Magnitude and Determinants of knowledge of ovulatory period among young women in Somalia: multilevel analysis using 2020 SHDS

Abstract Introduction Ovulation is a key indicator of fertility and understanding its cycle is crucial for natural family planning. Despite its importance, knowledge of the ovulatory cycle (KOC) remains low among women, leading to unintended pregnancies. Methodology This study uses data from the 2020 Somalia Health and Demographic Survey (SHDS) to assess KOC among young Somali women. A multilevel binary logistic regression analysis was conducted to identify determinants of KOC. Results The prevalence of correct KOC was 21.83%. Factors positively associated with correct KOC included older age, higher education, and rural residency. Media exposure showed mixed effects on KOC. Discussion The study highlights a significant knowledge gap in Somalia, consistent with global trends. Regional factors and media content influence KOC. Interventions should target both individual and community levels, focusing on education and tailored media messages. Conclusion Enhancing KOC among young women in Somalia is vital for reducing unintended pregnancies and improving reproductive health. Addressing educational and regional disparities is essential for effective intervention strategies.