Assessment the Patterns, Risk Factors, and Causes of Infertility among Couples Attending Marwa Fertility Center in Mogadishu, Somalia.

Background: Infertility is a major public health concern affecting millions of couples worldwide and has significant physical, psychological, social, and economic consequences.Assessing the quality of infertility services and patient satisfaction is essential for improving fertility care, particularly in low-resource settings such as Somalia where evidence remains limited.This study assessed the quality of infertility services, patient satisfaction, and factors affecting fertility care at Marwa Fertility Center in Mogadishu, Somalia.Methods: A facility-based cross-sectional study was conducted among 250 respondents, including patients and healthcare providers at Marwa Fertility Center.Data were collected using a structured self-administered questionnaire covering demographic characteristics, accessibility of fertility services, quality of clinical services, laboratory and diagnostic services, communication and customer care, pharmacy services, and overall patient satisfaction.Descriptive statistics, including frequencies and percentages, were used to summarize the data.Results: The majority of respondents were patients (56.0%), female (62.0%), and aged 25-34 years (38.0%).Overall, respondents reported positive perceptions of infertility services.Approximately 72.0% agreed that the center was easily accessible, while 69.2% were satisfied with appointment scheduling.Healthcare providers were perceived as professionally competent by 78.8% of respondents, and 78.0%confirmed that patient privacy and confidentiality were maintained.Laboratory services were rated positively by 73.2% of participants, while 74.4% expressed satisfaction with staff communication and customer care.Pharmacy services received favorable ratings from 72.0% of respondents.Overall, 80.0% reported satisfaction with infertility services.However, affordability of treatment and waiting time were identified as the major challenges affecting access to fertility care.Conclusion: Marwa Fertility Center provides generally high-quality infertility services characterized by competent healthcare professionals, effective laboratory support, respectful communication, and high levels of patient satisfaction.Nevertheless, improvements in affordability, waiting time, resource availability, and continuous staff development are needed to further enhance fertility care.The findings provide evidence to support quality improvement initiatives and strengthen patient-centered infertility services in Somalia.