††slugcomment: To be submitted to the Astrophysical Journal Letter Prevalence and Associated Factors of Cesarean Section Delivery in Somalia: Analysis of the 2020 Demographic and Health Survey

††slugcomment: To be submitted to the Astrophysical Journal Letter Prevalence and Associated Factors of Cesarean Section Delivery in Somalia: Analysis of the 2020 Demographic and Health Survey | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 2 May 2025 V1 Latest version Share on ††slugcomment: To be submitted to the Astrophysical Journal Letter Prevalence and Associated Factors of Cesarean Section Delivery in Somalia: Analysis of the 2020 Demographic and Health Survey Authors : Mohamed Said Hassan 0000-0003-2389-8717 , Asiya Aden Farah , Abdirahman Ibrahim , Huda Mohamed Hassan4 , and Hassan Elmi 0000-0002-1810-8170 [email protected] Authors Info & Affiliations https://doi.org/10.22541/au.174616754.43054731/v1 194 views 100 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract ††slugcomment: To be submitted to the Astrophysical Journal Letter Background: Cesarean section (C-section) is a critical obstetric procedure, but optimal rates are challenging to achieve globally. In Somalia’s fragile health system, data on C-section prevalence and associated factors are limited, hindering efforts to improve maternal health. This study investigates C-section rates and determinants using national survey data. Methods: We analyzed data from 2,081 women aged 15-49 reporting a recent live birth in the 2020 Somalia Demographic and Health Survey (SDHS). Multivariate logistic regression identified factors associated with self-reported C-section delivery, calculating Adjusted Odds Ratios (AORs). Results: C-section prevalence was 10.0%. Multivariate analysis identified significant associations. Lower odds of C-section were linked to age 25-34 (vs. 15-24), rural residence, higher education, higher wealth status, and parity 2-4. Conversely, attending ≥4 ANC visits was associated with higher odds. Significant regional variations were also present. Media access and breastfeeding status were not significantly associated. Conclusion: Somalia’s 10% C-section rate meets minimum recommendations but likely masks significant inequities influenced by geography, ANC use, and parity. The paradoxical finding of lower C-section odds among women with higher socioeconomic status demands context-specific investigation. Ensuring equitable access to medically indicated C-sections is crucial. Supplementary Material File (manuscript (c-section).docx) Download 71.44 KB Information & Authors Information Version history V1 Version 1 02 May 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords associated factors cesarean section Authors Affiliations Mohamed Said Hassan 0000-0003-2389-8717 Amoud University College of Health Sciences View all articles by this author Asiya Aden Farah Amoud University College of Health Sciences View all articles by this author Abdirahman Ibrahim Amoud University College of Health Sciences View all articles by this author Huda Mohamed Hassan4 Amoud University View all articles by this author Hassan Elmi 0000-0002-1810-8170 [email protected] Amoud University View all articles by this author Metrics & Citations Metrics Article Usage 194 views 100 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Mohamed Said Hassan, Asiya Aden Farah, Abdirahman Ibrahim, et al. ††slugcomment: To be submitted to the Astrophysical Journal Letter Prevalence and Associated Factors of Cesarean Section Delivery in Somalia: Analysis of the 2020 Demographic and Health Survey. Authorea . 02 May 2025. 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