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1. The overlapping burden of the three leading causes of disability and death in sub-Saharan African children

Author

Reiner, R.C., Welgan, C.A., Troeger, C.E., Baumann, M.M., Weiss, D.J., Deshpande, A., Blacker, B.F., Miller-Petrie, M.K., Earl, L., Bhatt, S., Abolhassani, H., Abosetugn, A.E., Abu-Gharbieh, E., Adekanmbi, V., Adetokunboh, O.O., Aghaali, M., Aji, B., Alahdab, F., Al-Aly, Z., Alhassan, R.K., Ali, S., Alizade, H., Aljunid, S.M., Almasi-Hashiani, A., Al-Mekhlafi, H.M., Altirkawi, K.A., Alvis-Guzman, N., Amare, A.T., Amini, S., Amugsi, D.A., Ancuceanu, R., Andrei, C.L., Ansari, F., Anvari, D., Appiah, S.C.Y., Arabloo, J., Aremu, O., Atout, M.M.W., Ausloos, M., Ausloos, F., Ayanore, M.A., Aynalem, Y.A., Azene, Z.N., Badawi, A., Baig, A.A., Banach, M., Bedi, N., Bhagavathula, A.S., Bhandari, D., Bhardwaj, N., Bhardwaj, P., Bhattacharyya, K., Bhutta, Z.A., Bijani, A., Birhanu, T.T.M., Bitew, Z.W., Boloor, A., Brady, O.J., Butt, Z.A., Car, J., Carvalho, F., Casey, D.C., Chattu, V.K., Chowdhury, M.A.K., Chu, D.-., Coelho, C.H., Cook, A.J., Damiani, G., Daoud, F., Gela, J.D., Darwish, A.H., Daryani, A., Das, J.K., Davis Weaver, N., Deribe, K., Desalew, A., Dharmaratne, S.D., Dianatinasab, M., Diaz, D., Djalalinia, S., Dorostkar, F., Dubljanin, E., Duko, B., Dwyer-Lindgren, L., Effiong, A., El Sayed Zaki, M., El Tantawi, M., Enany, S., Fattahi, N., Feigin, V.L., Fernandes, E., Ferrara, P., Fischer, F., Foigt, N.A., Folayan, M.O., Foroutan, M., Frostad, J.J., Fukumoto, T., Gaidhane, A.M., Gebrekrstos, H.G.G.K., Gebremeskel, L., Gebreslassie, A.A., Gething, P.W., Gezae, K.E., Ghadiri, K., Ghashghaee, A., Golechha, M., Gubari, M.I.M., Hadgu, F.B., Hamidi, S., Handiso, D.W., Hashi, A., Hassan, S., Hayat, K., Herteliu, C., H. C., H., Holla, R., Hosseinzadeh, M., Househ, M., Hussain, R., Hwang, B.-., Ibitoye, S.E., Ilesanmi, O.S., Ilic, I.M., Ilic, M.D., Irvani, S.S.N., Jaafari, J., Javaheri, T., Jha, R.P., Johnson, K.B., Jonas, J.B., Jozwiak, J.J., Kabir, A., Kalhor, R., Kanchan, T., Karch, A., Kayode, G.A., Keiyoro, P.N., Khader, Y.S., Khalil, I.A., Khan, M.N., Khan, M., Khan, G., Khatab, K., Khater, M.M., Khatib, M.N., Kianipour, N., Kim, Y.J., Kimokoti, R.W., Kisa, S., Kisa, A., Kissoon, N., Kochhar, S., Koolivand, A., Kopec, J.A., Koyanagi, A., Krishan, K., Kumar, P., Kurmi, O.P., Kusuma, D., Lal, D.K., Lami, F.H., Landires, I., Lansingh, V.C., Lasrado, S., La Vecchia, C., Lazzar-Atwood, A., Lee, P.H., Legrand, K.E., Lewycka, S., Li, B., Lim, S.S., Lindstedt, P.A., Liu, X., Longbottom, J., Lopez, A.D., Magdy Abd El Razek, H., Mahasha, P.W., Maleki, A., Mamun, A.A., Mansournia, M.A., Marczak, L.B., Martins-Melo, F.R., Mayala, B.K., Meharie, B.G., Melese, A., Mendoza, W., Menezes, R.G., Mengesha, E.W., Mensah, G.A., Meretoja, T.J., Mestrovic, T., Miller, T.R., Mirrakhimov, E.M., Moazen, B., Mohammad Gholi Mezerji, N., Mohammadi, S., Mohammed, S., Mokdad, A.H., Moradi, M., Moradzadeh, R., Moraga, P., Mosser, J.F., Murray, C.J.L., Naderi, M., Nagarajan, A.J., Nazari, J., Ndejjo, R., Negoi, I., Ngunjiri, J.W., Nguyen, Q.A.P., Nguyen, H.L.T., Nnaji, C.A., Noubiap, J.J., Nunez-Samudio, V., Olagunju, A.T., Olusanya, J.O., Olusanya, B.O., Omer, M.O., Onwujekwe, O.E., Otstavnov, N., Otstavnov, S.S., Owolabi, M.O., P A, M., Padubidri, J.R., Pana, A., Peprah, E.K., Pham, H.Q., Pigott, D.M., Pirestani, M., Postma, M.J., Pottoo, F.H., Pourjafar, H., Quazi Syed, Z., Rahim, F., Rahimi-Movaghar, V., Rahman, M.H.U., Rao, S.J., Rao, P.C., Rathi, P., Rawaf, S., Rawaf, D.L., Rawal, L., Rawassizadeh, R., Regassa, L.D., Renzaho, A.M.N., Rezaei, N., Rezai, M.S., Ribeiro, A.I., Rickard, J., Rios-Gonzalez, C.M., Rumisha, S.F., Sabour, S., Sajadi, S.M., Salomon, J.A., Samadi Kafil, H., Samy, A.M., Sanabria, J., Sartorius, B., Saxena, D., Schaeffer, L.E., Senthilkumaran, S., Sha, F., Shaheen, A.A., Shaikh, M.A., Sharma, R., Sheikh, A., Shibuya, K., Shigematsu, M., Il Shin, J., Simonetti, B., Singh, J.A., Smith, D.L., Soheili, A., Sokhan, A., Spurlock, E.E., Sreeramareddy, C.T., Sufiyan, M.B., Swartz, S.J., Tadesse, D.B., Tamiru, A.T., Tefera, Y.G., Temsah, M.-., Tessema, Z.T., Titova, M.V., Tran, B.X., Truong, P.N., Unnikrishnan, B., Upadhyay, E., Vasankari, T.J., Vasseghian, Y., Violante, F.S., G. T., V., Waheed, Y., Wamai, R.G., Wassie, E.G., Welay, F.T., Wickramasinghe, N.D., Wiens, K.E., Wijeratne, T., Wiysonge, C.S., Wondmeneh, T.G., Yamada, T., Yaya, S., Yeshitila, Y.G., Yip, P., Yonemoto, N., Yu, C., Yuce, D., Yusefzadeh, H., Zaidi, Z., Zamanian, M., Zangeneh, A., Zhang, Z.-., Zhang, Y., Ziapour, A., Hay, S.I., Reiner, RC Jr, Welgan, CA, Troeger, CE, Baumann, MM, Duko, Bereket, Hay, Simon I, LBD Triple Collaborators, Value, Affordability and Sustainability (VALUE), Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET), Microbes in Health and Disease (MHD), Reiner, R, Welgan, C, Troeger, C, Baumann, M, Weiss, D, Deshpande, A, Blacker, B, Miller-Petrie, M, Earl, L, Bhatt, S, Abolhassani, H, Abosetugn, A, Abu-Gharbieh, E, Adekanmbi, V, Adetokunboh, O, Aghaali, M, Aji, B, Alahdab, F, Al-Aly, Z, Alhassan, R, Ali, S, Alizade, H, Aljunid, S, Almasi-Hashiani, A, Al-Mekhlafi, H, Altirkawi, K, Alvis-Guzman, N, Amare, A, Amini, S, Amugsi, D, Ancuceanu, R, Andrei, C, Ansari, F, Anvari, D, Appiah, S, Arabloo, J, Aremu, O, Atout, M, Ausloos, M, Ausloos, F, Ayanore, M, Aynalem, Y, Azene, Z, Badawi, A, Baig, A, Banach, M, Bedi, N, Bhagavathula, A, Bhandari, D, Bhardwaj, N, Bhardwaj, P, Bhattacharyya, K, Bhutta, Z, Bijani, A, Birhanu, T, Bitew, Z, Boloor, A, Brady, O, Butt, Z, Car, J, Carvalho, F, Casey, D, Chattu, V, Chowdhury, M, Chu, D, Coelho, C, Cook, A, Damiani, G, Daoud, F, Gela, J, Darwish, A, Daryani, A, Das, J, Davis Weaver, N, Deribe, K, Desalew, A, Dharmaratne, S, Dianatinasab, M, Diaz, D, Djalalinia, S, Dorostkar, F, Dubljanin, E, Duko, B, Dwyer-Lindgren, L, Effiong, A, El Sayed Zaki, M, El Tantawi, M, Enany, S, Fattahi, N, Feigin, V, Fernandes, E, Ferrara, P, Fischer, F, Foigt, N, Folayan, M, Foroutan, M, Frostad, J, Fukumoto, T, Gaidhane, A, Gebrekrstos, H, Gebremeskel, L, Gebreslassie, A, Gething, P, Gezae, K, Ghadiri, K, Ghashghaee, A, Golechha, M, Gubari, M, Hadgu, F, Hamidi, S, Handiso, D, Hashi, A, Hassan, S, Hayat, K, Herteliu, C, Ho, H, Holla, R, Hosseinzadeh, M, Househ, M, Hussain, R, Hwang, B, Ibitoye, S, Ilesanmi, O, Ilic, I, Ilic, M, Irvani, S, Jaafari, J, Javaheri, T, Jha, R, Johnson, K, Jonas, J, Jozwiak, J, Kabir, A, Kalhor, R, Kanchan, T, Karch, A, Kayode, G, Keiyoro, P, Khader, Y, Khalil, I, Khan, M, Khan, G, Khatab, K, Khater, M, Khatib, M, Kianipour, N, Kim, Y, Kimokoti, R, Kisa, S, Kisa, A, Kissoon, N, Kochhar, S, Koolivand, A, Kopec, J, Koyanagi, A, Krishan, K, Kumar, P, Kurmi, O, Kusuma, D, Lal, D, Lami, F, Landires, I, Lansingh, V, Lasrado, S, La Vecchia, C, Lazzar-Atwood, A, Lee, P, Legrand, K, Lewycka, S, Li, B, Lim, S, Lindstedt, P, Liu, X, Longbottom, J, Lopez, A, Magdy Abd El Razek, H, Mahasha, P, Maleki, A, Mamun, A, Mansournia, M, Marczak, L, Martins-Melo, F, Mayala, B, Meharie, B, Melese, A, Mendoza, W, Menezes, R, Mengesha, E, Mensah, G, Meretoja, T, Mestrovic, T, Miller, T, Mirrakhimov, E, Moazen, B, Mohammad Gholi Mezerji, N, Mohammadi, S, Mohammed, S, Mokdad, A, Moradi, M, Moradzadeh, R, Moraga, P, Mosser, J, Murray, C, Naderi, M, Nagarajan, A, Nazari, J, Ndejjo, R, Negoi, I, Ngunjiri, J, Nguyen, Q, Nguyen, H, Nnaji, C, Noubiap, J, Nunez-Samudio, V, Olagunju, A, Olusanya, J, Olusanya, B, Omer, M, Onwujekwe, O, Otstavnov, N, Otstavnov, S, Owolabi, M, P A, M, Padubidri, J, Pana, A, Peprah, E, Pham, H, Pigott, D, Pirestani, M, Postma, M, Pottoo, F, Pourjafar, H, Quazi Syed, Z, Rahim, F, Rahimi-Movaghar, V, Rahman, M, Rao, S, Rao, P, Rathi, P, Rawaf, S, Rawaf, D, Rawal, L, Rawassizadeh, R, Regassa, L, Renzaho, A, Rezaei, N, Rezai, M, Ribeiro, A, Rickard, J, Rios-Gonzalez, C, Rumisha, S, Sabour, S, Sajadi, S, Salomon, J, Samadi Kafil, H, Samy, A, Sanabria, J, Sartorius, B, Saxena, D, Schaeffer, L, Senthilkumaran, S, Sha, F, Shaheen, A, Shaikh, M, Sharma, R, Sheikh, A, Shibuya, K, Shigematsu, M, Il Shin, J, Simonetti, B, Singh, J, Smith, D, Soheili, A, Sokhan, A, Spurlock, E, Sreeramareddy, C, Sufiyan, M, Swartz, S, Tadesse, D, Tamiru, A, Tefera, Y, Temsah, M, Tessema, Z, Titova, M, Tran, B, Truong, P, Unnikrishnan, B, Upadhyay, E, Vasankari, T, Vasseghian, Y, Violante, F, Vu, G, Waheed, Y, Wamai, R, Wassie, E, Welay, F, Wickramasinghe, N, Wiens, K, Wijeratne, T, Wiysonge, C, Wondmeneh, T, Yamada, T, Yaya, S, Yeshitila, Y, Yip, P, Yonemoto, N, Yu, C, Yuce, D, Yusefzadeh, H, Zaidi, Z, Zamanian, M, Zangeneh, A, Zhang, Z, Zhang, Y, Ziapour, A, Hay, S, HUS Comprehensive Cancer Center, Institute for Molecular Medicine Finland, Clinicum, Helsinki University Hospital Area, and Department of Oncology

