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1. Child mortality in Eastern Ethiopia: acceptability of Postmortem minimally invasive tissue sampling in a predominantly muslim community

Author

Degefa, Ketema, Aliyi, Mohammad, Ackley, Caroline, Damise, Berhanu, Wakwaya, Getahun, Madrid, Lola, Assefa, Nega, Seale, Anna, Tadesse, Adugna, Sintayehu, Bizunesh, Zegeye, Yosef, Girma, Zerihun, Asfaw, Yenenesh Tilahun, Feyissa, Gurmu, Yigzaw, Hiwot, Taye, Eyoel, Asnake, Kidist, Tadesse, Simegn, Alemu, Addisu, Sarkodie-Mensah, Nana, Kone, Ahoua, Maixenchs, Maria, Blevins, John, and Breines, Markus

Published
2024
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8. Use of tranexamic acid in decreasing blood loss during and after delivery among women in Africa: a systematic review and meta-analysis

Author

Eyeberu, Addis, Getachew, Tamirat, Amare, Getachew, Yadeta, Elias, Lemi, Megersa, Bekele, Habtamu, Negash, Abraham, Degefa, Meron, Balcha, Tegenu, Balis, Bikila, Eshetu, Bejirond, Habte, Sisay, Abdurke, Mohommed, Alemu, Addisu, mohammed, Ahmed, Ahmed, Fila, Musa, Ibsa, Getachew, Alemshet, Amin, Abdi, Tefera, Tigist, and Debella, Adera

Published
2023
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10. Post-mortem investigation of deaths due to pneumonia in children aged 1–59 months in sub-Saharan Africa and South Asia from 2016 to 2022: an observational study

Author

Adam, Yasmin, Agaya, Janet, Ahmed, A.S.M. Nawshad Uddin, Ahmed, Dilruba, Alemu, Addisu, Ali, Solomon, Ameh, Soter, Aol, George, Argeseanu, Solveig, Ariuman, Farida, Balogun, Oluseyi, Bari, Sanwarul, Basket, Margaret, Begum, Ferdousi, Bhandari, Manu, Blevins, John, Bunn, James, Bursuc, Courtney, Cain, Carrie Jo, Chawana, Richard, Chawla, Kiranpreet, Chukwuegbo, Cornell, Diarra, Kounandji, Diarra, Tiéman, Diaz, Maureen, Duduyemi, Babatunde, Fairchild, Karen D., Flora, Meerjady Sabrina, Fritz, Ashleigh, Garel, Mischka, Gaume, Brigitte, Gizaw, Mahlet Abayneh, Govender, Nelesh P., Greene, Carol L., Gure, Tadesse, Halu, Binyam, Hoque, Mahbubul, Hwinya, Cleopas, Ibrahim, Alexander M., Igunza, Kitiezo Aggrey, Islam, Ferdousi, Ita, Okokon, Jambai, Amara, Johnson, J. Kristie, Juma, Jane, Kaluma, Erick, Kamal, Mohammed, Kaykay, Osman, Kenneh, Sartie, Khagayi, Sammy, Koka, Rima, Kone, Diakaridia, Koplan, Jeffrey P., Kourouma, Nana, Kowuor, Dickens, LaHatte, Kristin, Lala, Sanjay G., Lee, Kyu Han, Liu, Lucy, Lombaard, Hennie, Maixenchs, Maria, Manhique, Zara, Mannah, Margaret, Martines, Roosecelis, Mash, Ronald, Mehta, Ashka, Menéndez, Clara, Misore, Thomas, Mocumbi, Sibone, Moseray, Andrew, Moses, Francis, Muga, Christopher, Munguambe, Khátia, Myburgh, Nellie, Nair, Shailesh, Ndagurwa, Pedzisai, Nhacolo, Ariel, Nhampossa, Tacilta, Nwajiobi, Princewill, Ochola, Christine, Oliech, Richard, Oluoch, Bernard, Onwuchekwa, Uma U., Onyango, Peter Nyamthimba, Orlien, Stian MS, Otieno, Peter, Oundo, Joseph, Owuor, Harun, Parveen, Shahana, Petersen, Karen, Pratt, Samuel, Rahman, Mahbubur, Rahman, Mohammad Mosiur, Rahman, Mustafizur, Raymer, Sarah, Ritter, Jana, Salzberg, Navit T., Samura, Solomon, Sannoh, Sulaiman, Sanogo, Doh, Seppeh, Martin, Sesay, Tom, Sesay, Joseph Kamanda, Shirin, Tahmina, Sissoko, Seydou, Smart, Francis, Sorour, Gillian, Squire, James, Swaray-Deen, Alim, Swart, Peter J., Tarawally, Fatmata Bintu, Tasnim, Saria, Temesgen, Fikremelekot, Tennant, Sharon M., Traore, Cheick Bougadari, Traore, Awa, Velaphi, Sithembiso, Vyas, Kurt, Wadhwa, Ashutosh, Wadula, Jeannette, Waller, Jessica, Wanga, Valentine, Warang, Shamta, Were, Joyce Akinyi, Wilson, Tais, Winchell, Jonas, Wise, Amy, Witherbee, Jakob, Yeshi, Melisachew Mulatu, Zaman, K., Mahtab, Sana, Blau, Dianna M, Madewell, Zachary J, Ogbuanu, Ikechukwu, Ojulong, Julius, Lako, Sandra, Legesse, Hailemariam, Bangura, Joseph S, Bassat, Quique, Mandomando, Inacio, Xerinda, Elisio, Fernandes, Fabiola, Varo, Rosauro, Sow, Samba O, Kotloff, Karen L, Tapia, Milagritos D, Keita, Adama Mamby, Sidibe, Diakaridia, Onyango, Dickens, Akelo, Victor, Gethi, Dickson, Verani, Jennifer R, Revathi, Gunturu, Scott, J Anthony G, Assefa, Nega, Madrid, Lola, Bizuayehu, Hiwot, Tirfe, Tseyon Tesfaye, El Arifeen, Shams, Gurley, Emily S, Islam, Kazi Munisul, Alam, Muntasir, Zahid Hossain, Mohammad, Dangor, Ziyaad, Baillie, Vicky L, Hale, Martin, Mutevedzi, Portia, Breiman, Robert F, Whitney, Cynthia G, and Madhi, Shabir A

Published
2024
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12. Population modifiable risk factors associated with under-5 acute respiratory tract infections and diarrhoea in 25 countries in sub-Saharan Africa (2014–2021): an analysis of data from demographic and health surveys

Author

Ahmed, Kedir Y., Dadi, Abel F., Kibret, Getiye Dejenu, Bizuayehu, Habtamu Mellie, Hassen, Tahir A., Amsalu, Erkihun, Ketema, Daniel Bekele, Kassa, Zemenu Yohannes, Bore, Meless G., Alebel, Animut, Alemu, Addisu Alehegn, Shifa, Jemal E., Leshargie, Cheru Tesema, Thapa, Subash, Omar, Syed Haris, and Ross, Allen G.

