ArticleGlobal health action2026
Socio-digital stratification and the threshold effects of digital inclusion on maternal health access in Somalia.
Article in Global health action, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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4 authors.
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Abstract
backgroundMaternal health utilization in fragile states is hindered by complex social and structural barriers.
objectiveThis study examined socio-digital stratification and explored the threshold effects of digital inclusion on antenatal care (ANC) utilization in Somalia.
methodsUsing data from the 2020 Somalia Demographic and Health Survey (
resultsOnly 8.4% of the women achieved the ANC 4+ threshold, with pronounced disparities between urban (14.0%) and rural/nomadic (5.5%) residents. Evidence consistent with a threshold effect was observed, whereby the initial transition from digital exclusion to basic connectivity (score = 1) was associated with the largest marginal gain in health seeking probability (OR = 1.55,
conclusionsDigital inclusion is a critical entry point for improving maternal health access in Somalia. Policies should prioritize universal basic connectivity and SMS-based interventions, while simultaneously addressing persistent physical and socioeconomic inequities.
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