{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T15:37:44Z","timestamp":1783957064923,"version":"3.55.0"},"reference-count":37,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"\n Background<\/jats:title>\n Soil-transmitted helminth (STH) infections are a major public health concern in Somalia, particularly affecting the health and development of children under five. Therefore, this study aimed to assess the coverage of deworming uptake and identify associated multilevel factors with deworming uptake among Somali children aged 12\u201359 months using a Multilevel logistic regression model.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This study analyzed data of 15,074 children aged 12\u201359 months from the 2020 Somalia Demographic and Health Survey (SDHS). Chi-square test and multilevel logistic regression were used to examine individual (maternal\/child characteristics, health service use) and community (residence, region) factors associated with non-receipt of deworming medication (poor uptake).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Only 8.0% of children had received deworming medication, indicating critically low national coverage. The variations of poor deworming uptake among children of different ages in months were 92.91% between 12\u201315 months, 91.75% between 16\u201319 months, and 91.26% between 20\u201359 months. Poor deworming uptake was varied among maternal age groups, with rates of 92.10% (15\u201324 years), 91.89% (25\u201334 years), and 91.60% (35\u201349 years). Findings depict that significant regional variations existed. Better uptake was associated with higher maternal age and education, greater wealth, maternal employment, health facility delivery, and urban\/nomadic residence (vs. rural). Residing in urban (AOR: 0.65; 95% CI: 0.51, 0.82,\n \n p<\/jats:italic>\n <\/jats:italic>\n \u2009<\u20090.05) or nomadic areas (AOR: 0.40; 95% CI: 0.32, 0.49,\n \n p<\/jats:italic>\n <\/jats:italic>\n \u2009<\u20090.05) was significantly associated with lower odds of poor uptake compared to rural areas. Unexpectedly, children without recent episodes of diarrhea had significantly higher odds of not receiving deworming treatment (AOR\u2009=\u20096.26).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Low deworming coverage among under-5 children in Somalia is observed. Factors include higher maternal education, greater wealth, health facility delivery, urban or nomadic residence compared to rural, and older child age are significantly associated with deworming coverage. To improve the deworming coverage, organizing school-based campaigns and deploying mobile health teams for door-to-door visits in remote areas may be useful.<\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0336429","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T18:24:58Z","timestamp":1763144698000},"page":"e0336429","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Coverage and determinants of deworming uptake among under-five children in Somalia: A multilevel analysis of the 2020 SDHS data"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7206-8758","authenticated-orcid":true,"given":"Abdirahman Omer","family":"Ali","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awo Mohamed","family":"Kahie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhyadin Yusuf","family":"Dahir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suhaib Mohamed","family":"Kahie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdisalam Mahdi","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3593-6936","authenticated-orcid":true,"given":"Md. Moyazzem","family":"Hossain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"pone.0336429.ref001","volume-title":"Soil-transmitted helminth infections. 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