ReviewFrontiers in reproductive health2026
Predictors of antenatal care service utilization among women of reproductive age in Somalia: a systematic review.
Review in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Antenatal Care Utilization, Maternal Satisfaction, and Access Barriers in Mogadishu, Somalia: A Cross-Sectional Study.International journal of women's health · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Antenatal care (ANC) is a cornerstone of maternal and neonatal health, yet its utilization remains suboptimal in Somalia, contributing to high maternal and perinatal morbidity and mortality. Understanding the predictors of ANC utilization is essential for designing effective interventions. This systematic review aimed to identify predictors of antenatal care service utilization among women of reproductive age in Somalia. Materials and methods: A systematic search of PubMed, Google Scholar, Medline, CINAHL, EMBASE, and African Journals Online was conducted for studies published between 2010 and 2025. Quantitative studies reporting predictors of ANC utilization using multivariable analysis were included. Study selection and reporting followed PRISMA guidelines. Methodological quality was assessed using standardized appraisal tools. The review protocol was registered in PROSPERO (registration number: CRD420251244002). Results: Nine studies met the inclusion criteria. ANC utilization in Somalia was influenced by a combination of sociodemographic, obstetric, knowledge-related, and health system factors. Consistently reported predictors included maternal education, place of residence, household wealth index, marital status, pregnancy intention, maternal age, and exposure to mass media. Early gestational age at first visit, gravida status, knowledge of ANC, distance to health facilities, accessibility of services, and perceived health worker attitudes were also significant predictors. Conclusion: Antenatal care utilization in Somalia is shaped by complex and interrelated individual, socioeconomic, and health system factors. Targeted interventions focusing on female education, community awareness, early ANC initiation, and improved access to quality maternal health services are critical to increasing ANC utilization and improving maternal and neonatal outcomes. Systematic Review Registration: https://www.york.ac.uk/inst/crd, PROSPERO registration number, CRD420251244002.
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