Subjects
Multidisciplinary, Settore MED/42 - Igiene Generale e Applicata, 3122 Cancers, malaria, General Physics and Astronomy, COVID-19, General Chemistry, 3126 Surgery, anesthesiology, intensive care, radiology, infectious diseases, Sub-Saharian Africa, General Biochemistry, Genetics and Molecular Biology, Settore MED/01 - Statistica Medica, Children mortality, epidemiology, biogeography
Abstract

Publisher Copyright: © 2022, The Author(s). Despite substantial declines since 2000, lower respiratory infections (LRIs), diarrhoeal diseases, and malaria remain among the leading causes of nonfatal and fatal disease burden for children under 5 years of age (under 5), primarily in sub-Saharan Africa (SSA). The spatial burden of each of these diseases has been estimated subnationally across SSA, yet no prior analyses have examined the pattern of their combined burden. Here we synthesise subnational estimates of the burden of LRIs, diarrhoea, and malaria in children under-5 from 2000 to 2017 for 43 sub-Saharan countries. Some units faced a relatively equal burden from each of the three diseases, while others had one or two dominant sources of unit-level burden, with no consistent pattern geographically across the entire subcontinent. Using a subnational counterfactual analysis, we show that nearly 300 million DALYs could have been averted since 2000 by raising all units to their national average. Our findings are directly relevant for decision-makers in determining which and targeting where the most appropriate interventions are for increasing child survival.

Published
2022

2. Subnational mapping of HIV incidence and mortality among individuals aged 15-49 years in sub-Saharan Africa, 2000-18: a modelling study

