ArticleBMC pediatrics2024
The risk factors of infant mortality in Somalia: evidence from the 2018/2019 Somali health & demographic survey.
Article in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Under-five mortality and social determinants in africa: a systematic review.European journal of pediatrics · 2025Pooled it
- Implementing the WHO/ICRC Basic Emergency Care course training for health workers in conflict-affected regions in Somalia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Determinants of diarrhea and acute respiratory infection among under-five children in urban-rural Somalia: a nationally representative cross-sectional study.BMC infectious diseases · 2026Article
- Prevalence and determinants of fever, diarrhea, and acute respiratory infection among children aged 5-59 months in Somaliland, 2020: insights from a nationwide survey.Frontiers in pediatrics · 2026Article
- The State of Public Health in Somalia: Top 5 Challenges and Strategies for Improvement.Public health challenges · 2025Review
- Perinatal mortality rate and associated risk factors in mogadishu, somalia: A hospital-based cross-sectional study.BMC public health · 2025Article
- Universal health coverage in fragile and conflict-affected States: insights from Somalia.International journal for equity in health · 2025Article
- Attitudes towards the practice of female genital mutilation/cutting in Somaliland: evidence from the Somali Demographic Health Survey 2020.BMC public health · 2025Article
- Neonatal Mortality and Associated Factors at a Tertiary-Level Neonatal Intensive Care Unit in Mogadishu, Somalia: A Retrospective Study.Pediatric health, medicine and therapeutics · 2025Article
- Unimproved source of drinking water and the associated factors: Insights from the 2020 Somalia demographic and health survey.PLOS global public health · 2024Article
- Prevalence and Determinants of Household Access to Improved Latrine Utilization in Somalia: Health Demographic Survey (SHDS) 2020.Environmental health insights · 2024Article
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4 authors.
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Abstract
backgroundGlobally, infant mortality is one of the major public health threats, especially in low-income countries. The infant mortality rate of Somalia stands at 73 deaths per 1000 live births, which is one of the highest infant death rates in the region as well as in the world. Therefore, the aim of this study was to ascertain the risk factors of infant mortality in Somalia using national representative data.
methodIn this study, data from the Somali Health and Demographic Survey (SHDS), conducted for the first time in Somalia in 2018/2019 and released in 2020, were utilized. The analysis of the data involved employing the Chi-square test as a bivariate analysis. Furthermore, a multivariate Cox proportional hazard model was applied to accommodate potential confounders that act as risk factors for infant death.
resultsThe study found that infant mortality was highest among male babies, multiple births, and those babies who live in rural areas, respectively, as compared to their counterparts. Those mothers who delivered babies with small birth size and belonged to a poor wealth index experienced higher infant mortality than those mothers who delivered babies with average size and belonged to a middle or rich wealth index. Survival analysis indicated that mothers who did use ANC services (HR = 0.740; 95% CI = 0.618-0.832), sex of the baby (HR = 0.661; 95% CI = 0.484-0.965), duration of pregnancy (HR = 0.770; 95% CI = 0.469-0.944), multiple births (HR = 1.369; 1.142-1.910) and place of residence (HR = 1.650; 95% CI = 1.451-2.150) were found to be statistically significantly related to infant death.
conclusionThe study investigated the risk factors associated with infant mortality by analyzing data from the first Somali Health and Demographic Survey (SHDS), which included a representative sample of the country's population. Place of residence, gestational duration, infant's gender, antenatal care visits, and multiple births were identified as determinants of infant mortality. Given that infant mortality poses a significant public health concern, particularly in crisis-affected countries like Somalia, intervention programs should prioritize the provision of antenatal care services, particularly for first-time mothers. Moreover, these programs should place greater emphasis on educating women about the importance of receiving antenatal care and family planning services, in order to enhance their awareness of these vital health services and their positive impact on infant survival rates.
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