DETERMINANTS OF ACCESS TO SKILLED BIRTH ATTENDANTS BY WOMAN HAMAR JA-JAB DISTRICT, MOGADISHU - SOMALIA

Abstract Access to skilled birth attendants is a critical factor in reducing maternal and neonatal mortality rates. This study examines the determinants of access to skilled birth attendants among women in Hamar Ja-jab District, Mogadishu, Somalia. The research investigates the socio-demographic, economic, and cultural factors influencing the utilization of skilled delivery services. Using a cross-sectional study design, data was collected through surveys and interviews with pregnant women, healthcare providers, and community members. The findings reveal that low maternal education levels, financial constraints, cultural beliefs favoring traditional birth attendants, and inadequate healthcare infrastructure significantly hinder access to skilled birth attendants. Additionally, a lack of awareness about the benefits of skilled care and transportation challenges further contribute to low utilization rates. The study underscores the urgent need for policy interventions to enhance access to skilled birth attendants. Recommendations include strengthening maternal health education programs, improving healthcare facilities, increasing financial support for maternal care, and raising awareness about the risks associated with unskilled delivery. These findings provide valuable insights for policymakers, healthcare providers, and organizations striving to improve maternal health outcomes in Somalia.