Author

Sartorius, B., VanderHeide, J.D., Yang, M., Goosmann, E.A., Hon, J., Haeuser, E., Cork, M.A., Perkins, S., Jahagirdar, D., Schaeffer, L.E., Serfes, A.L., LeGrand, K.E., Abbastabar, H., Abebo, Z.H., Abosetugn, A.E., Abu-Gharbieh, E., Accrombessi, M.M.K., Adebayo, O.M., Adegbosin, A.E., Adekanmbi, V., Adetokunboh, O.O., Adeyinka, D.A., Ahinkorah, B.O., Ahmadi, K., Ahmed, M.B., Akalu, Y., Akinyemi, O.O., Akinyemi, R.O., Aklilu, A., Akunna, C.J., Alahdab, F., Al-Aly, Z., Alam, N., Alamneh, A.A., Alanzi, T.M., Alemu, B.W., Alhassan, R.K., Ali, T., Alipour, V., Amini, S., Ancuceanu, R., Ansari, F., Anteneh, Z.A., Anvari, D., Anwer, R., Appiah, S.C.Y., Arabloo, J., Asemahagn, M.A., Asghari Jafarabadi, M., Asmare, W.N., Atnafu, D.D., Atout, M.M.W., Atreya, A., Ausloos, M., Awedew, A.F., Ayala Quintanilla, B.P., Ayanore, M.A., Aynalem, Y.A., Ayza, M.A., Azari, S., Azene, Z.N., Babar, Z.-U.-D., Baig, A.A., Balakrishnan, S., Banach, M., Bärnighausen, T.W., Basu, S., Bayati, M., Bedi, N., Bekuma, T.T., Bezabhe, W.M.M., Bhagavathula, A.S., Bhardwaj, P., Bhattacharyya, K., Bhutta, Z.A., Bibi, S., Bikbov, B., Birhan, T.A., Bitew, Z.W., Bockarie, M.J., Boloor, A., Brady, O.J., Bragazzi, N.L., Briko, A.N., Briko, N.I., Burugina Nagaraja, S., Butt, Z.A., Cárdenas, R., Carvalho, F., Charan, J., Chatterjee, S., Chattu, S.K., Chattu, V.K., Chowdhury, M.A.K., Chu, D.-T., Cook, A.J., Cormier, N.M., Cowden, R.G., Culquichicon, C., Dagnew, B., Dahlawi, S.M.A., Damiani, G., Daneshpajouhnejad, P., Daoud, F., Daryani, A., das Neves, J., Davis Weaver, N., Derbew Molla, M., Deribe, K., Desta, A.A., Deuba, K., Dharmaratne, S.D., Dhungana, G.P., Diaz, D., Djalalinia, S., Doku, P.N., Dubljanin, E., Duko, B., Eagan, A.W., Earl, L., Eaton, J.W., Effiong, A., El Sayed Zaki, M., El Tantawi, M., Elayedath, R., El-Jaafary, S.I., Elsharkawy, A., Eskandarieh, S., Eyawo, O., Ezzikouri, S., Fasanmi, A.O., Fasil, A., Fauk, N.K., Feigin, V.L., Ferede, T.Y., Fernandes, E., Fischer, F., Foigt, N.A., Folayan, M.O., Foroutan, M., Francis, J.M., Fukumoto, T., Gad, M.M., Geberemariyam, B.S., Gebregiorgis, B., Gebremichael, B., Gesesew, H.A., Getacher, L., Ghadiri, K., Ghashghaee, A., Gilani, S.A., Ginindza, T.G., Glagn, M., Golechha, M., Gona, P.N., Gubari, M.I.M., Gugnani, H.C., Guido, D., Guled, R.A., Hall, B.J., Hamidi, S., Handiso, D.W., Hargono, A., Hashi, A., Hassanipour, S., Hassankhani, H., Hayat, K., Herteliu, C., de Hidru, H.D., Holla, R., Hosgood, H.D., Hossain, N., Hosseini, M., Hosseinzadeh, M., Househ, M., Hwang, B.-F., Ibitoye, S.E., Ilesanmi, O.S., Ilic, I.M., Ilic, M.D., Irvani, S.S.N., Iwu, C.C.D., Iwu, C.J., Iyamu, I.O., Jain, V., Jakovljevic, M., Jalilian, F., Jha, R.P., Johnson, K.B., Joshua, V., Joukar, F., Jozwiak, J.J., Kabir, A., Kalankesh, L.R., Kalhor, R., Kamath, A., Kamyari, N., Kanchan, T., Karami Matin, B., Karch, A., Karimi, S.E., Kasa, A.S., Kassahun, G., Kayode, G.A., Kazemi Karyani, A., Keiyoro, P.N., Kelkay, B., Khalid, N., Khan, G., Khan, J., Khan, M.N., Khatab, K., Khazaei, S., Kim, Y.J., Kisa, A., Kisa, S., Kochhar, S., Kopec, J.A., Kosen, S., Koulmane Laxminarayana, S., Koyanagi, A., Krishan, K., Kuate Defo, B., Kugbey, N., Kulkarni, V., Kumar, M., Kumar, N., Kurmi, O.P., Kusuma, D., Kuupiel, D., Kyu, H.H., La Vecchia, C., Lal, D.K., Lam, J.O., Landires, I., Lasrado, S., Lazarus, J.V., Lazzar-Atwood, A., Lee, P.H., Leshargie, C.T., Li, B., Liu, X., Lopukhov, P.D., Amin, H.I.M., Madi, D., Mahasha, P.W., Majeed, A., Maleki, A., Maleki, S., Mamun, A.A., Manafi, N., Mansournia, M.A., Martins-Melo, F.R., Masoumi, S.Z., Mayala, B.K., Meharie, B.G., Meheretu, H.A.A., Meles, H.G., Melku, M., Mendoza, W., Mengesha, E.W., Meretoja, T.J., Mersha, A.M., Mestrovic, T., Miller, T.R., Mirica, A., Mirzaei-Alavijeh, M., Mohamad, O., Mohammad, Y., Mohammadian-Hafshejani, A., Mohammed, J.A., Mohammed, S., Mokdad, A.H., Mokonnon, T., Molokhia, M., Moradi, M., Moradi, Y., Moradzadeh, R., Moraga, P., Mosser, J.F., Munro, S.B., Mustafa, G., Muthupandian, S., Naderi, M., Nagarajan, A.J., Naghavi, M., Naveed, M., Nayak, V.C., Nazari, J., Ndejjo, R., Nepal, S., Netsere, H.B., Ngalesoni, F.N., Nguefack-Tsague, G., Ngunjiri, J.W., Nigatu, Y.T., Nigussie, S.N., Nnaji, C.A., Noubiap, J.J., Nuñez-Samudio, V., Oancea, B., Odukoya, O.O., Ogbo, F.A., Oladimeji, O., Olagunju, A.T., Olusanya, B.O., Olusanya, J.O., Omer, M.O., Omonisi, A.E.E., Onwujekwe, O.E., Orisakwe, O.E., Otstavnov, N., Owolabi, M.O., Mahesh, P.A., Padubidri, J.R., Pakhale, S., Pana, A., Pandi-Perumal, S.R., Patel, U.K., Pathak, M., Patton, G.C., Pawar, S., Peprah, E.K., Pokhrel, K.N., Postma, M.J., Pottoo, F.H., Pourjafar, H., Pribadi, D.R.A., Quazi Syed, Z., Rafiei, A., Rahim, F., Rahman, M.H.U., Rahmani, A.M., Ram, P., Rana, J., Ranabhat, C.L., Rao, S., Rao, S.J., Rathi, P., Rawaf, D.L., Rawaf, S., Rawassizadeh, R., Renjith, V., Reta, M.A., Rezaei, N., Rezapour, A., Ribeiro, A.I., Ross, J.M., Rumisha, S.F., Sagar, R., Sahu, M., Sajadi, S.M., Salem, M.R., Samy, A.M., Sathian, B., Schutte, A.E., Seidu, A.-A., Sha, F., Shafaat, O., Shahbaz, M., Shaikh, M.A., Shaka, M.F., Sheikh, A., Shibuya, K., Shin, J.I., Shivakumar, K.M., Sidemo, N.B., Singh, J.A., Skryabin, V.Y., Skryabina, A.A., Soheili, A., Soltani, S., Somefun, O.D., Sorrie, M.B., Spurlock, E.E., Sufiyan, M.B., Taddele, B.W., Tadesse, E.G., Tamir, Z., Tamiru, A.T., Tanser, F.C., Taveira, N., Tehrani-Banihashemi, A., Tekalegn, Y., Tesfay, F.H., Tessema, B., Tessema, Z.T., Thakur, B., Tolani, M.A., Topor-Madry, R., Torrado, M., Tovani-Palone, M.R., Traini, E., Tsai, A.C., Tsegaye, G.W., Ullah, I., Ullah, S., Umeokonkwo, C.D., Unnikrishnan, B., Vardavas, C., Violante, F.S., Vo, B., Wado, Y.D., Waheed, Y., Wamai, R.G., Wang, Y., Ward, P., Werdecker, A., Wickramasinghe, N.D., Wijeratne, T., Wiysonge, C.S., Wondmeneh, T.G., Yamada, T., Yaya, S., Yeshaw, Y., Yeshitila, Y.G., Yilma, M.T., Yip, P., Yonemoto, N., Yosef, T., Yusefzadeh, H., Zaidi, S.S., Zaki, L., Zamanian, M., Zastrozhin, M.S., Zastrozhina, A., Zewdie, D.T., Zhang, Y., Zhang, Z.-J., Ziapour, A., Hay, S.I., Dwyer-Lindgren, L., LBD HIV Incidence Mortality Collaborators, Instituto de Saúde Pública da Universidade do Porto, Khatab, Khaled, Sartorius B., VanderHeide J.D., Yang M., Goosmann E.A., Hon J., Haeuser E., Cork M.A., Perkins S., Jahagirdar D., Schaeffer L.E., Serfes A.L., LeGrand K.E., Abbastabar H., Abebo Z.H., Abosetugn A.E., Abu-Gharbieh E., Accrombessi M.M.K., Adebayo O.M., Adegbosin A.E., Adekanmbi V., Adetokunboh O.O., Adeyinka D.A., Ahinkorah B.O., Ahmadi K., Ahmed M.B., Akalu Y., Akinyemi O.O., Akinyemi R.O., Aklilu A., Akunna C.J., Alahdab F., Al-Aly Z., Alam N., Alamneh A.A., Alanzi T.M., Alemu B.W., Alhassan R.K., Ali T., Alipour V., Amini S., Ancuceanu R., Ansari F., Anteneh Z.A., Anvari D., Anwer R., Appiah S.C.Y., Arabloo J., Asemahagn M.A., Asghari Jafarabadi M., Asmare W.N., Atnafu D.D., Atout M.M.W., Atreya A., Ausloos M., Awedew A.F., Ayala Quintanilla B.P., Ayanore M.A., Aynalem Y.A., Ayza M.A., Azari 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Khazaei S., Kim Y.J., Kisa A., Kisa S., Kochhar S., Kopec J.A., Kosen S., Koulmane Laxminarayana S., Koyanagi A., Krishan K., Kuate Defo B., Kugbey N., Kulkarni V., Kumar M., Kumar N., Kurmi O.P., Kusuma D., Kuupiel D., Kyu H.H., La Vecchia C., Lal D.K., Lam J.O., Landires I., Lasrado S., Lazarus J.V., Lazzar-Atwood A., Lee P.H., Leshargie C.T., Li B., Liu X., Lopukhov P.D., Amin H.I.M., Madi D., Mahasha P.W., Majeed A., Maleki A., Maleki S., Mamun A.A., Manafi N., Mansournia M.A., Martins-Melo F.R., Masoumi S.Z., Mayala B.K., Meharie B.G., Meheretu H.A.A., Meles H.G., Melku M., Mendoza W., Mengesha E.W., Meretoja T.J., Mersha A.M., Mestrovic T., Miller T.R., Mirica A., Mirzaei-Alavijeh M., Mohamad O., Mohammad Y., Mohammadian-Hafshejani A., Mohammed J.A., Mohammed S., Mokdad A.H., Mokonnon T., Molokhia M., Moradi M., Moradi Y., Moradzadeh R., Moraga P., Mosser J.F., Munro S.B., Mustafa G., Muthupandian S., Naderi M., Nagarajan A.J., Naghavi M., Naveed M., Nayak V.C., Nazari J., Ndejjo 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Singh J.A., Skryabin V.Y., Skryabina A.A., Soheili A., Soltani S., Somefun O.D., Sorrie M.B., Spurlock E.E., Sufiyan M.B., Taddele B.W., Tadesse E.G., Tamir Z., Tamiru A.T., Tanser F.C., Taveira N., Tehrani-Banihashemi A., Tekalegn Y., Tesfay F.H., Tessema B., Tessema Z.T., Thakur B., Tolani M.A., Topor-Madry R., Torrado M., Tovani-Palone M.R., Traini E., Tsai A.C., Tsegaye G.W., Ullah I., Ullah S., Umeokonkwo C.D., Unnikrishnan B., Vardavas C., Violante F.S., Vo B., Wado Y.D., Waheed Y., Wamai R.G., Wang Y., Ward P., Werdecker A., Wickramasinghe N.D., Wijeratne T., Wiysonge C.S., Wondmeneh T.G., Yamada T., Yaya S., Yeshaw Y., Yeshitila Y.G., Yilma M.T., Yip P., Yonemoto N., Yosef T., Yusefzadeh H., Zaidi S.S., Zaki L., Zamanian M., Zastrozhin M.S., Zastrozhina A., Zewdie D.T., Zhang Y., Zhang Z.-J., Ziapour A., Hay S.I., Dwyer-Lindgren L., Local Burden of Disease HIV Collaborators, Duko, Bereket, Yeshaw, Yigizie, Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET), Value, Affordability and Sustainability (VALUE), Microbes in Health and Disease (MHD), Bill & Melinda Gates Foundation, HUS Comprehensive Cancer Center, and Clinicum

