ArticleGlobal health action2026
Prevalence and determinants of cesarean section delivery among Somali women: a multivariable analysis of a nationally representative survey.
Article in Global health action, 2026. 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
backgroundCesarean section is a life-saving obstetric intervention when medically indicated, yet access remains severely limited in Somalia, where maternal morbidity and mortality are high. OBJECTIVE(S): To determine the magnitude of cesarean section delivery and identify factors associated with its utilization among Somali women using nationally representative survey data.
methodsA secondary analysis of the 2020 Somali Health and Demographic Survey was conducted using data from 23,445 women aged 15-49 years. Odds ratios (ORs) with 95% confidence intervals (CIs) were reported, with statistical significance set at
resultsThe prevalence of cesarean section was 0.3% (61/23,445). Compared with women aged ≥ 35 years, those aged 25-34 years (OR = 6.483; 95% CI: 2.160-19.458;
conclusionsCesarean section utilization in Somalia remains extremely low, indicating substantial inequities in access to emergency obstetric care. Maternal age, parity, place of residence, and household wealth were associated with cesarean delivery.
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