Published
2024
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16. Reproductive health service utilization and associated factors among secondary school students in Harari regional state, eastern Ethiopia, 2022: a multicenter study

Author

Sertsu, Addisu, Eyeberu, Addis, Bete, Tilahun, Yadeta, Elias, Lami, Magarsa, Balcha, Tegenu, Berhanu, Bekelu, Alemu, Ayichew, Meseret, Fentahun, Mohammed, Hanan, Alemu, Addisu, Husen, Ahmed Mohammed, Ahemed, Fila, Birhanu, Abdi, Gemechu, Kabtamu, Debella, Adera, Getachew, Tamirat, Nigussie, Kabtamu, Nigussie, Shambel, and Negash, Abraham

Published
2023
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17. Prevalence of child marriage and associated factors among reproductive age women in Harari regional state, eastern Ethiopia, 2022: a community-based study

Author

Lami, Magarsa, Negash, Abraham, Eyeberu, Addis, Birhanu, Abdi, Debella, Adera, Getachew, Tamirat, Berhanu, Bekelu, Balis, Bikila, Bete, Tilahun, Abdeta, Tilahun, Nigussie, Shambel, Bogale, Kasahun, Bekele Dechasa, Deribe, Sertsu, Addisu, Gemechu, Kabtamu, Wodaje, Dawud, Nigussie, Kabtamu, Alemu, Ayichew, Kibret, Haregeweyn, Bayu, Kefelegn, Meseret, Fentahun, Abinew, Yideg, Wondimneh, Fenta, Dirirsa, Gebisa, Gobena, Abduro, Husen, Jemal, Alemu, Addisu, and Dessie, Yadeta

Published
2023
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18. Analysis of drought coping strategies in northern Ethiopian highlands

Author

Eskinder Gidey, Paidamwoyo Mhangara, Tirhas Gebregergs, Woldegebriel Zeweld, Haftamu Gebretsadik, Oagile Dikinya, Said Mussa, Amanuel Zenebe, Atkilt Girma, Girmatsion Fisseha, Alemu Addisu, Jemal Nasir, Tesfaye Zeleke, and Emiru Birhane

Subjects
Drought coping strategies, Multinomial logit model, Southern Tigray, Northern Ethiopian Highlands, Science, Technology
Abstract

Abstract One of the most detrimental concerns brought on by a changing climate that annually affects many people's lives is drought. Proactive and reactive drought coping and adapting mechanisms enable farmers to be resilient against climate–induced drought and improve the drylands' current disaster preparedness and early warning systems. The aim of this study was to assess proactive and reactive farmers' drought coping strategies at household level in Raya Valley in southern Tigray, Ethiopia. Agro–climatological based 246 households were sampled from the lowlands, midlands and highlands of the study area. The most effective drought coping mechanisms were discovered using a multinomial logit model. The study area had endured mild to extremely severe drought in the last three decades. The association between the various drought severity and household heads were significant (chi2 = 9.861, df = 3, p

Published
2023
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19. Provider adherence to clinical care recommendations for infants and children who died in seven low- and middle-income countries in the Child Health and Mortality Prevention Surveillance (CHAMPS) network