Subjects
0301 basic medicine, sub-Saharan Africa, Male, HIV Antibodie, Epidemiology, HIV incidences, HIV Infections, mortality rate, HIV Antibodies, Modelling study, Human immunodeficiency virus prevalence, 0302 clinical medicine, Africa, Northern, RA0421, Seroepidemiologic Studies, Medicine, Northern, HIV Infection, 030212 general & internal medicine, Young adult, 10. No inequality, uncertainty, Mozambique, 11 Medical and Health Sciences, HIV mortality, Mortality rate, Incidence (epidemiology), Incidence, 1. No poverty, Hiv incidence, article, Mauritania, Human immunodeficiency virus infected patient, Articles, tracking, Middle Aged, health care planning, 3. Good health, Lesotho, AIDS, Infectious Diseases, QR180, A990 Medicine and Dentistry not elsewhere classified, Female, prenatal care, anti human immunodeficiency virus agent, seroepidemiology, Human, Adult, Adolescent, Anti-HIV Agents, Immunology, antiretroviral therapy, Unit (housing), 03 medical and health sciences, Young Adult, blood, Human immunodeficiency virus infection, Virology, Seroprevalence, Humans, human, Developing Countries, Estimation, Acquired Immunodeficiency Syndrome, Subnational mappings, business.industry, Seroepidemiologic Studie, HIV, Anti-HIV Agent, PREVENTION, 030112 virology, mortality, monitoring, 3121 General medicine, internal medicine and other clinical medicine, Human immunodeficiency virus antibody, Africa, business, HIV incidence, Subnational mapping, Sub-Saharan Africa, Local burden of disease, Public health, Demography
Abstract

Background. High-resolution estimates of HIV burden across space and time provide an important tool for tracking and monitoring the progress of prevention and control efforts and assist with improving the precision and efficiency of targeting efforts. We aimed to assess HIV incidence and HIV mortality for all second-level administrative units across sub-Saharan Africa. Methods. In this modelling study, we developed a framework that used the geographically specific HIV prevalence data collected in seroprevalence surveys and antenatal care clinics to train a model that estimates HIV incidence and mortality among individuals aged 15–49 years. We used a model-based geostatistical framework to estimate HIV prevalence at the second administrative level in 44 countries in sub-Saharan Africa for 2000–18 and sought data on the number of individuals on antiretroviral therapy (ART) by second-level administrative unit. We then modified the Estimation and Projection Package (EPP) to use these HIV prevalence and treatment estimates to estimate HIV incidence and mortality by second-level administrative unit. Findings. The estimates suggest substantial variation in HIV incidence and mortality rates both between and within countries in sub-Saharan Africa, with 15 countries having a ten-times or greater difference in estimated HIV incidence between the second-level administrative units with the lowest and highest estimated incidence levels. Across all 44 countries in 2018, HIV incidence ranged from 2·8 (95% uncertainty interval 2·1–3·8) in Mauritania to 1585·9 (1369·4–1824·8) cases per 100 000 people in Lesotho and HIV mortality ranged from 0·8 (0·7–0·9) in Mauritania to 676·5 (513·6–888·0) deaths per 100 000 people in Lesotho. Variation in both incidence and mortality was substantially greater at the subnational level than at the national level and the highest estimated rates were accordingly higher. Among second-level administrative units, Guijá District, Gaza Province, Mozambique, had the highest estimated HIV incidence (4661·7 [2544·8–8120·3]) cases per 100 000 people in 2018 and Inhassunge District, Zambezia Province, Mozambique, had the highest estimated HIV mortality rate (1163·0 [679·0–1866·8]) deaths per 100 000 people. Further, the rate of reduction in HIV incidence and mortality from 2000 to 2018, as well as the ratio of new infections to the number of people living with HIV was highly variable. Although most second-level administrative units had declines in the number of new cases (3316 [81·1%] of 4087 units) and number of deaths (3325 [81·4%]), nearly all appeared well short of the targeted 75% reduction in new cases and deaths between 2010 and 2020. Interpretation. Our estimates suggest that most second-level administrative units in sub-Saharan Africa are falling short of the targeted 75% reduction in new cases and deaths by 2020, which is further compounded by substantial within-country variability. These estimates will help decision makers and programme implementers expand access to ART and better target health resources to higher burden subnational areas. This work was primarily supported by the Bill & Melinda Gates Foundation (grant OPP1132415). Additionally, O Adetokunboh acknowledges the support of the Department of Science and Innovation, and National Research Foundation of South Africa. M Ausloos, A Pana, and C Herteliu are partially supported by a grant of the Romanian National Authority for Scientific Research and Innovation, Executive Agency for Higher Education, Research, Development and Innovation Funding (Romania; project number PN-III-P4-ID-PCCF-2016-0084). T W Bärnighausen was supported by the Alexander von Humboldt Foundation through the Alexander von Humboldt Professor award, funded by the German Federal Ministry of Education and Research. M J Bockarie is supported by the European and Developing Countries Clinical Trials Partnership. F Carvalho and E Fernandes acknowledge support from Portuguese national funds (Fundação para a Ciência e Tecnologia and Ministério da Ciência, Tecnologia e Ensino Superior; UIDB/info:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB/50006/2020/PT, UIDB/04378/2020, and UIDP/04378/2020. K Deribe is supported by the Wellcome Trust (grant 201900/Z/16/Z) as part of his International Intermediate Fellowship. B-F Hwang was partially supported by China Medical University (CMU107-Z-04), Taichung, Taiwan. M Jakovljevic acknowledges support of the Serbia Ministry of Education Science and Technological Development (grant OI 175 014). M N Khan acknowledges the support of Jatiya Kabi Kazi Nazrul Islam University, Bangladesh. Y J Kim was supported by the Research Management Centre, Xiamen University Malaysia, Malaysia, (XMUMRF/2020-C6/ITCM/0004). K Krishnan is supported by University Grants Commission Centre of Advanced Study, (CAS II), awarded to the Department of Anthropology, Panjab University, Chandigarh, India. M Kumar would like to acknowledge National Institutes of Health and Fogarty International Cente (K43TW010716). I Landires is a member of the Sistema Nacional de Investigación, which is supported by the Secretaría Nacional de Ciencia, Tecnología e Innovación, Panama. W Mendoza is a program analyst in population and development at the UN Population Fund Country Office in Peru, which does not necessarily endorse this study. M Phetole received institutional support from the Grants, Innovation and Product Development Unit, South African Medical Research Council. O Odukoya acknowledges support from the Fogarty International Center of the US National Institutes of Health (K43TW010704). The content is solely the responsibility of the authors and does not necessarily represent the official views of the US National Institutes of Health. O Oladimeji is grateful for the support from Walter Sisulu University, Eastern Cape, South Africa, the University of Botswana, Botswana, and the University of Technology of Durban, Durban, South Africa. J R Padubidri acknowledges support from Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, India. G C Patton is supported by an Australian Government National Health and Medical Research Council research fellowship. P Rathi acknowledges Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal India. A I Ribeiro was supported by National Funds through Fundação para a Ciência e Tecnologia, under the programme of Stimulus of Scientific Employment–Individual Support (info:eu-repo/grantAgreement/FCT/CEEC IND 2018/CEECIND/02386/2018/CP1538/CT0001/PT). A M Samy acknowledges the support of the Egyptian Fulbright Mission Program. F Sha was supported by the Shenzhen Social Science Fund (SZ2020C015) and the Shenzhen Science and Technology Program (KQTD20190929172835662). A Sheikh is supported by Health Data Research UK. N Taveira acknowledges partial funding by Fundação para a Ciência e Tecnologia, Portugal, and Aga Khan Development Network—Portugal Collaborative Research Network in Portuguese-speaking countries in Africa (332821690), and by the European and Developing Countries Clinical Trials Partnership (RIA2016MC-1615). C S Wiysonge is supported by the South African Medical Research Council. Y Zhang was supported by the Science and Technology Research Project of Hubei Provincial Department of Education (Q20201104) and Open Fund Project of Hubei Province Key Laboratory of Occupational Hazard Identification and Control (OHIC2020Y01).

