Evidence map›Paper›PMID 39792806›Full record

ArticlePLOS global public health2025

Level of completion of maternity continuum of care among ever-married women: An analysis of Somalia's health and demographic survey 2020.

Adam A Mohamed, Ays'e Akın, Sare Mihciokur, Sarp Üner, Abdi Gele

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Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Adam A MohamedDepartment of Public Health, Institute of Health Sciences, Başkent University, Ankara, Turkey.ORCID https://orcid.org/0000-0002-5740-7608
Ays'e AkınDepartment of Public Health, Institute of Health Sciences, Başkent University, Ankara, Turkey.ORCID https://orcid.org/0000-0003-2379-3325
Sare MihciokurDepartment of Public Health, Institute of Health Sciences, Başkent University, Ankara, Turkey.
Sarp ÜnerDepartment of Public Health, Faculty of Medicine, Lokman Hekim University, Ankara, Turkey.
Abdi GeleDepartment of Research, Norwegian Institute of Public Health, Oslo, Norway.ORCID https://orcid.org/0000-0002-3616-6411

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSomalia is continuing to recover from three decades of underdevelopment, political instability, civil unrest, and protracted humanitarian crises. However, Somalia has one of the lowest maternal health indicators in the world. For instance, the maternal mortality ratio is 621 per 100,000 live births. Extra efforts are needed to improve maternal health. In this study, we aim to investigate the level of completion and coverage along the maternity continuum of care in Somalia.

methodThe study used data from the Somalia Health and Demographic Survey 2020. We restricted our analysis to ever-married women who had a live birth in the five years preceding the survey (n = 2432). Completion of the continuum of maternity care was the outcome variable for this study. It was constructed into a binary variable with complete coded as one and incomplete coded as 0. We categorized it into three models: ANC4+ as the first model, ANC4+ & SBA as the second model, and ANC4+ & SBA & PNC as the third model.

resultsMore than half of the women (53.1%) had their most recent births at ≤19 years old. Of all the mothers (n = 2432), only 235 (9.7%) had at least four or more of the recommended antenatal care (ANC4+), and 68 (2.8%) of them utilized skilled birth attendants. Only 14 (0.6%) women received all three maternal healthcare services (ANC4+, SBA, and PNC within 48 hours). About 78.1% of the mothers did not attend any of the three CoC services.

conclusionMaternal health care utilization decreases as they progress from ANC4+ to PNC utilization. The government and partners should design and implement strategies to improve maternal healthcare utilization specific to rural and nomads, less educated, not working, low income, and have less power in decision-making.

Identifiers

PMID39792806
PMCPMC11723541

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