Author

Solomon, Fatima, Sorour, Gillian, Lombaard, Hennie, Wadula, Jeannette, Petersen, Karen, Hale, Martin, Govender, Nelesh P., Swart, Peter J., Lala, Sanjay G., Velaphi, Sithembiso, Chawana, Richard, Adam, Yasmin, Wise, Amy, Fritz, Ashleigh, Myburgh, Nellie, Ndagurwa, Pedzisai, Hwinya, Cleopas, Bari, Sanwarul, Parveen, Shahana, Kamal, Mohammed, Uddin Ahmed, A.S.M. Nawshad, Hoque, Mahbubul, Tasnim, Saria, Islam, Ferdousi, Ariuman, Farida, Rahman, Mohammad Mosiur, Begum, Ferdousi, Zaman, K., Rahman, Mustafizur, Ahmed, Dilruba, Flora, Meerjady Sabrina, Shirin, Tahmina, Rahman, Mahbubur, Oundo, Joseph, Ibrahim, Alexander M., Temesgen, Fikremelekot, Gure, Tadesse, Alemu, Addisu, Yeshi, Melisachew Mulatu, Gizaw, Mahlet Abayneh, Orlien, Stian, Ali, Solomon, Otieno, Peter, Onyango, Peter Nyamthimba, Agaya, Janet, Oliech, Richard, Were, Joyce Akinyi, Gethi, Dickson, Khagayi, Sammy, Aol, George, Misore, Thomas, Owuor, Harun, Mugah, Christopher, Oluoch, Bernard, Ochola, Christine, Tennant, Sharon M., Greene, Carol L., Mehta, Ashka, Johnson, J. Kristie, Gaume, Brigitte, Koka, Rima, Fairchild, Karen D., Kone, Diakaridia, Sanogo, Doh, Onwuchekwa, Uma U., Kourouma, Nana, Sissoko, Seydou, Traore, Cheick Bougadari, Juma, Jane, Diarra, Kounandji, Traore, Awa, Diarra, Tiéman, Chawla, Kiranpreet, Nhampossa, Tacilta, Manhique, Zara, Mocumbi, Sibone, Menéndez, Clara, Munguambe, Khátia, Nhacolo, Ariel, Maixenchs, Maria, Moseray, Andrew, Tarawally, Fatmata Bintu, Seppeh, Martin, Mash, Ronald, Ojulong, Julius, Duduyemi, Babatunde, Bunn, James, Swaray-Deen, Alim, Bangura, Joseph, Jambai, Amara, Mannah, Margaret, Ita, Okokon, Chukwuegbo, Cornell, Sannoh, Sulaiman, Nwajiobi, Princewill, Kowuor, Dickens, Kaluma, Erick, Balogun, Oluseyi, Samura, Solomon, Pratt, Samuel, Moses, Francis, Sesay, Tom, Squire, James, Sesay, Joseph Kamanda, Kaykay, Osman, Halu, Binyam, Legesse, Hailemariam, Smart, Francis, Kenneh, Sartie, Ameh, Soter, Ritter, Jana, Wilson, Tais, Winchell, Jonas, Witherbee, Jakob, Salzberg, Navit T., Koplan, Jeffrey P., Basket, Margaret, Wadhwa, Ashutosh, Lee, Kyu Han, Wanga, Valentine, Martines, Roosecelis, Warang, Shamta, Diaz, Maureen, Waller, Jessica, Nair, Shailesh, Liu, Lucy, Bursuc, Courtney, LaHatte, Kristin, Raymer, Sarah, Blevins, John, Argeseanu, Solveig, Vyas, Kurt, Bhandari, Manu, Rees, Chris A., Igunza, Kitiezo Aggrey, Madewell, Zachary J., Akelo, Victor, Onyango, Dickens, El Arifeen, Shams, Gurley, Emily S., Hossain, Mohammad Zahid, Rahman, Afruna, Alam, Muntasir, Scott, J. Anthony G., Assefa, Nega, Madrid, Lola, Belachew, Anteneh, Leulseged, Haleluya, Kotloff, Karen L., Sow, Samba O., Tapia, Milagritos D., Keita, Adama Mamby, Sidibe, Diakaridia, Sitoe, Antonio, Varo, Rosauro, Ajanovic, Sara, Bassat, Quique, Mandomando, Inácio, Tippett Barr, Beth A., Ogbuanu, Ikechukwu, Cain, Carrie Jo, Bassey, Ima-Abasi, Luke, Ronita, Gassama, Khadija, Madhi, Shabir, Dangor, Ziyaad, Mahtab, Sana, du Toit, Jeanie, Mutevedzi, Portia C., Blau, Dianna M., Breiman, Robert F., and Whitney, Cynthia G.

Published
2023
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20. Causes of stillbirth and death among children younger than 5 years in eastern Hararghe, Ethiopia: a population-based post-mortem study

Author

Deresa, Merga, Mengesha, Gezahegn, Samuel, Tigistu, Taye, Eyoel, Aliyi, Mohammed, Feyissa, Gurmu, Tilahun, Yenenesh, Wakwaya, Getahun, Tadesse, Simegn, Asnake, Kidish, Ayalew, Mariamcher, Kidane, Azeb, Azore, Emmanuel, Berhanu, Mussie, Berihun, Mulu, Deresa, Mersan, Assegid, Nardos, Voller, Shirine, Mekonnen, Mahlet, Alemaheyu, Andualem, Sarkodie-Mensah, Nana, Morrison, Beth, Jibendi, Boniface, Worku, Asnake, Mirkuzie, Alemenesh, Getnet, Fentabil, Madrid, Lola, Alemu, Addisu, Seale, Anna C, Oundo, Joe, Tesfaye, Tseyon, Marami, Dadi, Yigzaw, Hiwot, Ibrahim, Alexander, Degefa, Ketema, Dufera, Tadesse, Teklemariam, Zelalem, Gure, Tadesse, Leulseged, Haleluya, Wittmann, Stefanie, Abayneh, Mahlet, Fentaw, Surafel, Temesgen, Fikremelekot, Yeshi, Melisachew M, Dubale, Mehret, Girma, Zerihun, Ackley, Caroline, Damisse, Berhanu, Breines, Markus, Orlien, Stian M S, Blau, Dianna M, Breiman, Robert F, Abate, Ebba, Dessie, Yadeta, Assefa, Nega, and Scott, J Anthony G

Published
2023
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21. Neural tube defects as a cause of death among stillbirths, infants, and children younger than 5 years in sub-Saharan Africa and southeast Asia: an analysis of the CHAMPS network

