Evidence map›Paper›PMID 41126934›Full record

ArticleFrontiers in global women's health2025

The role of individual and community factors on institutional delivery in Somaliland: a study based on the 2020 Somaliland demographic health survey.

Hamze G Dahir, Hodo Abdikarim, Hibo Abdirashid, Hafsa Mohamed, Abdisalam Hassan Muse, Abdirashid M Yousuf, Mohamed A Hussein

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Article in Frontiers in global women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Hamze G DahirSchool of Public Health and Nutrition, College of Health Science, Amoud University, Borama, Somaliland.
Hodo AbdikarimFaculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somaliland.
Hibo AbdirashidFaculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somaliland.
Hafsa MohamedFaculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somaliland.
Abdisalam Hassan MuseResearch and Innovation Center, Amoud University, Borama, Somaliland.
Abdirashid M YousufResearch and Innovation Center, Amoud University, Borama, Somaliland.
Mohamed A HusseinFaculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somaliland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Maternal mortality remains a critical concern in low-income countries, where low utilization of institutional delivery services is a contributing factor. This study investigates the influence of individual and community-level factors on institutional delivery among women in Somaliland, a region with a high maternal mortality rate. Methods: This cross-sectional study used data from the 2020 Somaliland Demographic and Health Survey (SDHS), a nationally representative survey of 3804 women aged 15-49. We employed descriptive statistics and Chi-square tests to examine bivariate associations and multi-level binary logistic regression to assess the impact of individual and community-level factors on the place of delivery. Results: Only 30.8% of deliveries occurred in health institutions. Bivariate analyses showed significant associations between institutional delivery and maternal age, education ( Conclusion: The study highlights the complex interplay of individual and community-level factors influencing the utilization of institutional delivery in Somaliland. Interventions to promote health facility deliveries must address socioeconomic disparities, improve women's education, ensure accessibility of healthcare for nomadic communities, reduce regional variations, promote family planning and reproductive health services, and take into consideration the impact of parity on health seeking behaviors.

Indexed as

institutional deliverymaternal healthmultilevel analysissocio-economic factorsSomaliland

Identifiers

PMID41126934
PMCPMC12537667

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