ArticleConflict and health2026
Assessing the barriers to maternal, newborn and child health service utilization in internally displaced people (IDPs): a community-based cross-sectional study in Banadir, Somalia.
Article in Conflict and health, 2026. 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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4 citing papers in PubMed.
- Preventing maternal deaths in Somalia requires stronger primary health care and functional emergency referral systems.Preventive medicine reports · 2026Article
- From Fragmented Projects to an Integrated, Conflict-Sensitive Reproductive Health System for Women in Somalia.International journal of women's health · 2026Article
- 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
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7 authors.
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Abstract
backgroundMaternal, newborn, and child health (MNCH) services are critical for reducing maternal and child mortality, particularly in conflict-affected regions. In Somalia's Banadir region, ongoing displacement and fragile health infrastructure limit access to these essential services. This study examines the barriers to MNCH service utilization among internally displaced persons (IDPs) in Banadir.
methodsA community-based cross-sectional study was conducted among 548 women of reproductive age (15-49 years) residing in IDP settlements. A multistage random sampling technique was used to select participants. Data were collected through structured interviewer-administered questionnaires, assessing perceived financial barriers and distance to health facilities. Data were analyzed using SPSS version 26. Logistic regression was performed to determine factors influencing MNCH service utilization, with adjusted odds ratios (AORs) and 95% confidence intervals (CIs) reported.
resultsSignificant predictors of MNCH service utilization included maternal education, immunization status, and age. Women with formal education were more likely to access antenatal care (ANC) (AOR = 2.61, 95% CI: 1.02-6.65, p = 0.044), skilled birth attendance (SBA) (AOR = 3.46, 95% CI: 1.76-6.80, p < 0.001), and postnatal care (PNC) (AOR = 2.65, 95% CI: 1.34-5.23, p = 0.005). Immunized women (those reporting having received immunizations) had significantly higher odds of using ANC (AOR = 13.40, 95% CI: 8.09-22.3, p < 0.001), SBA (AOR = 3.98, 95% CI: 2.07-7.63, p < 0.001), and PNC (AOR = 3.22, 95% CI: 1.97-5.24, p < 0.001). Limited healthcare access, financial constraints, and distance to facilities remained major barriers.
conclusionBarriers to MNCH service utilization in IDP settings are multi-faceted, with education, immunization, and socio-economic constraints playing key roles. Strengthening community-based interventions, integrating MNCH services with immunization programs, and addressing structural barriers could enhance maternal and child health outcomes in Banadir.
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