Author

Nawshad Uddin Ahmed, A.S.M., Hoque, Mahbubul, Kamal, Mohammed, Mosiur, Mohammad, Begum, Ferdousi, Tasnim, Saria, Flora, Meerjady Sabrina, Arjuman, Farida, Khan, Iqbal Ansary, Shirin, Tahmina, Rahman, Mahbubur, Bari, Sanwarul, Parveen, Shahana, Islam, Farzana, Hossain, Mohammad Zahid, Islam, Kazi Munisul, Ahmed, Mohammad Sabbir, Zaman, K, Rahman, Mustafizur, Ahmed, Dilruba, Chowdhury, Md Atique Iqbal, Alam, Muntasir, Lee, Kyu Han, Islam, Ferdousi, Oundo, Joseph O, Temesgen, Fikremelekot, Yeshi, Melisachew Mulatu, Ibrahim, Alexander M, Gure, Tadesse, Edris, Yunus, Alemu, Addisu, Marami, Dadi, Lemma, Ephrem, Mekonnen, Ayantu, Wale, Henok, Tesfaye, Tseyon, Leulseged, Haleluya, Dufera, Tadesse, Belachew, Anteneh, Getnet, Fentabil, Fentaw, Surafel, Acham, Yenework, Orlien, Stian MS, Abayneh Gizaw, Mahlet, Rogena, Emily, Murila, Florence, Revathi, Gunturu, Mitei, Paul K, Kuria, Magdalene, Verani, Jennifer R, Igunza, Aggrey, Nyamthimba, Peter, Oele, Elizabeth, Fairchild, Karen D, Greene, Carol L, Koka, Rima, Mehta, Ashka, Tennant, Sharon M, Johnson, J Kristie, Keita, Tatiana, Keita, Adama Mamby, Kourouma, Nana, Onwuchekwa, Uma U, Traore, Awa, Sanogo, Doh, Sidibe, Diakaridia, Sissoko, Seydou, Kone, Diakaridia, Kindcardett, Milton, Munguambe, Khátia, Nhacolo, Ariel, Nhampossa, Tacilta, Vitorino, Pio, Xerinda, Elisio, Bramugy, Justina, Monjane, Celso, Nhachungue, Sheila, Hurtado, Juan Carlos, Maixenchs, Maria, Menéndez, Clara, Ordi, Jaume, Rakislova, Natalia, Valente, Marta, Manhique, Zara, Chitungo, Dercio, Mocumbi, Sibone, Carrilho, Carla, Fernandes, Fabiola, Pass Philipsborn, Rebecca, Koplan, Jeffrey P, Garel, Mischka, Dewey, Betsy, Nair, Shailesh, Salzberg, Navit T, Liu, Lucy, Alkis-Ramirez, Rebecca, Ritter, Jana M, Zaki, Sherif R, Gary, Joy, Winchell, Jonas M, Witherbee, Jacob, Waller, Jessica L, Fayorsey, Ruby, Luke, Ronita, Bassey, Ima-Abasi, Kowuor, Dickens, Sesay, Foday, Kosia, Baindu, Pratt, Samuel, Cain, Carrie-Jo, Samura, Solomon, Solomon, Fatima, Fritz, Ashleigh, Dludlu, Noluthando, Ntuli, Constance, Chawana, Richard, Petersen, Karen, Lala, Sanjay G, Velaphi, Sithembiso, Wadula, Jeannette, Hale, Martin, Swart, Peter J, Lombaard, Hennie, Moosa, Rahima, Sorour, Gillian, Madrid, Lola, Vyas, Kartavya J, Kancherla, Vijaya, Suchdev, Parminder S, Bassat, Quique, Sow, Samba O, El Arifeen, Shams, Madhi, Shabir A, Onyango, Dickens, Ogbuanu, Ikechukwu, Scott, J Anthony G, Blau, Dianna, Mandomando, Inacio, Keita, Adama M, Gurley, Emily S, Mahtab, Sana, Akelo, Victor, Sannoh, Sulaiman, Tilahun, Yenenesh, Varo, Rosauro, Onwuchekwa, Uma, Rahman, Afruna, Adam, Yasmin, Omore, Richard, Lako, Sandra, Wise, Amy, Tippet-Barr, Beth A, Kaluma, Erick, Ajanovic, Sara, Kotloff, Karen L, Mutevedzi, Portia, Tapia, Milagritos D, Moses, Francis, Whitney, Cynthia G, and Assefa, Nega

Published
2023
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25. Person-centred maternity care during childbirth: a systematic review in low and middle-income countries.

Author

Kassa, Zemenu Yohannes, Dadi, Abel F, Bizuayehu, Habtamu Mellie, Hassen, Tahir A, Ahmed, Kedir Y., Ketema, Daniel Bekele, Amsalu, Erkihun, Bore, Meless G, Kibret, Getiye Dejenu, Alemu, Addisu Alehegn, Ayalew, Animut Alebel, Shifa, Jemal E., Bedaso, Asres, and Leshargie, Cheru Tesema

Subjects
MEDICAL personnel, POSTNATAL care, INTRAPARTUM care, HEALTH facilities, MATERNAL health services, MATERNITY nursing, NEONATAL mortality
Abstract

Background: Improving the quality of intrapartum and immediate postnatal care is critical for reducing maternal and neonatal mortality in low- and middle-income countries (LMICs). This review aimed to assess the extent of Person-Centred Maternity Care (PCMC) practices during childbirth in LMICs. Methods: We retrieved studies from four databases, including PubMed/Medline, Embase, CINAHL, and Maternal and Infant Care, up to 30 May 2023 and updated 26 April 2024. Additionally, manual searching was performed to identify additional studies. Our study included studies that examined PCMC using PCMC scale. The included studies were assessed using the Joanna Briggs Institute (JBI) checklist for quality appraisal. Findings: Twelve articles out of 888 were retained in the review. Among these, nine studies specifically examined various elements of PCMC, such as dignity and respect, communication and autonomy, and supportive care. The lowest and highest levels of the mean (± SD-standard deviation) PCMC were 46.5 (6.9) and 60.2 (12.3) out of 90 total scores in Ghana and urban Kenya, respectively. The lowest score was reported in the communication and autonomy subscale domain of PCMC at a mean (± SD) score of 8.3 (3.3). Women who were wealthier and educated, and those who received ANC and birthing care by the same health care providers were found to have a higher level of PCMC during childbirth. Whereas those women who did not have ANC follow-up, visited health facilities for ANC in the second or third trimester, stayed at health facilities after birth for 2–7 days, had complications, and received care from auxiliary midwives, nurses, or assisted by unskillled attendants were associated with a lower level of PCMC during childbirth. Conclusions: Our findings indicated that the communication and autonomy components of PCMC are notably low, affecting the rapport between healthcare providers and women, as well as decision-making and the execution of procedures. To enhance PCMC, continuity of care through antenatal and intrapartum care provided by the same healthcare providers, along with fostering a supportive environment for both women and healthcare providers during childbirth is imperative. PROSPERO ID: CRD42023426638. [ABSTRACT FROM AUTHOR]

Published
2025
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26. Assessment of antenatal care quality in Ethiopia: Facility-based study using service provision assessment data.