Published
2021

3. Mapping inequalities in exclusive breastfeeding in low- and middle-income countries, 2000-2018

Author

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Zhang, Y, Zhang, Z-J, Zhao, X-JG, Zodpey, S, Zuniga, YMH, Local Burden of Disease Exclusive Breastfeeding Collaborators, Bhattacharjee, Natalia V, Schaeffer, Lauren E, Hay, Simon I, Duko, Bereket, Yeshaw, Yigizie, Local Burden of Disease Exclusive Breastfeeding Collaborators, Bhattacharjee N.V., Schaeffer L.E., Hay S.I., Lu D., Schipp M.F., Lazzar-Atwood A., Donkers K.M., Abady G.G., Abd-Allah F., Abdelalim A., Abebo Z.H., Abejie A.N., Abosetugn A.E., Abreu L.G., Abrigo M.R.M., Abu-Gharbieh E., Abushouk A.I., Adamu A.L., Adedeji I.A., Adegbosin A.E., Adekanmbi V., Adetokunboh O.O., Agudelo-Botero M., Aji B., Akinyemi O.O., Alamneh A.A., Alanezi F.M., Alanzi T.M., Albright J., Alcalde-Rabanal J.E., Alemu B.W., Alhassan R.K., Ali B.A., Ali S., Alinia C., Alipour V., Amit A.M.L., Amugsi D.A., Anbesu E.W., Ancuceanu R., Anjomshoa M., Ansari F., Antonio C.A.T., Anvari D., Arabloo J., Arora A., Artanti K.D., Asemahagn M.A., Asmare W.N., Atout M.M.W., Ausloos M., Awoke N., Quintanilla B.P.A., Ayanore M.A., Aynalem Y.A., Ayza M.A., Azene Z.N., Darshan B.B., Badiye A.D., Baig A.A., Bakkannavar S.M., Banach M., Banik P.C., Barnighausen T.W., Basaleem H., Bayati M., Baye B.A., Bedi N., Belay S.A., Bhagavathula A.S., Bhandari D., Bhardwaj N., Bhardwaj P., Bhutta Z.A., Bijani A., Birhan T.A., Birihane B.M., Bitew Z.W., Bohlouli S., Bohluli M., Bojia H.A., Boloor A., Brady O.J., Bragazzi N.L., Brunoni A.R., Budhathoki S.S., Nagaraja S.B., Butt Z.A., Cardenas R., Castaldelli-Maia J.M., Castro F., Cernigliaro A., Charan J., Chatterjee P., Chatterjee S., Chattu V.K., Chaturvedi S., Chowdhury M.A.K., Chu D.-T., Collison M.L., Cook A.J., Cork M.A., Couto R.A.S., Dagnew B., Dai H., Dandona L., Dandona R., Daneshpajouhnejad P., Darwesh A.M., Darwish A.H., Daryani A., Das J.K., Gupta R.D., Davila-Cervantes C.A., Davis A.C., Weaver N.D., Denova-Gutierrez E., Deribe K., Desalew A., Deshpande A., Dessie A., Deuba K., Dharmaratne S.D., Dhimal M., Dhungana G.P., Diaz D., Didarloo A., Dipeolu I.O., Doan L.P., Duko B., Duraes A.R., Dwyer-Lindgren L., Earl L., Zaki M.E.S., Tantawi M.E., Elema T.B., Elhabashy H.R., El-Jaafary S.I., Faris P.S., Faro A., Farzadfar F., Feigin V.L., Feleke B.E., Ferede T.Y., Fischer F., Foigt N.A., Folayan M.O., Franklin R.C., Gad M.M., Gaidhane S., Gardner W.M., Geberemariyam B.S., Gebregiorgis B.G., Gebremedhin K.B., Gebremichael B., Ghaffarpasand F., Gilani S.A., Ginindza T.G., Glagn M., Golechha M., Gonfa K.B., Goulart B.N.G., Gudi N., Guido D., Guled R.A., Guo Y., Hamidi S., Handiso D.W., Hasaballah A.I., Hassan A., Hayat K., Hegazy M.I., Heidari B., Henry N.J., Herteliu C., de Hidru H.D., Ho H.C., Hoang C.L., Holla R., Hon J., Hosseini M., Hosseinzadeh M., Househ M., Hsairi M., Hu G., Huda T.M., Hwang B.-F., Ibitoye S.E., Ilesanmi O.S., Ilic I.M., Ilic M.D., Inbaraj L.R., Iqbal U., Irvani S.S.N., Islam M.M., Iwu C.C.D., Iwu C.J., Jain A., Janodia M.D., Javaheri T., John-Akinola Y.O., Johnson K.B., Joukar F., Jozwiak J.J., Kabir A., Kalankesh L.R., Kalhor R., Kamath A., Kamyari N., Kanchan O.T., Kapoor N., Matin B.K., Karimi S.E., Kasaye H.K., Kassahun G., Kassebaum N.J., Kayode G.A., Karyani A.K., Keiyoro P.N., Kelkay B., Khalid N., Khan M.N., Khatab K., Khater A.M., Khater M.M., Khatib M.N., Kim Y.J., Kimokoti R.W., Kinyoki D.K., Kisa A., Kisa S., Kosen S., Krishan K., Kulkarni V., Kumar G.A., Kumar M., Kumar N., Kumar P., Kurmi O.P., Kusuma D., Vecchia C.L., Lad S.D., Lami F.H., Landires I., Lansingh V.C., Lasrado S., Lee P.H., LeGrand K.E., Letourneau I.D., Lewycka S., Li B., Li M.-C., Li S., Liu X., Lodha R., Lopez J.C.F., Louie C., Machado D.B., Maled V., Maleki S., Malta D.C., Mamun A.A., Manafi N., Mansournia M.A., Mapoma C.C., Marczak L.B., Martins-Melo F.R., Mehndiratta M.M., Mejia-Rodriguez F., Mekonnen T.C., Mendoza W., Menezes R.G., Mengesha E.W., Mersha A.M., Miller T.R., Mini G.K., Mirrakhimov E.M., Misra S., Moghadaszadeh M., Mohammad D.K., Mohammadian-Hafshejani A., Mohammed J.A., Mohammed S., Mokdad A.H., Montero-Zamora P.A., Moradi M., Moradzadeh R., Moraga P., Mosser J.F., Mousavi S.M., Khaneghah A.M., Munro S.B., Muriithi M.K., Mustafa G., Muthupandian S., Nagarajan A.J., Naik G., Naimzada M.D., Nangia V., Nascimento B.R., Nayak V.C., Ndejjo R., Ndwandwe D.E., Negoi I., Nguefack-Tsague G., Ngunjiri J.W., Nguyen C.T., Nguyen D.N., Nguyen H.L.T., Nigussie S.N., Nigussie T.T.N., Nikbakhsh R., Nnaji C.A., Nunez-Samudio V., Oancea B., Oghenetega O.B., Olagunju A.T., Olusanya B.O., Olusanya J.O., Omer M.O., Onwujekwe O.E., Ortega-Altamirano D.V., Osgood-Zimmerman A.E., Otstavnov N., Otstavnov S.S., Owolabi M.O., Mahesh P.A., Padubidri J.R., Pana A., Pandey A., Pandi-Perumal S.R., Pangaribuan H.U., Parsekar S.S., Pasupula D.K., Patel U.K., Pathak A., Pathak M., Pattanshetty S.M., Patton G.C., Paulos K., Pepito V.C.F., Pickering B.V., Pinheiro M., Piwoz E.G., Pokhrel K.N., Pourjafar H., Prada S.I., Pribadi D.R.A., Syed Z.Q., Rabiee M., Rabiee N., Rahim F., Rahimzadeh S., Rahman A., Rahman M.H.U., Rahmani A.M., Rai R.K., Ranabhat C.L., Rao S.J., Rastogi P., Rathi P., Rawaf D.L., Rawaf S., Rawassizadeh R., Rawat R., Regassa L.D., Rego M.A.S., Reiner R.C., Reshmi B., Rezapour A., Ribeiro A.I., Rickard J., Roever L., Rumisha S.F., Rwegerera G.M., Sagar R., Sajadi S.M., Salem M.R., Samy A.M., Santric-Milicevic M.M., Saraswathy S.Y.I., Sarker A.R., Sartorius B., Sathian B., Saxena D., Sbarra A.N., Sengupta D., Senthilkumaran S., Sha F., Shafaat O., Shaheen A.A., Shaikh M.A., Shalash A.S., Shannawaz M., Sheikh A., Shetty B.S.K., Shetty R.S., Shibuya K., Shiferaw W.S., Shin J.I., Silva D.A.S., Singh N.P., Singh P., Singh S., Sintayehu Y., Skryabin V.Y., Skryabina A.A., Soheili A., Soltani S., Sorrie M.B., Spurlock E.E., Steuben K.M., Sudaryanto A., Sufiyan M.B., Swartz S.J., Tadesse E.G., Tamiru A.T., Tapak L., Tareque M.I., Tarigan I.U., Tesema G.A., Tesfay F.H., Teshome A., Tessema Z.T., Thankappan K.R., Thapar R., Thomas N., Topor-Madry R., Tovani-Palone M.R., Traini E., Tran B.X., Truong P.N., Tsegaye B.T.B.T., Ullah I., Umeokonkwo C.D., Unnikrishnan B., Upadhyay E., Uzochukwu B.S.C., VanderHeide J.D., Violante F.S., Vo B., Wado Y.D., Waheed Y., Wamai R.G., Wang F., Wang Y., Wang Y.-P., Wickramasinghe N.D., Wiens K.E., Wiysonge C.S., Woyczynski L., Wu A.-M., Wu C., Yamada T., Yaya S., Yeshaneh A., Yeshaw Y., Yeshitila Y.G., Yilma M.T., Yip P., Yonemoto N., Yosef T., Younis M.Z., Yousuf A.Y., Yu C., Yu Y., Yuce D., Zafar S., Zaidi S.S., Zaki L., Zakzuk J., Zamanian M., Zar H.J., Zastrozhin M.S., Zastrozhina A., Zelellw D.A., Zhang Y., Zhang Z.-J., Zhao X.-J.G., Zodpey S., Zuniga Y.M.H., Collaborators, Local Burden of Disease Exclusive Breastfeeding, and Instituto de Saúde Pública da Universidade do Porto

