Determinants of Antenatal Care Utilization Among Reproductive Age Women in Somaliland Using Somaliland Health Demographic Survey 2020 Data.

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY
Women's health reports (New Rochelle, N.Y.) Pub Date : 2025-05-21 eCollection Date: 2025-01-01 DOI:10.1089/whr.2024.0155
Hodo Abdikarim, Abdisalam Hassan Muse, Mukhtar Abdi Hassan, Saralees Nadarajah, Yahye Hassan Muse
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引用次数: 0

Abstract

Background: This study aimed to identify the determinants of antenatal care (ANC) utilization among reproductive-aged women in Somaliland. Understanding these factors is crucial for improving maternal health. This study utilized data from the 2020 Somaliland Demographic Health Survey (SLDHS), which encompasses urban, rural, and nomadic residencies across six geographic zones in Somaliland.

Methods: This cross-sectional study included 2741 women aged 15-49 based on data from the SLDHS 2020. The primary outcome variable was ANC utilization, which was measured as a binary variable (utilization vs. nonutilization). Descriptive statistics and binary logistic regression analyses were conducted to identify the factors associated with ANC utilization.

Results: The study found that higher maternal education levels (adjusted odds ratios [OR] = 2.15, 95% confidence interval [CI]: 1.47-3.14), urban residence (adjusted OR = 1.36, 95% CI: 1.09-1.70), higher household wealth quintiles (adjusted OR = 3.45, 95% CI: 2.50-4.76), husband's education level (adjusted OR = 1.87, 95% CI: 1.36-2.56), and exposure to mass media (adjusted OR = 1.75, 95% CI: 1.32-2.31) were significantly associated with increased ANC utilization.

Conclusion: Education, economic status, and accessibility are the key determinants of ANC service uptake in Somaliland. These findings provide valuable insights for health planners and policymakers aiming to improve ANC utilization and maternal health outcomes in Somaliland.

利用2020年索马里兰健康人口调查数据,索马里兰育龄妇女产前保健利用的决定因素
背景:本研究旨在确定索马里兰育龄妇女产前保健(ANC)利用的决定因素。了解这些因素对于改善产妇保健至关重要。本研究利用了2020年索马里兰人口健康调查(SLDHS)的数据,该调查涵盖了索马里兰六个地理区域的城市、农村和游牧居民。方法:基于SLDHS 2020的数据,本横断面研究纳入了2741名15-49岁的女性。主要结果变量是ANC的利用,这是一个二元变量(利用与不利用)。采用描述性统计和二元逻辑回归分析来确定与ANC利用相关的因素。结果:研究发现,较高的母亲教育水平(调整比值比[OR] = 2.15, 95%可信区间[CI]: 1.47-3.14)、城市居住(调整比值比[OR] = 1.36, 95% CI: 1.09-1.70)、较高的家庭财富五分位数(调整比值比= 3.45,95% CI: 2.50-4.76)、丈夫教育水平(调整比值比= 1.87,95% CI: 1.36-2.56)和接触大众媒体(调整比值比= 1.75,95% CI: 1.32-2.31)与ANC使用率增加显著相关。结论:教育、经济地位和可及性是索马里兰ANC服务接受的关键决定因素。这些研究结果为旨在改善索马里兰ANC利用率和孕产妇保健结果的卫生规划人员和决策者提供了宝贵的见解。
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
1.30
自引率
0.00%
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0
审稿时长
18 weeks
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