Author

Alemu, Addisu Alehegn, Welsh, Alec, Getachew, Theodros, and Khajehei, Marjan

Subjects
*HEALTH facilities, *BLOOD pressure measurement, *POISSON regression, *PRENATAL care, *RURAL health services
Abstract

Background: Antenatal care (ANC) coverage in low- and middle-income countries has increased in the past few decades. However, merely increasing care coverage may not enhance maternal and newborn health unless the recommended service components are also provided. Our aim was to assess the quality of ANC and its associated factors in Ethiopia. Methods: We used data from 2,042 pregnant women whose first ANC consultation was observed. Data were obtained from the 2021–2022 Ethiopian Service Provision Assessment survey conducted among a nationally representative sample of 1,158 healthcare facilities. Twenty-four components of ANC were assessed, and their values were summed to generate a total ANC quality score (range: 0–24). A higher score indicated a superior ANC quality. A multiple generalized Poisson regression model was fitted to identify factors influencing the quality of ANC. All statistical analyses were performed using STATA version 16. Results: The mean ANC quality score was 11 (standard deviation [SD]: 3.8). Blood pressure measurement was the most commonly performed ANC component, at 79.5%, and breast examination for cancer screening was the most neglected component of ANC, at 3.3%. ANC quality was higher in the Amhara region (incidence rate ratio [IRR]: 1.088; 95% confidence interval [CI]: 1.0–1.171) and Southern Nations, Nationalities, and Peoples' Region (IRR: 1.081; 95% CI: 1.002–1.166), and when the care was provided by a female healthcare worker (IRR: 1.054; 95% CI: 1.021–1.088). On the other hand, ANC quality decreased in rural healthcare facilities (IRR: 0.964; 95% CI: 0.932–0.998), clinics (IRR: 0.666; 95% CI: 0.581–0.764), and health posts (IRR: 0.817; 95% CI: 0.732–0.91). Similarly, ANC quality decreased when gestational age at the first antenatal visit increased (IRR: 0.994; 95% CI: 0.992–0.996) and when care was received from a non-nearby healthcare facility (IRR: 0.956; 95% CI: 0.923–0.990). Conclusion: Overall, the quality of ANC in Ethiopia is suboptimal. Encouraging women to initiate ANC early and utilize nearby facilities, assisting providers in delivering standardized services through preservice training, supervision, and continuous education, and ensuring the availability and proper use of necessary resources at all facilities are important to improve ANC quality. [ABSTRACT FROM AUTHOR]

Published
2025
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27. Assessment of healthcare facilities' readiness to provide antenatal care in Ethiopia: facility based study using service provision assessment data.

Author

Alemu, Addisu Alehegn, Welsh, Alec, Getachew, Theodros, and Khajehei, Marjan

Subjects
HEALTH facilities, PUBLIC health, INFECTION prevention, POISSON regression, SECONDARY analysis
Abstract

Background: Readiness of healthcare facilities is essential for delivering quality healthcare services. There is limited evidence on the antenatal care (ANC) readiness of healthcare facilities in Ethiopia. This study aimed to assess the readiness of ANC services and its influencing factors in Ethiopian healthcare facilities. Methods: A secondary data analysis was performed using data from the Ethiopian Service Provision Assessment conducted from 11th August 2021 to 4th February 2022. A total of 905 healthcare facilities from nine regions and two city administrations in Ethiopia that provided ANC were included. Healthcare facilities' ANC readiness was evaluated using 22 indicators across five domains: trained staff and ANC guidelines (3), basic medical equipment (4), medicines and commodities (4), infection prevention tools (6), and diagnostic tests (5). A higher score in each domain indicated greater readiness to deliver recommended ANC. A Generalized Poisson regression model identified factors influencing each domain of ANC readiness indicators. Data analysis was conducted using Stata software version 16. Results: The total number of ANC readiness indicators in healthcare facilities ranged from two to seventeen. The mean score for each indicator of ANC readiness in healthcare facilities was as follows: trained staff and guidelines (1.36/3, SD = 0.96), basic medical equipment (3.20/4, SD = 0.99), medicines and commodities (1.95/4, SD = 1.36), infection prevention tools (4.33/6, SD = 1.51), and diagnostic tests (2.22/5, SD = 1.80), based on the included indicators in each domain. Regression results showed lower availability of medicines and commodities, infection prevention tools, and diagnostic tests in clinics and rural facilities. Trained staff and ANC guidelines were less available in private healthcare institutions, health posts, and clinics. Conversely, medicines and commodities were more available in healthcare facilities in the Afar, Amhara, and Somali regions. Conclusion: Most healthcare facilities in Ethiopia lacked key ANC readiness indicators, which are crucial for comprehensive ANC and achieving maternal and child health Sustainable Development Goals. Strategic interventions are needed to ensure ANC readiness indicators are available in healthcare facilities and to address disparities by facility type, managing authority, location and region. [ABSTRACT FROM AUTHOR]

Published
2025
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31. Spatiotemporal patterns and factors contributing to neonatal mortality in Ethiopia: Data from EDHS 2000 to 2019.

Author

Kibret, Getiye Dejenu, Bizuayehu, Habtamu Mellie, Dadi, Abel F., Amsalu, Erkihun, Alemu, Addisu Alehegn, Hassen, Tahir Ahmed, Leshargie, Cheru Tesema, Bore, Meless Gebrie, Kassa, Zemenu Yohannes, Ketema, Daniel Bekele, Shifa, Jemal E., Alebel, Animut, and Ahmed, Kedir Y.

Subjects
NEONATAL mortality, CHILD mortality, DEMOGRAPHIC surveys, BIRTH intervals, GEOGRAPHIC information systems, MULTILEVEL models
Abstract

