Objective:

To evaluate the prevalence of adolescent pregnancy among individuals aged 15–19 years in Somalia and identify related factors such as education, socioeconomic status, and contraceptive use.

Key Findings:

• Adolescent pregnancy prevalence in Somalia is 49.49%.
• Primary education increases the odds of adolescent pregnancy (aOR = 1.27, p < 0.05).
• Higher education decreases the odds of adolescent pregnancy (aOR = 0.46, p < 0.01).
• Increased wealth quintiles correlate with lower odds of adolescent pregnancy (aOR = 0.71–0.61, p < 0.01 to p < 0.001).
• Non-intention to use contraceptives is associated with lower odds of adolescent pregnancy (aOR = 0.57, p < 0.05).
• Significant regional variations exist across Somalia (aOR = 1.41-3.63, p < 0.05).

Interpretation:

Educational attainment, socioeconomic status, contraceptive intentions, and geographical variations significantly influence adolescent pregnancy rates in Somalia. These factors highlight the need for targeted interventions.

Limitations:

• The study relies on secondary data, which may have inherent biases that could affect the findings.
• Potential underreporting of pregnancies or inaccuracies in self-reported data may limit the reliability of the results.

Conclusion:

Adolescent pregnancy in Somalia is significantly influenced by education, wealth, contraceptive intentions, and regional factors, underscoring the need for targeted reproductive health strategies to address these issues.