Contraception Crisis in Somalia: Unveiling the Shocking Reality of a Nation Left Behind

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ibrahim Yasin Khalif, Md Badsha Alam, Md Mostaured Ali Khan, Shimlin Jahan Khanam, Md Nuruzzaman Khan
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Abstract

Background. Despite global efforts to promote contraceptive use and ensure reproductive health, Somalia continues to face significant challenges in this regard. This study aims to explore the prevalence of contraceptive use in Somalia and identify the determinants influencing its use. Methods. A total of 8,162 reproductive-aged women’s data were analyzed extracted from 2020 Somali Health and Demographic Survey. The outcome variable was contraception use, classified as any contraception use (yes vs. no), any modern contraception use (yes vs. no), and any traditional contraception use (yes vs. no). The explanatory variables were factors at the individual, household, and community level. The multivariate binary logistic regression model was used to explore associations of outcome variables with explanatory variables. Results. The findings revealed low prevalence of contraceptive use among Somalia women, with only 7% reporting its use. Among them, less than 1% utilized modern contraceptive methods. Several determinants of contraception use were identified, including younger age, higher educational attainment (primary and secondary education), higher parity, exposure to family planning messages through mass media, urban place of residence, and residing in the northwest and northeast regions of Somalia. Conclusion. The results underscore the urgent need for substantial efforts to improve contraceptive use in Somalia. Strengthening healthcare facilities to provide comprehensive sexual and reproductive health services, with a particular focus on promoting contraception uptake, is crucial. Public awareness campaigns and educational programs should also be prioritized to enhance knowledge and understanding of contraception among Somali women.

索马里的避孕危机:揭开一个落后国家的惊人现实
背景。尽管全球都在努力推广避孕药具的使用并确保生殖健康,但索马里在这方面仍然面临重大挑战。本研究旨在探讨索马里的避孕药具使用率,并确定影响其使用的决定因素。研究方法。研究分析了从 2020 年索马里健康和人口调查中提取的 8,162 名育龄妇女的数据。结果变量为避孕药具使用情况,分为任何避孕药具使用情况(是与否)、任何现代避孕药具使用情况(是与否)和任何传统避孕药具使用情况(是与否)。解释变量包括个人、家庭和社区层面的因素。多变量二元逻辑回归模型用于探讨结果变量与解释变量之间的关联。结果调查结果显示,索马里妇女使用避孕药具的比例很低,仅有 7%的妇女报告使用了避孕药具。其中,使用现代避孕方法的不到 1%。研究发现了使用避孕药具的几个决定因素,包括年龄较小、受教育程度较高(小学和中学教育)、均等率较高、通过大众媒体接触过计划生育信息、居住地为城市以及居住在索马里西北部和东北部地区。结论研究结果表明,索马里迫切需要大力提高避孕药具的使用率。加强医疗保健设施,提供全面的性健康和生殖健康服务,特别是重点促进避孕药具的使用,是至关重要的。还应优先开展提高公众认识运动和教育计划,以增强索马里妇女对避孕的认识和了解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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