Background: Although Ethiopia has substantial improvements in various health indicators such as maternal and child mortality, the burden of neonatal mortality remains high. Between 2016 and 2019, neonatal mortality increased from 29 deaths per 1,000 live births to 33 deaths per 1,000 live births. This study aimed to explore the spatial patterns and factors contributing to neonatal mortality in Ethiopia. Methods: Data from the Ethiopian Demographic and Health Surveys (EDHS) for the years 2000, 2005, 2011, 2016, and 2019 were analyzed. The EDHS sampling design uses a two-stage cluster sampling technique, considering census enumeration areas as primary sampling units and households as secondary sampling units. We used the Spatial Scan analysis in SaTScan and Getis-Ord Gi* statistic in Geographic Information System (GIS), to analyse the spatiotemporal patterns of neonatal mortality. Maternal, newborn and health service-related factors contributing to neonatal mortality were also analyzed using a multilevel logistic regression model. Adjusted Odds Rios (AOR) with corresponding 95% CI were presented as a measure of association and a P-value of 0.05 was used to declare statistical significance. Results: During the initial three consecutive surveys, there was a consistent pattern of hot spot clusters in the Amhara and Benshangul Gumuz regions, along with certain parts of the Oromia region. However, in later surveys, these clusters shifted to the eastern parts of the country, notably including the Somali region. Early initiation of breast feeding was associated with reduced chances of neonatal death (Adjusted Odds Ratio [AOR]) = 0.27; 95% Confidence Interval [CI]: 0.23, 0.32). Neonates born at home (AOR = 1.46; 95% CI: 1.16, 1.82) and male babies had a higher likelihood of mortality during the neonatal period compared to their counterparts (AOR = 1.36; 95% CI: 1.24, 1.51). The odds of neonatal mortality increased with the number of children a mother had ever given birth to (AOR = 1.36; 95% CI: 1.24, 1.51). In contrast, longer birth intervals were associated with a reduced risk of neonatal mortality (AOR = 0.76; 95% CI: 0.68, 0.83). Conclusion: The central southern, central-western, north-western, and northern parts of Ethiopia had most of the neonatal death clusters in the first three rounds of DHS while eastern Ethiopia had the highest neonatal mortality clusters in the latest two surveys. Our results underscore the importance for policymakers and health administrators to reassess intervention approaches and reallocate resources to regions identified as hot spots for neonatal mortality. Enhancing the initiation of breastfeeding within the first hour of birth would improve newborn survival rates. Special attention and care need to be given to babies born of smaller sizes. [ABSTRACT FROM AUTHOR]

Published
2024
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32. Major causes of death in preterm infants in selected hospitals in Ethiopia (SIP): a prospective, cross-sectional, observational study

Author

Muhe, Lulu M, McClure, Elizabeth M, Nigussie, Assaye K, Mekasha, Amha, Worku, Bogale, Worku, Alemayehu, Demtse, Asrat, Eshetu, Beza, Tigabu, Zemene, Gizaw, Mahlet A, Workneh, Netsanet, Girma, Abayneh, Asefa, Mesfin, Portales, Ramon, Bekele, Tiruzer, Bezabih, Mesele, Metaferia, Gesit, Gashaw, Mulatu, Abebe, Bewketu, Berta, Hailu, Alemu, Addisu, Desta, Tigist, Hailu, Rahell, Gebreyesus, Goitom, Aynalem, Sara, Abdissa, Alemseged L, Pfister, Riccardo, Bonger, Zelalem Tazu, Gizaw, Solomon, Abebe, Tamrat, Berhane, Melkamu A, Bekuretsion, Yonas, Dhaded, Sangappa, Patterson, Janna, and Goldenberg, Robert L

Published
2019
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33. Post-mortem investigation of deaths due to pneumonia in children aged 1–59 months in sub-Saharan Africa and South Asia from 2016 to 2022: an observational study

Author

Mahtab, Sana, primary, Blau, Dianna M, additional, Madewell, Zachary J, additional, Ogbuanu, Ikechukwu, additional, Ojulong, Julius, additional, Lako, Sandra, additional, Legesse, Hailemariam, additional, Bangura, Joseph S, additional, Bassat, Quique, additional, Mandomando, Inacio, additional, Xerinda, Elisio, additional, Fernandes, Fabiola, additional, Varo, Rosauro, additional, Sow, Samba O, additional, Kotloff, Karen L, additional, Tapia, Milagritos D, additional, Keita, Adama Mamby, additional, Sidibe, Diakaridia, additional, Onyango, Dickens, additional, Akelo, Victor, additional, Gethi, Dickson, additional, Verani, Jennifer R, additional, Revathi, Gunturu, additional, Scott, J Anthony G, additional, Assefa, Nega, additional, Madrid, Lola, additional, Bizuayehu, Hiwot, additional, Tirfe, Tseyon Tesfaye, additional, El Arifeen, Shams, additional, Gurley, Emily S, additional, Islam, Kazi Munisul, additional, Alam, Muntasir, additional, Zahid Hossain, Mohammad, additional, Dangor, Ziyaad, additional, Baillie, Vicky L, additional, Hale, Martin, additional, Mutevedzi, Portia, additional, Breiman, Robert F, additional, Whitney, Cynthia G, additional, Madhi, Shabir A, additional, Adam, Yasmin, additional, Agaya, Janet, additional, Ahmed, A.S.M. Nawshad Uddin, additional, Ahmed, Dilruba, additional, Alemu, Addisu, additional, Ali, Solomon, additional, Ameh, Soter, additional, Aol, George, additional, Argeseanu, Solveig, additional, Ariuman, Farida, additional, Balogun, Oluseyi, additional, Bari, Sanwarul, additional, Basket, Margaret, additional, Begum, Ferdousi, additional, Bhandari, Manu, additional, Blevins, John, additional, Bunn, James, additional, Bursuc, Courtney, additional, Cain, Carrie Jo, additional, Chawana, Richard, additional, Chawla, Kiranpreet, additional, Chukwuegbo, Cornell, additional, Diarra, Kounandji, additional, Diarra, Tiéman, additional, Diaz, Maureen, additional, Duduyemi, Babatunde, additional, Fairchild, Karen D., additional, Flora, Meerjady Sabrina, additional, Fritz, Ashleigh, additional, Garel, Mischka, additional, Gaume, Brigitte, additional, Gizaw, Mahlet Abayneh, additional, Govender, Nelesh P., additional, Greene, Carol L., additional, Gure, Tadesse, additional, Halu, Binyam, additional, Hoque, Mahbubul, additional, Hwinya, Cleopas, additional, Ibrahim, Alexander M., additional, Igunza, Kitiezo Aggrey, additional, Islam, Ferdousi, additional, Ita, Okokon, additional, Jambai, Amara, additional, Johnson, J. Kristie, additional, Juma, Jane, additional, Kaluma, Erick, additional, Kamal, Mohammed, additional, Kaykay, Osman, additional, Kenneh, Sartie, additional, Khagayi, Sammy, additional, Koka, Rima, additional, Kone, Diakaridia, additional, Koplan, Jeffrey P., additional, Kourouma, Nana, additional, Kowuor, Dickens, additional, LaHatte, Kristin, additional, Lala, Sanjay G., additional, Lee, Kyu Han, additional, Liu, Lucy, additional, Lombaard, Hennie, additional, Maixenchs, Maria, additional, Manhique, Zara, additional, Mannah, Margaret, additional, Martines, Roosecelis, additional, Mash, Ronald, additional, Mehta, Ashka, additional, Menéndez, Clara, additional, Misore, Thomas, additional, Mocumbi, Sibone, additional, Moseray, Andrew, additional, Moses, Francis, additional, Muga, Christopher, additional, Munguambe, Khátia, additional, Myburgh, Nellie, additional, Nair, Shailesh, additional, Ndagurwa, Pedzisai, additional, Nhacolo, Ariel, additional, Nhampossa, Tacilta, additional, Nwajiobi, Princewill, additional, Ochola, Christine, additional, Oliech, Richard, additional, Oluoch, Bernard, additional, Onwuchekwa, Uma U., additional, Onyango, Peter Nyamthimba, additional, Orlien, Stian MS, additional, Otieno, Peter, additional, Oundo, Joseph, additional, Owuor, Harun, additional, Parveen, Shahana, additional, Petersen, Karen, additional, Pratt, Samuel, additional, Rahman, Mahbubur, additional, Rahman, Mohammad Mosiur, additional, Rahman, Mustafizur, additional, Raymer, Sarah, additional, Ritter, Jana, additional, Salzberg, Navit T., additional, Samura, Solomon, additional, Sannoh, Sulaiman, additional, Sanogo, Doh, additional, Seppeh, Martin, additional, Sesay, Tom, additional, Sesay, Joseph Kamanda, additional, Shirin, Tahmina, additional, Sissoko, Seydou, additional, Smart, Francis, additional, Sorour, Gillian, additional, Squire, James, additional, Swaray-Deen, Alim, additional, Swart, Peter J., additional, Tarawally, Fatmata Bintu, additional, Tasnim, Saria, additional, Temesgen, Fikremelekot, additional, Tennant, Sharon M., additional, Traore, Cheick Bougadari, additional, Traore, Awa, additional, Velaphi, Sithembiso, additional, Vyas, Kurt, additional, Wadhwa, Ashutosh, additional, Wadula, Jeannette, additional, Waller, Jessica, additional, Wanga, Valentine, additional, Warang, Shamta, additional, Were, Joyce Akinyi, additional, Wilson, Tais, additional, Winchell, Jonas, additional, Wise, Amy, additional, Witherbee, Jakob, additional, Yeshi, Melisachew Mulatu, additional, and Zaman, K., additional

