ArticleBMC pregnancy and childbirth2023
Antenatal care utilization and its associated factors in Somalia: a cross-sectional study.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 20 citations in OpenAlex.
- Determinants of the Number of Tetanus-Toxoid Injections Before Birth Among Pregnant Women in Somalia: A Multilevel Analysis.Public health challenges · 2026Article
- Internet use for pregnancy-related information and its correlates among women attending antenatal care in Mogadishu, Somalia.PLOS digital health · 2026Article
- Effects of pregnancy intention at conception on the continuity of care in maternal healthcare services use in Somalia.Public health in practice (Oxford, England) · 2026Article
- Socioeconomic and regional determinants of optimal antenatal care utilization among women in South and Central Somalia.Global epidemiology · 2026Article
- Antenatal care utilisation in Tanzania: A Poisson regression analysis of the Tanzania Demographic Health Survey 2022.Journal of public health research · 2026Article
- Prevalence, sociodemographic determinants and regional disparities in health facility delivery in Somalia.Research in health services & regions · 2026Article
- Article
- Antenatal Care Utilization, Maternal Satisfaction, and Access Barriers in Mogadishu, Somalia: A Cross-Sectional Study.International journal of women's health · 2026Article
- Emergency obstetric and newborn care in conflict-affected Somalia: rural access inequities, referral barriers, and health-system priorities - a policy and practice review.Frontiers in global women's health · 2026Review
- Wealth-based inequality in maternal health service utilization among ever-married women of reproductive age in Somaliland; secondary analysis of the 2020 Demographic and Health Survey.Frontiers in public health · 2026Article
- Determinants of childhood vaccination differ between conflict-affected and non-conflict regions in Cameroon.Frontiers in public health · 2026Article
- Prevalence and Determinants of Facility Delivery Among Women in Somalia: Insights from the 2020 Somali Demographic and Health Survey (SDHS).International journal of women's health · 2026Article
- Zero-inflated negative binomial modelling of antenatal care utilization and it's predictors in Somaliland:Frontiers in global women's health · 2026Article
- Predictors of antenatal care service utilization among women of reproductive age in Somalia: a systematic review.Frontiers in reproductive health · 2026Review
- Closing the Referral Gap During Prolonged Labour in Somalia: From Traditional Birth Attendance to Emergency Obstetric Care.International journal of women's health · 2026Article
- Maternal and Newborn Health in Somalia: A Narrative Review of Health System Challenges and Public Health Priorities.International journal of women's health · 2026Review
- Predictors of Antenatal Care Service Utilization Among Women of Reproductive Age in Ethiopia: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2025Review
- Determinants of vaccination status among Somali children: evidence from a Countrywide cross-sectional survey.BMC pediatrics · 2024Article
- Predictors of antenatal care services utilization by pregnant women in Afghanistan: Evidence from the Afghanistan Health Survey 2018.PloS one · 2024Article
- The nexus between poverty and maternal healthcare utilization with a focus on antenatal care visits and choice of place of birth in Somaliland.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWHO recommends attending minimum four ANC consultations during pregnancy to ensure early detection of complications. The objective of this study was to quantify ANC attendance and factors associated with it.
methodsParticipants were randomly selected using the WHO Cluster survey methodology in Southern and Central Somalia. A paper-print questionnaire was used to collect all data. Outcomes of interest were: access to at least one ANC consultation, completion of at least four ANC consultations, initiation of breastfeeding and place of delivery, while exposures included factors related to the latest pregnancy and demographic characteristics. Associations were assessed through logistic regression.
resultsSeven hundred ninety-two women answered the questionnaire; 85% attended at least one and 23% at least four ANC consultations, 95% started breastfeeding and 51% had an institutional delivery. Encouragement to attend ANC increased the odds of attending at least one consultation (aOR = 8.22, 95%CI 4.36-15.49), while negative attitude of husband or family decreased the odds (aOR = 0.33, 95%CI 0.16-0.69). Knowing there is a midwife increased the odds of at least four visits (aOR = 1.87, 95%CI 1.03-3.41). Attending at least four consultations increased the odds of delivering in a health structure (aOR = 1.50, 95%CI 1.01-2.24), and attending at least one consultation was associated with higher odds of initiating breastfeeding (aOR = 2.69, 95%CI 1.07-6.74).
conclusionsFamily has a strong influence in women's ANC attendance, which increases the likelihood of institutional delivery and initiating breastfeeding. Women and families need to have access to information about benefits and availability of services; potential solutions can include health education and outreach interventions.
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