No abstract

Background. The general coverage of vaccination means the percentage of children in world who received the recommended vaccines and has existed over the past few years continued the same. Aim. The aim of this study was to determine the factors associated with complete immunization coverage among children aged 11-24 months in Somalia. Method. This was a descriptive cross-sectional study conducted in Galkayo hospital in Mudug region Somalia. Systematic random sampling was carried out in to recruit 357 children between 24 and 11 ages. Well-structured questionnaires were filled by participants who gave their consent. Data were analyzed using the statistical package for social sciences version 21. Descriptive statistics such as means, standard deviation, proportions, and range were used to summarize the data. Inferential statistics were used to test for association between the dependent variable and independent variables using the chi-square with the level of significance set at 5%. Result. The age of the respondents was between 11 and 24 with a mean age of the 7.71 with standard deviation ±5.87, the level of education of the mother (p=0.0001), the place of delivery of the baby (p=0.0001), and the distance of the participants to health facility (p=0.026533) were statistically significantly associated with immunization coverage. Final the full immunization coverage in Somalia is 20%. Conclusion. The study is recommended to the government to increase the level of education of the mother; also, the study is recommended to increase the hospital delivery that may increase the immunization coverage in Somalia.

Background: Homebirth (home delivery) is a birth that takes place in a residence rather than in a hospital or a birth center. Aims: The aim of the study is to determine factors influencing obstetric home delivery and the outcomes among women of reproductive age in Dusmareb district, Somalia. Methods: The study was used a descriptive cross-sectional study in Dusamreb district of Somalia with both qualitative and quantitative techniques of data collections and random technique was used to select 228 women of reproductive age. Well-structured questionnaires were administered by the interviewer to participants who gave their consent and also two focus group discussion sessions were conducted with discussion guides. Data were analysed using the Statistical Package for Social Sciences version 20.0. Descriptive , and Inferential statistics were used to test association, with the level of significance set at 5%. Results: The findings of this study show that 41% have had at least one child delivery at home. The mean age of the respondents was 32.9 ± 8.1 years; 15(6.6%) had tertiary education and Women with 4 – 6 children were four times more likely to have a home delivery (OR = 3.65, p = 0.002), Women with employment were 59% less likely to have a home delivery (OR = 0.41, p = 0.009); the study also found as outcome of home delivery that 22% of the women reported their baby was not okay and have taken to hospital, while 41(73.2%) reported the child died within 28 days following delivery while 24 (42.8%), women experienced prolonged labour during their last delivery at home.in the focus group discussion the women reported that there is poor communication relationship between the mothers and health staff. Conclusion: the study is highly recommended the government to create employment for the women,also the hospital directors were recommended to monitor the relationship between the care giver and the pregnant mother.