Published
2024
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40. Global burden of 34 cancers among women in 2020 and projections to 2040: Population‐based data from 185 countries/territories

Author

Bizuayehu, Habtamu Mellie, primary, Dadi, Abel F., additional, Hassen, Tahir A., additional, Ketema, Daniel Bekele, additional, Ahmed, Kedir Y., additional, Kassa, Zemenu Y., additional, Amsalu, Erkihun, additional, Kibret, Getiye Dejenu, additional, Alemu, Addisu Alehegn, additional, Alebel, Animut, additional, Shifa, Jemal E., additional, Assefa, Yibeltal, additional, Tessema, Gizachew A., additional, Sarich, Peter, additional, Gebremedhin, Aster Ferede, additional, and Bore, Meless G., additional

Published
2023
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41. Unmet Supportive Care Needs Among Cancer Patients in Sub-Saharan African Countries: A Mixed Method Systematic Review and Meta-Analysis

Author

Bore, Meless Gebrie, primary, Dadi, Abel Fekadu, additional, Ahmed, Kedir Yimam, additional, Hassen, Tahir Ahmed, additional, Kibret, Getiye Dejenu, additional, Kassa, Zemenu Yohannes, additional, Amsalu, Erkihun, additional, Ketema, Daniel Bekele, additional, Perry, Lin, additional, Alemu, Addisu Alehegn, additional, Shifa, Jemal Ebrahim, additional, Alebel, Animut, additional, Leshargie, Cheru Tesema, additional, and Bizuayehu, Habtamu Mellie, additional

Published
2023
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42. Immunohistochemistry-derived subtypes of breast cancer distribution in four regions of Ethiopia

Author

Belachew, Esmael Besufikad, primary, Desta, Adey Feleke, additional, Gebremariam, Tewodros Yalew, additional, Deneke, Dinikisira Bekele, additional, Ashenafi, Senait, additional, Yeshi, Melisachew Mulatu, additional, Fenta, Bizunesh Dires, additional, Alem, Alemwosen T/Hayimanot, additional, Alemu, Addisu, additional, Abafogi, Abdo Kedir, additional, Desta, Tigist, additional, Chanyalew, Menberework, additional, Beshah, Daniel, additional, Taylor, Lesley, additional, Bauer, Marcus, additional, Tsehay, Dareskedar, additional, Girma, Selfu, additional, Melka, Daniel Seifu, additional, Tessema, Tesfaye Sisay, additional, Kantelhardt, Eva J., additional, and Howe, Rawleigh, additional

Published
2023
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48. Individual and community level determinants of delayed antenatal care initiation in Ethiopia: A multilevel analysis of the 2019 Ethiopian Mini Demographic Health Survey.

Author

Alemu, Addisu Alehegn, Zeleke, Liknaw Bewket, Jember, Desalegn Abebaw, Kassa, Getachew Mullu, and Khajehei, Marjan

Subjects
*PRENATAL care, *DEMOGRAPHIC surveys, *INFANTS, *HEALTH surveys, *FIRST trimester of pregnancy, *PREGNANT women, *MULTILEVEL models
Abstract

