ArticleBMC pregnancy and childbirth2025
Where and why mothers discontinue healthcare services: a qualitative study exploring the maternity continuum of care gaps in Somalia.
Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Barriers and facilitators to maternal, newborn, and child health service utilization among internally displaced populations in Somalia.Frontiers in global women's health · 2026Review
- Maternal and Neonatal Mortality in Somalia: A Persistent Women's Health Crisis Requiring Primary Health Care and Community Health System Reform.International journal of women's health · 2026Article
- Prevalence and Determinants of Facility Delivery Among Women in Somalia: Insights from the 2020 Somali Demographic and Health Survey (SDHS).International journal of women's health · 2026Article
- Visceral Leishmaniasis Service Delivery in Somalia: A Comprehensive Literature Review.Research and reports in tropical medicine · 2025Review
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Authors and funding
5 authors.
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Abstract
backgroundDespite considerable progress in expanding and improving maternal, newborn, and child health (MNCH) globally, gaps remain in low- and middle-income countries (LMICs), particularly in sub-Saharan African countries, including Somalia. According to the World Health Organization (WHO), Somalia is among the countries facing very high alert levels for maternal, newborn, and under-five deaths. The maternity continuum of care (CoC) throughout pregnancy, childbirth, and the postnatal period is essential for the health and survival of mothers and their babies. This study aimed to explore the gaps in Somalia's maternity continuum of care.
methodsThis qualitative study included 5 focus group discussions (44 childbearing mothers) purposively sampled from urban, rural, internally displaced people (IDPs), agro, and nomadic pastoralists, and 19 in-depth interviews (IDIs) from healthcare providers, policymakers, recently delivered and childbearing mothers, community leaders, and traditional birth attendants in 6 regions of Somalia in January 2024. We used thematic analysis to analyze the data.
resultsFive key themes and twelve subthemes emerged from the analysis: service availability, access to care, decision-making, quality of care, and traditional beliefs. The maternity continuum of care gaps varies across different community categories, such as urban areas, rural areas, IDPs, agro-pastoralists (beeraley-baadiye), and nomadic pastoralists (reer-guuraa), due to diverse reasons, including service availability, access to care (financial, distance, and transportation), socioeconomic disparities, infrastructure, climate-related issues, and security issues.
conclusionThe maternity continuum of care gaps varies across different community categories, such as urban, rural, IDPs, agro-pastoralists (beeraley-baadiye), and nomadic pastoralists (reer-guuraa), due to a combination of diverse reasons, such as service availability; access to care, including financial, distance, and transportation; socioeconomic disparities; infrastructure; climate-related issues; and security issues.
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