Department of Public Health, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia.
Department of Public Health, College of Health Science and Medicine, Gollis University, Hargeisa, Somaliland.
Reprod Health. 2024 May 21;21(1):67. doi: 10.1186/s12978-024-01786-1.
Contraception is the deliberate prevention of unwanted pregnancy through various contraceptive methods. Its uptake is low in Sub-Saharan African countries, particularly in east Africa. This might be linked to the high prevalence of unwanted pregnancies and the high fertility rate in the area. Although studies reporting the prevalence and associated factors of modern contraceptive uptake are available in other African countries, no study has been conducted in Somaliland. Therefore, the current study aimed to assess its prevalence and associated factors in Somaliland using Somaliland Health and Demographic Survey (SLHDS) data.
The study used Somaliland Demographic Health Survey (SLDHS) 2020 data. The survey was a national-level survey using a cross-sectional study design. A total of 3656 reproductive-age women were included in the current study. To determine independent predictors of modern contraceptive uptake, a multi-level multivariable logistic regression analysis was done. Random effect analysis, standard error (SE) and intra-cluster correlation (ICC) were computed.
The proportion of modern contraceptive uptake among reproductive age groups in Somaliland is 1%. Modern contraceptive uptake is significantly associated with the residence, educational level and wealth index of participants. Women from nomadic communities had lower odds (AOR: 0.25; 95% CI: 0.10, 0.66) of modern contraceptive uptake compared to those from urban areas. Being in the highest wealth quintiles (AOR: 17.22; 95% CI: 1.99, 155.92) and having a tertiary educational level (AOR: 2.11; 95% CI: 1.29, 9.11) had higher odds of using the modern contractive method compared to those with the lowest wealth quintiles and non-formal education, respectively.
The prevalence of modern contraceptive uptake in Somaliland was very low. It is associated with the level of education, wealth index and residence of the women.
避孕是通过各种避孕方法故意防止意外怀孕。在撒哈拉以南非洲国家，特别是在东非，避孕措施的使用率很低。这可能与该地区意外怀孕的高流行率和高生育率有关。虽然在其他非洲国家有报道现代避孕方法使用率及其相关因素的研究，但在索马里兰没有进行过此类研究。因此，本研究旨在利用索马里兰健康和人口调查（SLHDS）数据评估索马里兰的现代避孕方法使用率及其相关因素。
本研究使用了 2020 年索马里兰人口健康调查（SLDHS）的数据。该调查是一项全国性的调查，采用了横断面研究设计。本研究共纳入了 3656 名育龄妇女。为了确定现代避孕方法使用率的独立预测因素，我们进行了多水平多变量逻辑回归分析。计算了随机效应分析、标准误差（SE）和组内相关系数（ICC）。
在索马里兰，育龄妇女中现代避孕方法使用率为 1%。现代避孕方法的使用与参与者的居住地、教育水平和财富指数显著相关。与来自城市地区的妇女相比，来自游牧社区的妇女使用现代避孕方法的可能性较低（OR：0.25；95%CI：0.10，0.66）。处于最高财富五分位数（OR：17.22；95%CI：1.99，155.92）和具有高等教育水平（OR：2.11；95%CI：1.29，9.11）的妇女与处于最低财富五分位数和非正规教育的妇女相比，使用现代避孕方法的可能性更高。
索马里兰现代避孕方法使用率非常低。它与妇女的教育水平、财富指数和居住地有关。
