A Multinomial Logistic Regression Analysis of Fertility Decisions and Associated Determinants Among Reproductive Age Women in Somaliland: Utilization of 2020 SLHDS Data.

Abstract

Background: Somaliland, despite a global trend toward lower fertility rates, exhibits a high total fertility rate of 5.7 per woman. This study aimed to investigate the prevalence and associated determinants of fertility decisions among married reproductive-age women in Somaliland.

Methodology: A cross-sectional study using data from the 2020 Somaliland Health and Demographic Survey was conducted. A multinomial logistic regression analysis was employed to explore the association between individual-level (age, education, occupation, contraceptive use) and community-level (residence, region) factors and fertility decisions.

Results: The study found that 54.4% of married reproductive-age women in Somaliland desire more children within the next 2 years, indicating a strong preference for larger families. Younger women, those residing in rural areas, and those with lower education levels were more likely to desire more children. Exposure to mass media was associated with a lower desire for more children, while contraceptive use intentions also significantly influenced fertility decisions.

Conclusion: This study provides valuable insights into the complex interplay of socioeconomic, cultural, and individual factors shaping fertility decisions in Somaliland. The findings highlight the need for targeted interventions, including education, access to family planning services, and mass media campaigns, to empower women to make informed choices about family size.