ArticleReproductive health2024
Multilevel analysis on prevalence and associated factors of modern contraceptive uptake in Somaliland: based on The Somaliland Health and Demographic Survey 2020.
Article in Reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Factors Associated With Modern Contraceptive Use and Unmet Need for Family Planning Among Mothers in Borama, Somaliland: Community-Based Cross-Sectional Study.Public health challenges · 2026Article
- Article
- High parity in Somaliland: individual and community-determinants from multilevel analysis of nationwide survey data.Archives of public health = Archives belges de sante publique · 2026Article
- 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
- Association between women's empowerment and use of modern contraception methods in Bangladesh: evidence from Bangladesh demographic and health survey 2022.Contraception and reproductive medicine · 2025Article
- Beyond health: A machine learning analysis of structural barriers to school attainment in Somalia.PloS one · 2025Article
- Modern contraceptive use in Somalia: a multivariable analysis of prevalence and predictors among women of reproductive age.Frontiers in global women's health · 2025Article
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5 authors.
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Abstract
introductionContraception is the deliberate prevention of unwanted pregnancy through various contraceptive methods. Its uptake is low in Sub-Saharan African countries, particularly in east Africa. This might be linked to the high prevalence of unwanted pregnancies and the high fertility rate in the area. Although studies reporting the prevalence and associated factors of modern contraceptive uptake are available in other African countries, no study has been conducted in Somaliland. Therefore, the current study aimed to assess its prevalence and associated factors in Somaliland using Somaliland Health and Demographic Survey (SLHDS) data. METHODS AND MATERIALS: The study used Somaliland Demographic Health Survey (SLDHS) 2020 data. The survey was a national-level survey using a cross-sectional study design. A total of 3656 reproductive-age women were included in the current study. To determine independent predictors of modern contraceptive uptake, a multi-level multivariable logistic regression analysis was done. Random effect analysis, standard error (SE) and intra-cluster correlation (ICC) were computed.
resultsThe proportion of modern contraceptive uptake among reproductive age groups in Somaliland is 1%. Modern contraceptive uptake is significantly associated with the residence, educational level and wealth index of participants. Women from nomadic communities had lower odds (AOR: 0.25; 95% CI: 0.10, 0.66) of modern contraceptive uptake compared to those from urban areas. Being in the highest wealth quintiles (AOR: 17.22; 95% CI: 1.99, 155.92) and having a tertiary educational level (AOR: 2.11; 95% CI: 1.29, 9.11) had higher odds of using the modern contractive method compared to those with the lowest wealth quintiles and non-formal education, respectively.
conclusionThe prevalence of modern contraceptive uptake in Somaliland was very low. It is associated with the level of education, wealth index and residence of the women.
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