Background: Antenatal care (ANC) is essential health care and medical support provided to pregnant women, with the aim of promoting optimal health for both the mother and the developing baby. Pregnant women should initiate ANC within the first trimester of pregnancy to access a wide range of crucial services. Early initiation of ANC significantly reduces adverse pregnancy outcomes, yet many women in Sub-Saharan Africa delay its initiation. The aim of this study was to assess prevalence and determinants of delayed ANC initiation in Ethiopia. Methods: We conducted a secondary data analysis of the 2019 Ethiopian Mini Demographic and Health Survey (EMDHS). The study involved women of reproductive age who had given birth within the five years prior to the survey and had attended ANC for their most recent child. A total weighted sample of 2,895 pregnant women were included in the analysis. Due to the hierarchical nature of the data, we employed a multi-level logistic regression model to examine both individual and community level factors associated with delayed ANC initiation. The findings of the regressions were presented with odds ratios (OR), 95% confidence intervals (CI), and p-values. All the statistical analysis were performed using STATA—14 software. Results: This study showed that 62.3% (95% CI: 60.5, 64.1) of pregnant women in Ethiopia delayed ANC initiation. Participants, on average, began their ANC at 4 months gestational age. Women with no education (AOR = 2.1; 95% CI: 1.4, 3.0), poorest wealth status (AOR = 1.9; 95% CI: 1.3, 2.8), from the Southern Nations, Nationalities, and Peoples (SNNP) region (AOR = 2.1; 95% CI: 1.3, 3.3), and those who gave birth at home (AOR = 1.4; 95% CI: 1.1, 1.7) were more likely to delay ANC initiation. Conclusions: The prevalence of delayed ANC initiation in Ethiopia was high. Enhancing mothers' education, empowering them through economic initiatives, improving their health-seeking behavior towards facility delivery, and universally reinforcing standardized ANC, along with collaborating with the existing local community structure to disseminate health information, are recommended measures to reduce delayed ANC initiation. [ABSTRACT FROM AUTHOR]

Published
2024
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49. Global burden of 34 cancers among women in 2020 and projections to 2040: Population‐based data from 185 countries/territories.

Author

Bizuayehu, Habtamu Mellie, Dadi, Abel F., Hassen, Tahir A., Ketema, Daniel Bekele, Ahmed, Kedir Y., Kassa, Zemenu Y., Amsalu, Erkihun, Kibret, Getiye Dejenu, Alemu, Addisu Alehegn, Alebel, Animut, Shifa, Jemal E., Assefa, Yibeltal, Tessema, Gizachew A., Sarich, Peter, Gebremedhin, Aster Ferede, and Bore, Meless G.

Abstract

Globally women face inequality in cancer outcomes; for example, smaller improvements in life expectancy due to decreased cancer‐related deaths than men (0.5 vs 0.8 years, 1981–2010). However, comprehensive global evidence on the burden of cancer among women (including by reproductive age spectrum) as well as disparities by region, remains limited. This study aimed to address these evidence gaps by considering 34 cancer types in 2020 and their projections for 2040. The cancer burden among women in 2020 was estimated using population‐based data from 185 countries/territories sourced from GLOBOCAN. Mortality to Incidence Ratios (MIR), a proxy for survival, were estimated by dividing the age‐standardised mortality rates by the age‐standardised incidence rates. Demographic projections were performed to 2040. In 2020, there were an estimated 9.3 million cancer cases and 4.4 million cancer deaths globally. Projections showed an increase to 13.3 million (↑44%) and 7.1 million (↑60%) in 2040, respectively, with larger proportional increases in low‐ and middle‐income countries. MIR among women was higher (poorer survival) in rare cancers and with increasing age. Countries with low Human Development Indexes (HDIs) had higher MIRs (69%) than countries with very high HDIs (30%). There was inequality in cancer incidence and mortality worldwide among women in 2020, which will further widen by 2040. Implementing cancer prevention efforts and providing basic cancer treatments by expanding universal health coverage through a human rights approach, expanding early screening opportunities and strengthening medical infrastructure are key to improving and ensuring equity in cancer control and outcomes. [ABSTRACT FROM AUTHOR]

Published
2024
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50. Determinants of Health Care Providers' Attitudes Toward Safe Abortion Care in Ethiopia: A Systematic Review and Meta-Analysis.

Author

Balis, Bikila, Bekele, Habtamu, Balcha, Tegenu, Habte, Sisay, Debella, Adera, Husen, Ahmed Mohammed, Mussa, Ibsa, Ahmed, Fila, Bekele, Deribe, Amin, Abdi, Alemu, Addisu, Getachew, Amalshet, Amare, Getachew, Yadeta, Elias, Negash, Abraham, Lami, Magarsa, Eyeberu, Addis, Kure, Mohammed Abdurke, Getachew, Tamirat, and Eshetu, Bajrond

Abstract

Background: Unsafe abortion is a serious reproductive health problem in developing countries including Ethiopia. The attitude of healthcare providers toward abortion is one of contributing factors to unsafe abortion. This study aimed to determine the pooled effect of healthcare workers' attitudes toward safe abortion care and its determinants factors in Ethiopia. Methods: Search engines such as Scopus, CINAHL, EMBASE, PubMed, Web of Science, and CAB Abstracts were used to find published studies where as Google and Google Scholar were used to find unpublished research. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used. The analysis was performed using STATA 14 and the random-effects model was used to calculate the odds ratios of medical professionals' attitudes regarding safe abortion services. Study heterogeneity was assessed by using I 2 and P -values. To evaluate the stability of pooled values to outliers and publication bias, respectively, sensitivity analysis and funnel plot were also performed. Results: A total of 15 published and unpublished articles with a sample size of 4060 were incorporated in this Review. The overall pooled prevalence of this study was 56% (95% CI: 45-67). Sex of participants (AOR: 2.37; 95% CI: 1.57, 3.58), having training (AOR: 2.86; 95% CI: 1.58, 5.17), Professional type (AOR: 1.55; 95% CI: 1.04, 4.46), and knowledge of abortion law (AOR:2.26; 95% CI: 1.14, 4.46) were the determinants factors that significantly associated with health care workers' attitude toward safe abortion care. Sensitivity analysis shows that the pooled odds ratios were consistently stable throughout all meta-analyses, and the funnel plot shows no evidence of publication bias. Conclusion: Half of health care providers sampled among the pooled studies have favorable attitudes toward abortion services in Ethiopia; which could hamper women's access to safe abortion care. Sex, training, type of profession, and knowing abortion law were determinants of health care workers' attitudes toward safe abortion services. Stakeholders should emphasize improving the attitude of healthcare workers toward safe abortion care which has a vital role in reducing maternal mortality. Moreover, working on modifiable factors like training, assigning personnel whose professions align with the service, and updating care providers about abortion law is also the essential key point to improve their intentions to deliver the services. [ABSTRACT FROM AUTHOR]

Published
2024
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