ArticleInternational journal of women's health2026
Prevalence and Determinants of Facility Delivery Among Women in Somalia: Insights from the 2020 Somali Demographic and Health Survey (SDHS).
Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Preventing maternal deaths in Somalia requires stronger primary health care and functional emergency referral systems.Preventive medicine reports · 2026Article
- Healthcare facility accreditation status and associated factors in Somalia: evidence from the 2022-2023 harmonized health facility assessment.BMC health services research · 2026Article
- 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
- Emergency obstetric and newborn care in conflict-affected Somalia: rural access inequities, referral barriers, and health-system priorities - a policy and practice review.Frontiers in global women's health · 2026Review
- The Untapped Potential of One Health in Somalia: A Call for Cross-Sectoral Action Against Persistent Infectious Diseases.Risk management and healthcare policy · 2026Article
- Electronic medical record-generated data use for decision-making and associated factors among healthcare managers in Somali public health facilities: a multicenter cross-sectional study.Frontiers in digital health · 2026Article
- Conflict-Related Disruption of Maternal Health Services: A Case Report of Maternal Death in Transit Due to Obstructed Labour in Somalia.International medical case reports journal · 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
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13 authors.
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Abstract
Background: High maternal mortality in sub-Saharan Africa has been linked to inadequate medical care for pregnant women due to limited health facility delivery utilization. In Somalia, many births still take place at home, most often without a skilled birth attendant. This study aimed to identify the prevalence and determinants of facility delivery among pregnant women in Somalia using data from the 2020 Somalia Demographic and Health Survey (SDHS). Methods: This cross-sectional study analyzed SDHS 2020 data for 18,561 women aged 15-49 years. Descriptive statistics summarized participant characteristics and delivery location. Binary logistic regression was used to identify determinants of facility delivery. Variables with p < 0.05 were considered statistically significant, and adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were reported. Results: The prevalence of facility delivery was 20.8%, indicating high utilization of home delivery. Several factors were significantly associated with increased odds of facility delivery. Women in the highest wealth had over five times higher odds of delivering at a health facility (AOR = 5.63; 95% CI: 4.56-6.97). Women who attended ANC had four times higher odds of facility delivery (AOR = 4.42; 95% CI: 3.99-4.89). Women who perceived the distance between their home and the nearest health facility as a barrier had 75% lower odds of facility delivery (AOR = 0.25; 95% CI: 0.23-0.27). Additionally, nomadic residence, high parity (≥5 children), and early marriage were significantly associated with lower likelihood of facility-based delivery. Conclusion: Facility delivery remains low in Somalia. Wealth status, ANC attendance, and perceived distance to health facilities were key determinants of facility delivery, alongside residence type, parity, and early marriage. Improving ANC coverage, enhancing birth preparedness education, and increasing access to skilled birth attendants are vital steps to reduce home delivery.
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