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

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.