Subjects
RJ101, Psychological intervention, Breastfeeding, Social Sciences, geography, Behavioral Neuroscience, 0302 clinical medicine, RA0421, Prevalence, Psychology, policy making, 030212 general & internal medicine, Policy Making, humans, media_common, CHILD GROWTH FAILURE, Developing world, 0303 health sciences, education.field_of_study, Psychology, Biological, Geography, Psychology, Experimental, Health Status Disparitie, Multidisciplinary Sciences, Breast Feeding, breast feeding, Scale (social sciences), Science & Technology - Other Topics, Life Sciences & Biomedicine, Human, AFRICA, Social Psychology, Inequality, spatial analysis, media_common.quotation_subject, public policy, Population, prevalence, Public policy, Developing country, Experimental and Cognitive Psychology, Public Policy, Local Burden of Disease Exclusive Breastfeeding Collaborators, Article, Developing Countrie, 03 medical and health sciences, Environmental health, Humans, Nutrition disorders, education, Developing Countries, 030304 developmental biology, Spatial Analysis, Science & Technology, Neurosciences, Health Status Disparities, developing countries, health status disparities, Risk factors, Neurosciences & Neurology, Breast feeding
Abstract

Exclusive breastfeeding (EBF)—giving infants only breast-milk for the first 6 months of life—is a component of optimal breastfeeding practices effective in preventing child morbidity and mortality. EBF practices are known to vary by population and comparable subnational estimates of prevalence and progress across low- and middle-income countries (LMICs) are required for planning policy and interventions. Here we present a geospatial analysis of EBF prevalence estimates from 2000 to 2018 across 94 LMICs mapped to policy-relevant administrative units (for example, districts), quantify subnational inequalities and their changes over time, and estimate probabilities of meeting the World Health Organization’s Global Nutrition Target (WHO GNT) of ≥70% EBF prevalence by 2030. While six LMICs are projected to meet the WHO GNT of ≥70% EBF prevalence at a national scale, only three are predicted to meet the target in all their district-level units by 2030., Bhattacharjee and Schaeffer et al. map exclusive breastfeeding (EBF) in 94 low- and middle-income countries (LMICs), finding increased EBF practice and reduced subnational variation across the majority of LMICs from 2000 to 2018. However, only six LMICs will meet WHO’s target of ≥70% EBF by 2030 nationally, and only three will achieve this in all districts.

