March 3, 2026SHILAP Revista de lepidopterología0 citationsOpen Access

Spatial distribution and determinants of missing essential newborn care items after birth in Somaliland: a spatial and multilevel analysis of SDHS

HDHana Mahdi Dahir AKAyan Husein Korse FMFartun Sharif Mohamed

Key Points

Missing essential newborn care items significantly affect neonatal survival rates, with disparities based on delivery location.
Findings indicate socioeconomic status strongly influences access to essential newborn care, highlighting wealth-based inequalities.
Analysis utilized spatial and multilevel methods to assess distribution patterns of missing care items across the region.
Highlighting these disparities calls for targeted interventions to improve health systems and ensure better neonatal outcomes.

Abstract

This study highlights a substantial unmet need for essential newborn care in Somaliland, driven by significant spatial disparities and strong associations with place of delivery and socioeconomic status. These findings call for targeted interventions promoting facility-based deliveries, addressing wealth-based inequalities, and strengthening regional health systems to enhance ENC coverage and improve neonatal survival.

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