ArticlePublic health challenges2025
Factors Affecting Utilization of Healthcare Services Among Nasahablood and Ayah 4 Internally Displaced Persons in Hargeisa, Somaliland.
Article in Public health challenges, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Factors Affecting Utilization of Healthcare Services Among Nasahablood and Ayah 4 Internally Displaced Persons in Hargeisa, Somaliland.Public health challenges · 2025Article
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5 authors.
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Abstract
Background: Globally, 4.5 billion people lack full coverage of essential health services, and displaced populations are disproportionately affected. Understanding the specific barriers they face is critical for designing effective health interventions. Objective: To identify the factors affecting the utilization of healthcare services among internally displaced persons (IDPs) in Hargeisa, Somaliland. Design: A community-based, cross-sectional study. Site: The Nasahablood and Ayah 4 IDP camps in Hargeisa, Somaliland. Participants: A proportionate stratified sample of 271 households. Main Measures: The primary outcome was the level of healthcare utilization (low, moderate, and high), analyzed using ordinal logistic regression (OLR). Predictor variables included accessibility, affordability, and socioeconomic factors. Results: A majority of respondents (73.5%) reported low healthcare utilization, with only 14.4% reporting high utilization. OLR revealed that affordability was the most significant barrier to care ( Conclusion: Healthcare underutilization in these IDP camps is primarily driven by powerful structural barriers of cost and distance, compounded by gender-specific factors. We recommend targeted interventions, including fee-exemption policies and mobile health clinics, to address these critical gaps and improve health outcomes for this vulnerable population.
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