Evidence map›Paper›PMID 40802846›Full record

ArticlePloS one2025

Unmet contraception need among married women in somalia: Findings from the first national health and demographic survey.

Md Badsha Alam, Md Arif Billah, Shimlin Jahan Khanam, Ibrahim Yasin Khalif, Md Nuruzzaman Khan

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Md Badsha AlamDepartment of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh.ORCID https://orcid.org/0000-0002-8676-6570
Md Arif BillahHealth Systems and Population Studies Division, Icddr, b, 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0002-0235-5935
Shimlin Jahan KhanamDepartment of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh.ORCID https://orcid.org/0000-0001-6500-4537
Ibrahim Yasin KhalifFaculty of Economics, Somali National University, Somalia.ORCID https://orcid.org/0009-0000-8844-9264
Md Nuruzzaman KhanDepartment of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh.ORCID https://orcid.org/0000-0002-4550-4363

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSomalia has one of the highest rates of maternal and child mortality globally, accompanied by a significantly high total fertility rate. This indicates that women in Somalia face substantial challenges in accessing family planning and contraception, although evidence on this issue remains limited. This study aims to assess the current prevalence of unmet need for contraception in Somalia and identify the socio-demographic factors associated with it.

methodsA total of 7,490 sexually active women of reproductive age with the ability to conceive were included in this study, based on pre-defined inclusion criteria, using data from the 2020 Somalia Health and Demographic Survey. The primary outcome variable was unmet need for contraception (yes/no), which included both unmet need for spacing and limiting births. A range of individual, household, and community-level variables were examined as explanatory factors. Multilevel logistic regression models were used to assess the associations between these factors and unmet need for contraception.

resultsThe overall prevalence of unmet need for contraception was 37.2% (95% CI: 35.3-39.1), with significant variations across socio-demographic groups. Women who married at age 21 or older (aOR: 1.25; 95% CI: 1.03-1.51), had five or more children (aOR: 2.41; 95% CI: 2.00-2.89), or lived in the central (aOR: 1.36; 95% CI: 1.05-1.76) and southern regions (aOR: 1.59; 95% CI: 1.00-2.54) were more likely to have an unmet need for contraception. In contrast, women aged 35 or older (aOR: 0.59; 95% CI: 0.43-0.79), and those residing in urban (aOR: 0.71; 95% CI: 0.52-0.98) and rural areas (aOR: 0.77; 95% CI: 0.59-0.99) were less likely to have an unmet need.

conclusionThe prevalence of unmet need for contraception in Somalia is alarmingly high by global standards. This reflects a heightened risk of short birth intervals and unintended pregnancies, contributing to increased maternal and child mortality. To address this, the government should prioritize strengthening healthcare infrastructure and implementing targeted awareness programs on family planning to reduce the unmet need for contraception in the country.

Indexed as

ContraceptionFamily Planning ServicesHealth Services Needs and DemandAdolescentAdultContraception BehaviorFemaleHealth SurveysHumansMarriageMiddle AgedPrevalenceSomaliaYoung Adult

Identifiers

PMID40802846
PMCPMC12349696

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.