Factors Associated With Modern Contraceptive Use and Unmet Need for Family Planning Among Mothers in Borama, Somaliland: Community-Based Cross-Sectional Study.

Authors

Nimao Hussein Ahmed, Bushra Aidarus Abdullahi, Ubah Osman Mohamed, Mustafe Mohamed Abdi, Omer Abdulkadir Osman, Abdiladiif Mawlid Muuse, Mohamed Said Hassan

Published in

Public health challenges. Volume 5. Issue 4. Pages e70414. Epub Oct 09, 2026.

Abstract

National estimates in Somaliland report a modern contraceptive prevalence rate (mCPR) of 1%-3%, yet localized urban data are scarce. This study assessed mCPR, unmet need for family planning (FP), and sociodemographic determinants among mothers in Borama, Somaliland.
A community-based cross-sectional study was conducted among 426 mothers with children under five using multistage cluster sampling (October-November 2025). Data were collected via structured interviews. Multivariate logistic regression with robust standard errors was performed to identify factors associated with contraceptive use, reported as adjusted odds ratios (AORs) with 95% confidence intervals (CIs).
The mCPR was 18.5%, and unmet need was 17.4%, resulting in a total demand of 35.9%. Injectables (42%) and oral pills (30%) were the most common methods. The strongest predictor of use was postpartum counseling by health workers (AOR = 18.62, p < 0.001) and family members (AOR = 6.30, p < 0.001). University education (AOR = 2.80, p = 0.034) and business ownership (AOR = 2.68, p = 0.005) also independently predicted use. Model diagnostics, including Hosmer-Lemeshow and variance inflation factor (VIF), confirmed appropriate fit and absence of significant multicollinearity.
Contraceptive use in Borama exceeds national estimates but remains low by regional standards. Postpartum counseling serves as a critical gateway to uptake. Policy considerations may include strengthening immediate postpartum counseling and community-based FP advocacy targeting husbands and mothers-in-law to address sociocultural barriers.

PMID:
42859598
Bibliographic data and abstract were imported from PubMed on 11 Oct 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.