Published
2021

4. Mapping subnational HIV mortality in six Latin American countries with incomplete vital registration systems

Author

Simachew Animen Bante, Carlo Eduardo Medina-Solís, Rodrigo Sarmiento-Suárez, Deniz Yuce, Ninuk Hariyani, Virginia Núñez-Samudio, Zhi-Jiang Zhang, Lucas Guimarães Abreu, Sindhura Lakshmi Koulmane Laxminarayana, Ejaz Ahmad Khan, Natalie Maria Cormier, Ghulam Mustafa, Arielle Wilder Eagan, Shirin Djalalinia, Jalal Arabloo, Bay Vo, Mukhammad David Naimzada, Farahnaz Joukar, Arvin Haj-Mirzaian, Julia Moreira Pescarini, Getinet Kassahun, Robert Ancuceanu, Mohammad Ali Mansournia, Amin Soheili, Félix Carvalho, Edgar Denova-Gutiérrez, Aubrey J. Cook, Jasvinder A. Singh, Maysaa El Sayed Zaki, Sergio I. Prada, Seyedeh Zahra Masoumi, Rajesh Sagar, Emmanuel Peprah, Fenta Hun Y. Beyene, Mikhail Sergeevich Zastrozhin, Dimas Ria Angga Pribadi, Yun Jin Kim, Maryam Adabi, Feleke Mekonnen Demeke, Valentin Yurievich Skryabin, Mathew M. Baumann, Bárbara Niegia Garcia de Goulart, Ali Kazemi Karyani, Nooshin Abbasi, Eyayou Girma Tadesse, Sanjay Basu, Hadi Hassankhani, Keyghobad Ghadiri, Keshab Deuba, Dilshad Manzar, Robert L. Thompson, Keivan Ahmadi, Rahmatollah Moradzadeh, Shaimaa I. El-Jaafary, Alessandra C. Goulart, Diana Fernanda Bejarano Ramirez, Samata Nepal, Marcos Roberto Tovani-Palone, Gebiyaw Wudie Tsegaye, Irina Filip, Ian D. Letourneau, Ramesh Holla, Neda Kianipour, Maha El Tantawi, Lucas Earl, Paul S. F. Yip, Miguel A Barboza, Rajan Nikbakhsh, Nauman Khalid, Kimberly B. Johnson, Iván Landires, Manasi Kumar, Babak Moazen, Rohol Lah Kalhor, Dinh-Toi Chu, Lauren E. Schaeffer, Nima Rezaei, Alexandre C. Pereira, Susan F. Rumisha, Mehdi Hosseinzadeh, Xuefeng Liu, Feng Sha, Mahaveer Golechha, Davood Anvari, Urvish K Patel, Bing-Fang Hwang, Samath D Dharmaratne, Muhammad Aqeel, Kebede Deribe, Nelsensius Klau Fauk, Lillian Mwanri, Nuruzzaman Khan, Yunquan Zhang, Paula Moraga, Ai Koyanagi, Abdallah M. Samy, Nithin Kumar, Rahul Gupta, Samad Azari, Soheil Hassanipour, Archith Boloor, Kiana Ramezanzadeh, Andrew J. Croneberger, Enrico Rubagotti, Jaykaran Charan, Khezar Hayat, Amir Masoud Rahmani, Kio Mars Sharafi, Ionut Negoi, Simon I. Hay, Deborah Carvalho Malta, Yasser Vasseghian, Yihienew M. Bezabih, Jean Jacques Noubiap, Nazir Fattahi, Adnan Kisa, Alok Atreya, Devasahayam J. Christopher, Ayenew Kassie Tesema, Nuwan Darshana Wickramasinghe, Jaffar Abbas, Daniel Diaz, Desta Debalkie Atnafu, Malke Asaad, Arief Hargono, Zahid A Butt, Dharmesh Kumar Lal, Pankaj Bhardwaj, Amir Radfar, Salman Rawaf, Vardhmaan Jain, Amir Almasi-Hashiani, Krittika Bhattacharyya, João Mauricio Castaldelli-Maia, Behzad Karami Matin, Mohammad Rifat Haider, Emily Haeuser, S. Mohammad Sajadi, Francisco Rogerlândio Martins-Melo, Jagadish Rao Padubidri, Carlos Alberto Marrugo Arnedo, Beatriz Paulina Ayala Quintanilla, Tomislav Mestrovic, Hawraz Ibrahim M. Amin, Bhaskaran Unnikrishnan, Seithikurippu R. Pandi-Perumal, Arash Ziapour, Samantha Perkins, Deepa Jahagirdar, Akshaya Srikanth Bhagavathula, Eduarda Fernandes, Nataliya Foigt, Audrey L. Serfes, Fissaha Tekulu Welay, Savita Lasrado, Saad M.A. Dahlawi, Segun Emmanuel Ibitoye, Hedayat Abbastabar, Om P Kurmi, Hung Chak Ho, Faheem Hyder Pottoo, Priya Rathi, Chukwuma David Umeokonkwo, Ali Bijani, Shanshan Li, Reza Rawassizadeh, Vishnu Renjith, Barthelemy Kuate Defo, Giang Thu Vu, Farah Daoud, Tudorel Andrei, Ricardo de Souza Kuchenbecker, Fakher Rahim, Adeyinka Emmanuel Adegbosin, Sezer Kisa, Rajesh Elayedath, Shafiu Mohammed, Vinod C. Nayak, Fisaha Haile Tesfay, Cuong Tat Nguyen, Masoud Foroutan, Mingyou Yang, Yousef Mohammad, Abdul-Aziz Seidu, Benjamin K. Mayala, Diego Augusto Santos Silva, Amin Mousavi Khaneghah, Nikha Bhardwaj, Masoud Moradi, Charles Ugochukwu Ibeneme, Olatunji O. Adetokunboh, Carlo La Vecchia, Tesfay B.B. Gebremariam, Ritesh G. Menezes, Olatunde Aremu, Bogdan Oancea, Mohiuddin Ahsanul Kabir Chowdhury, Stefanie Watson, Yousef Moradi, Souranshu Chatterjee, Ugo Gori, Isabela M. Benseñor, Khem Narayan Pokhrel, Hailay Abrha Gesesew, Paul Ward, Carlos A Castañeda-Orjuela, Usman Iqbal, Rekha Thapar, Naser Mohammad Gholi Mezerji, Yasir Waheed, Ziad A. Memish, Vijay Kumar Chattu, Daiane Borges Machado, Shrikant Pawar, Soosanna Kumary Chattu, Sanni Yaya, Ketema Bizuwork Gebremedhin, Naohiro Yonemoto, Ahmad Ghashghaee, Marcela Agudelo-Botero, Amber Sligar, Nicole Davis Weaver, Kenji Shibuya, Claudiu Herteliu, Andreea Mirica, André Karch, Asif Hanif, Atif Amin Baig, Salah Eddin Karimi, Gulfaraz Khan, David Laith Rawaf, Andrew T Olagunju, Chuanhua Yu, Darshan B B, Olayinka Stephen Ilesanmi, Takeshi Fukumoto, Neeraj Bedi, Claudio Alberto Dávila-Cervantes, Muktar Beshir Ahmed, Deepak Madi, Ione Jayce Ceola Schneider, Masood Ali Shaikh, Juwel Rana, Tanuj Kanchan, Mohamed M. Gad, Syed Amir Gilani, Victor Adekanmbi, Mu'awiyyah Babale Sufiyan, Harish Chander Gugnani, Tadele G. Adal, Mohammad Hifz Ur Rahman, Leila R Kalankesh, Gbenga A. Kayode, Bach Xuan Tran, Ana Isabel Ribeiro, Basavaprabhu Achappa, Andem Effiong, André Faro, Javad Nazari, Abdollah Mohammadian-Hafshejani, Soewarta Kosen, Vahid Alipour, Sowmya J. Rao, Rosario Cárdenas, Milena Ilic, Ravi Prakash Jha, Zebenay Workneh Bitew, Nelson Alvis-Guzman, Dian Kusuma, Yum Ing Guo, Mowafa Househ, Arya Haj-Mirzaian, Krista M. Steuben, Hadush Negash, Ahamarshan Jayaraman Nagarajan, Irena Ilic, Laura Dwyer-Lindgren, Godfrey Mutashambara Rwegerera, Florian Fischer, Gebreamlak Gebremedhn Gebremeskel, Kate E. LeGrand, Ravishankar Nagaraja, Reza Mohammadpourhodki, Mark Drew Crosland Guimarães, Kewal Krishan, Maryam Zamanian, Paul H. Lee, Emerito Jose A. Faraon, Rafael Alves Guimarães, Aziz Sheikh, Marwa Rashad Salem, Michael A. Cork, Francesco Saverio Violante, Bright Opoku Ahinkorah, Liliana Preotescu, Somayeh Bohlouli, Aziz Rezapour, Ana Melisa Pardo-Montaño, Huong Lan Thi Nguyen, Khaled Khatab, Teklehaimanot Gereziher Haile, Mohammad Ali Moni, Govinda Prasad Dhungana, Leonardo Roever, Carlos Magis-Rodriguez, Andre R. Brunoni, Nathaniel J. Henry, Brijesh Sathian, Bingyu Li, Maciej Banach, Hasan Yusefzadeh, Nikita Otstavnov, Bruno Ramos Nascimento, Fernando de la Hoz, Georges Nguefack-Tsague, Zulfiqar A Bhutta, Robert Kaba Alhassan, Jae Il Shin, Andre Rodrigues Duraes, Yuan-Pang Wang, Felix Akpojene Ogbo, Mihajlo Jakovljevic, Eman Abu-Gharbieh, Vaman Kulkarni, Anna Aleksandrovna Skryabina, Sait Mentes Birlik, Maarten J. Postma, Chhabi Lal Ranabhat, Walter Mendoza, Yanzhong Wang, Maryam Keramati, Mahesh P A, Ali H. Mokdad, Muhammad Naveed, Nitin Joseph, Ronny Westerman, Bill & Melinda Gates Foundation, Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET), Value, Affordability and Sustainability (VALUE), Microbes in Health and Disease (MHD), Cork M.A., Henry N.J., Watson S., Croneberger A.J., Baumann M., Letourneau I.D., Yang M., Serfes A.L., Abbas J., Abbasi N., Abbastabar H., Abreu L.G., Abu-Gharbieh E., Achappa B., Adabi M., Adal T.G., Adegbosin A.E., Adekanmbi V., Adetokunboh O.O., Agudelo-Botero M., Ahinkorah B.O., Ahmadi K., Ahmed M.B., Alhassan R.K., Alipour V., Almasi-Hashiani A., Alvis-Guzman N., Ancuceanu R., Andrei T., Anvari D., Aqeel M., Arabloo J., Aremu O., Asaad M., Atnafu D.D., Atreya A., Quintanilla B.P.A., Azari S., B D.B., Baig A.A., Banach M., Bante S.A., Barboza M.A., Basu S., Bedi N., Ramirez D.F.B., Bensenor I.M., Beyene F.-H.Y., Bezabih Y.M., Bhagavathula A.S., Bhardwaj N., Bhardwaj P., Bhattacharyya K., Bhutta Z.A., Bijani A., Birlik S.M., Bitew Z.W., Bohlouli S., Boloor A., Brunoni A.R., Butt Z.A., Cardenas R., Carvalho F., Castaldelli-Maia J.M., Casta-neda-orjuela C.A., Charan J., Chatterjee S., Chattu V.K., Chattu S.K., Chowdhury M.A.K., Christopher D.J., Chu D.-T., Cook A.J., Cormier N.M., Dahlawi S.M.A., Daoud F., Davila-Cervantes C.A., Weaver N.D., De la Hoz F.P., Demeke F.M., Denova-Gutierrez E., Deribe K., Deuba K., Dharmaratne S.D., Dhungana G.P., Diaz D., Djalalinia S., Duraes A.R., Eagan A.W., Earl L., Effiong A., Zaki M.E.S., Tantawi M.E., Elayedath R., El-Jaafary S.I., Faraon E.J.A., Faro A., Fattahi N., Fauk N.K., Fernandes E., Filip I., Fischer F., Foigt N.A., Foroutan M., Fukumoto T., Gad M.M., Gebremariam T.B.B., Gebremed-Hin K.B., Gebremeskel G.G., Gesesew H.A., Ghadiri K., Ghashghaee A., Gilani S.A., Golechha M., Gori U., Goulart A.C., Goulart B.N.G., Gugnani H.C., Guimaraes M.D.C., Guimaraes R.A., Guo Y.-I., Gupta R., Haeuser E., Haider M.R., Haile T.G., Haj-Mirzaian A., Hanif A., Hargono A., Hariyani N., Hassanipour S., Hassankhani H., Hayat K., Herteliu C., Ho H.C., Holla R., Hosseinzadeh M., Househ M., Hwang B.-F., Ibeneme C.U., Ibitoye S.E., Ile-Sanmi O.S., Ilic M.D., Ilic I.M., Iqbal U., Jahagir-Dar D., Jain V., Jakovljevic M., Jha R.P., Johnson K.B., Joseph N., Joukar F., Kalankesh L.R., Kalhor R.-L., Kanchan T., Matin B.K., Karch A., Karimi S.E., Kassahun G., Kayode G.A., Karyani A.K., Keramati M., Khalid N., Khan E.A., Khan G., Khan M.N.N., Khatab K., Kianipour N., Kim Y.J., Kisa S., Kisa A., Kosen S., Laxminarayana S.L.K., Koyanagi A., Krishan K., Defo B.K., Kuchenbecker R.S., Kulkarni V., Kumar N., Kumar M., Kurmi O.P., Kusuma D., Vecchia C.L., Lal D.K., Landires I., Lasrado S., Lee P.H., Legrand K.E., Li B., Li S., Liu X., Amin H.I.M., Machado D.B., Madi D., Magis-Rodriguez C., Malta D.C., Mansournia M.A., Manzar M.D., Arnedo C.A.M., Martins-Melo F.R., Masoumi S.Z., Mayala B.K., Medina-Solis C.E., Memish Z.A., Mendoza W., Menezes R.G., Mestrovic T., Mirica A., Moazen B., Mohammad Y., Mezerji N.M.G., Mohammadian-Hafshejani A., Mohammadpourhodki R., Mohammed S., Mokdad A.H., Moni M.A., Moradi M., Moradi Y., Moradzadeh R., Moraga P., Khaneghah A.M.-S., Mustafa G., Mwanri L., Nagaraja R., Nagarajan A.J., Naim-Zada M.D., Nascimento B.R., Naveed D.M., Nayak V.C., Nazari J., Negash H., Negoi I., Nepal S., Nguefack-Tsague G., Nguyen C.T., Nguyen H.L.T., Nikbakhsh R., Noubiap J.J., Nunez-Samudio V., Oancea B., Ogbo F.A., Olagunju A.T., Otstav-Nov N., A M.P., Padubidri J.R., Pandi-Perumal S.R., Pardo-Montano A.M., Patel U.K., Pawar S., Peprah E.K., Pereira A., Perkins S., Pescarini J.M., Pokhrel K.N., Postma M.J., Pot-Too F.H., Prada S.I., Preotescu L., Pribadi D.R.A., Radfar A., Rahim F., Rahman M.H.U., Rahmani A.M., Ramezanzadeh K., Rana J., Ranabhat C.L., Rao S.J., Rathi P., Rawaf S., Rawaf D.L., Rawassizadeh R., Renjith V., Rezaei N., Rezapour A., Ribeiro A.I., Roever L., Rubagotti E., Rumisha S.F., Rwegerera G.M., Sagar R., Sajadi S.M., Salem M.R., Samy A.M., Sarmiento-Suarez R., Sathian B., Schaeffer L.E., Schneider I.J.C., Seidu A.-A., Sha F., Shaikh M.A., Sharafi K.-M., Sheikh A., Shibuya K., Shin J.I., Silva D.A.S., Singh J.A., Skryabin V.Y., Skryabina A.A., Sligar A., Soheili A., Steuben K.M., Sufiyan M.B., Tadesse E.G., Tesema A.K.T., Tesfay F.H., Thapar R., Thompson R.L., Tovani-Palone M.R., Tran B.X., Tsegaye G.W., Umeokonkwo C.D., Unnikrish-Nan B., Vasseghian Y., Violante F.S., Vo B., Vu G.T., Waheed Y., Wang Y.-P., Wang Y., Ward P., Welay F.T., Westerman R., Wickramasinghe N.D., Yaya S., Yip P., Yonemoto N., Yu C., Yuce D., Yusefzadeh H., Zamanian M., Zastroz-Hin M.S., Zhang Z.-J., Zhang Y., Ziapour A., Hay S.I., Dwyer-Lindgren L., Local Burden of Disease HIV Collaborators, Clinicum, HUS Comprehensive Cancer Center, Cork, Michael A, Henry, Nathaniel J, Watson, Stefanie, Croneberger, Andrew J, Ahmed, Muktar B, Dwyer-Lindgren, Laura, Instituto de Saúde Pública da Universidade do Porto, and Collaborators, Local Burden of Disease HIV

