Factors Affecting Utilization of Health Care Services among Nasahblood and Ayah 4 Internally Displaced Persons in Hargeisa Somaliland

Background: In 2021, about 4.5 billion people were not fully covered by essential health services. About 2 billion people face financial hardship, including 1 billion experiencing catastrophic out-of-pocket health spending globally. Objectives: to identify factors affecting utilization of Health care services among IDPs. Design: Cross-sectional study design. Site : Nasahblood and Ayah 4 Internally Displaced Persons. Participants: 271 households. Main Measures : The study used ordinal logistic regression analysis. Then, the data were exported to the STATA window for data analysis. Descriptive Analysis and ordinal logistic regression were used. Results: . The research uncovered diverse patterns in healthcare service usage: 14.36% (n=26) displayed high usage, 12.16% (n=22) exhibited moderate usage, and 73.48% (n=133) showed low usage. For internally displaced individuals residing in Nasahablood and Ayah 4 regions of Hargeisa, Somaliland, accessibility substantially affected healthcare service utilization (P0.000, Coef=-2.272459). Moreover, socioeconomic factors, particularly gender, negatively influenced healthcare service utilization among the internally displaced persons in these areas (P< 0.026, Coef =1.77102). Conclusion: The research highlights the need for targeted interventions to improve healthcare access and affordability for displaced populations, ultimately aiming to enhance their overall health outcomes and well-being