ArticleWomen's health reports (New Rochelle, N.Y.)
Bridging the Information Gap: A Spatial and Multilevel Analysis of Exposure to Family Planning Messages Among Women in Somaliland (SLHDS 2020).
Article in Women's health reports (New Rochelle, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Access to family planning (FP) information is vital for reproductive autonomy and the Sustainable Development Goals. In Somaliland, modern contraceptive uptake remains critically low. While sociodemographic barriers are known, geospatial dimensions of information accessibility remain unexplored. This study investigates individual, community, and spatial determinants of women's exposure to FP messages. Methods: We analyzed data from the 2020 Somaliland Health and Demographic Survey among women aged 15-49. We employed multilevel mixed-effects logistic regression to assess predictors of media exposure. Additionally, spatial analysis techniques including Global Moran's I and Getis-Ord Gi* statistics were utilized to identify geographic clusters ("hotspots" and "cold spots") of exposure. Results: Only 25.28% of women reported exposure to FP messages, primarily Conclusions: A profound "digital and developmental divide" characterizes reproductive health communication in Somaliland. Current strategies benefit urban, educated women in the west, leaving nomadic populations in an information vacuum. Policy must shift to spatially targeted interventions, utilizing community outreach in identified "cold spots" and voice-based mobile technology to reach uneducated and nomadic women.
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