Subjects
Male, Latin Americans, lcsh:Medicine, LOW-INCOME, HIV Infections, HIV mortality, HIV/AIDS, Latin America, Mapping, Small area estimation, Spatial statistics, Vital registration, Vital registrations, 0302 clinical medicine, ANTIRETROVIRAL THERAPY, Medicine, 030212 general & internal medicine, Registries, 11 Medical and Health Sciences, media_common, Mortality rate, 1. No poverty, DEATH, Regression analysis, General Medicine, Middle Aged, BRAZIL, Local Burden of Disease HIV Collaborators, 3. Good health, AIDS, SEX, A990 Medicine and Dentistry not elsewhere classified, Female, HEALTH, 0305 other medical science, Life Sciences & Biomedicine, Research Article, Adult, medicine.medical_specialty, Inequality, Adolescent, media_common.quotation_subject, TUBERCULOSIS, Small area estimations, 03 medical and health sciences, Medicine, General & Internal, Sex Factors, Acquired immunodeficiency syndrome (AIDS), HIV mortalities, General & Internal Medicine, Humans, Aged, Science & Technology, 030505 public health, business.industry, Public health, lcsh:R, Ecological study, HIV, Bayes Theorem, GLOBAL BURDEN, medicine.disease, TRENDS, Vital Statistics, Spatial statistic, 3121 General medicine, internal medicine and other clinical medicine, Human medicine, business, Demography
Abstract

Background Human immunodeficiency virus (HIV) remains a public health priority in Latin America. While the burden of HIV is historically concentrated in urban areas and high-risk groups, subnational estimates that cover multiple countries and years are missing. This paucity is partially due to incomplete vital registration (VR) systems and statistical challenges related to estimating mortality rates in areas with low numbers of HIV deaths. In this analysis, we address this gap and provide novel estimates of the HIV mortality rate and the number of HIV deaths by age group, sex, and municipality in Brazil, Colombia, Costa Rica, Ecuador, Guatemala, and Mexico. Methods We performed an ecological study using VR data ranging from 2000 to 2017, dependent on individual country data availability. We modeled HIV mortality using a Bayesian spatially explicit mixed-effects regression model that incorporates prior information on VR completeness. We calibrated our results to the Global Burden of Disease Study 2017. Results All countries displayed over a 40-fold difference in HIV mortality between municipalities with the highest and lowest age-standardized HIV mortality rate in the last year of study for men, and over a 20-fold difference for women. Despite decreases in national HIV mortality in all countries—apart from Ecuador—across the period of study, we found broad variation in relative changes in HIV mortality at the municipality level and increasing relative inequality over time in all countries. In all six countries included in this analysis, 50% or more HIV deaths were concentrated in fewer than 10% of municipalities in the latest year of study. In addition, national age patterns reflected shifts in mortality to older age groups—the median age group among decedents ranged from 30 to 45 years of age at the municipality level in Brazil, Colombia, and Mexico in 2017. Conclusions Our subnational estimates of HIV mortality revealed significant spatial variation and diverging local trends in HIV mortality over time and by age. This analysis provides a framework for incorporating data and uncertainty from incomplete VR systems and can help guide more geographically precise public health intervention to support HIV-related care and reduce HIV-related deaths.

Published
2021

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