis of Fertility Decisions and Associated Determinants Among Reproductive Age Women in Somaliland: Utilization of 2020 SLHDS Data
Women's Health Reports
fertility decision
women
multinomial analysis
SLHDS data
Somaliland
title A Multinomial Logistic Regression Analysis of Fertility Decisions and Associated Determinants Among Reproductive Age Women in Somaliland: Utilization of 2020 SLHDS Data
title_full A Multinomial Logistic Regression Analysis of Fertility Decisions and Associated Determinants Among Reproductive Age Women in Somaliland: Utilization of 2020 SLHDS Data
title_fullStr A Multinomial Logistic Regression Analysis of Fertility Decisions and Associated Determinants Among Reproductive Age Women in Somaliland: Utilization of 2020 SLHDS Data
title_full_unstemmed A Multinomial Logistic Regression Analysis of Fertility Decisions and Associated Determinants Among Reproductive Age Women in Somaliland: Utilization of 2020 SLHDS Data
title_short A Multinomial Logistic Regression Analysis of Fertility Decisions and Associated Determinants Among Reproductive Age Women in Somaliland: Utilization of 2020 SLHDS Data
title_sort multinomial logistic regression analysis of fertility decisions and associated determinants among reproductive age women in somaliland utilization of 2020 slhds data
topic fertility decision
women
multinomial analysis
SLHDS data
Somaliland
url https://www.liebertpub.com/doi/10.1177/26884844251365809
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