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4. Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018.

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Kinyoki D., Osgood-Zimmerman A.E., Bhattacharjee N.V., Schaeffer L.E., Lazzar-Atwood A., Lu D., Ewald S.B., Donkers K.M., Letourneau I.D., Collison M., Schipp M.F., Abajobir A., Abbasi S., Abbasi N., Abbasifard M., Abbasi-Kangevari M., Abbastabar H., Abd-Allah F., Abdelalim A., Abd-Elsalam S.M., Abdoli A., Abdollahpour I., Abedi A., Abolhassani H., Abraham B., Abreu L.G., Abrigo M.R.M., Abualhasan A., Abu-Gharbieh E., Abushouk A.I., Accrombessi M.M.K., Adabi M., Adebayo O.M., Adegbosin A.E., Adekanmbi V., Adetokunboh O.O., Adeyinka D.A., Adham D., Advani S.M., Agasthi P., Aghaali M., Ahmad S., Ahmad T., Ahmadi K., Ahmadi S., Ahmed M.B., Aichour M.T.E., Aji B., Akinyemi O.O., Aklilu A., Akunna C.J., Al-Aly Z., Alanzi T.M., Alcalde-Rabanal J.E., Alemu B.W., Alemu A., Alhassan R.K., Alif S.M., Alipour V., Alizade H., Aljunid S.M., Almasi-Hashiani A., Al-Mekhlafi H.M., Al-Raddadi R.M., Alvis-Guzman N., Amini S., Amiri F., Amugsi D.A., Anber N.H., Ancuceanu R., Andrei T., Anegago M.T., Anjomshoa M., Ansari F., Ansari-Moghaddam A., Anteneh Z.A., Antriyandarti E., Anvari D., Anwer R., Aqeel M., Arabloo J., Arab-Zozani M., Aremu O., Areri H.A., Artaman A., Arzani A., Asaad M., Asadi-Aliabadi M., Asadi-Pooya A.A., Asemahagn M.A., Asghari Jafarabadi M., Ashebir M.M., Ataro Z., Athari S.M., Athari S.S., Atout M.M.W., Ausloos M., Awoke N., Ayala Quintanilla B.P., Ayano G., Ayanore M.A., Aynalem Y.A., Ayza M.A., Azadmehr A., B D., Babalola T.K., Badawi A., Badiye A.D., Bahrami M.A., Bairwa M., Bakkannavar S.M., Banik P.C., Baraki A.G., Barboza M.A., Basaleem H., Basu S., Bayati M., Baye B.A., Bazmandegan G., Bedi N., Bekuma T.T.T., Bell M.L., Bensenor I.M., Berhe K., Berhe A.K., Berhie K.A., Bhandari D., Bhardwaj N., Bhardwaj P., Bhattacharyya K., Bhattarai S., Bhutta Z.A., Bijani A., Bikbov B., Biondi A., Birhanu M., Biswas R.K., Bockarie M.J., Bohlouli S., Bohluli M., Boloor A., Borzouei S., Bragazzi N.L., Braithwaite D., Brunoni A.R., Burugina Nagaraja S., Butt Z.A., Caetano dos Santos F.L., Camera L.A., Car J., Cardenas R., Carvalho F., Castaldelli-Maia J.M., Castaneda-Orjuela C.A., Castro F., Cevik M., Chanie W.F., Charan J., Chatterjee S., Chattu V.K., Chaturvedi S., Chen S., Chin K.L., Chowdhury M.A.K., Cook A.J., Costa V.M., Cromwell E.A., Dachew B.A., Dagne H., Dagnew B., Dahiru T., Dahlawi S.M.A., Dai H., Dandona L., Dandona R., Daneshpajouhnejad P., Daoud F., Das J.K., Das Gupta R., Dash A.P., Davila-Cervantes C.A., Davletov K., Deeba F., De Neve J.-W., Denova-Gutierrez E., Deribe K., Desalew A., Dessie G.A., Dey S., Dhimal M., Dhungana G.P., Dianatinasab M., Diaz D., Dipeolu I.O., Djalalinia S., Do H.T., Dorostkar F., Doshmangir L., Duko B., Duraes A.R., Earl L., Edinur H.A., Efendi F., Elayedath R., Elema T.B., Elhabashy H.R., El-Jaafary S.I., El Sayed I., El Sayed Zaki M., Elsharkawy A., El-Sherbiny Y.M., El Tantawi M., Endalew D.A., Eshrati B., Eskandari K., Eskandarieh S., Fadhil I., Faraon E.J.A., Fareed M., Faris P.S., Farwati M., Farzadfar F., Fasanmi A.O., Fattahi N., Fauk N.K., Feigin V.L., Feleke B.E., Fereshtehnejad S.-M., Fernandes E., Ferrara P., Foigt N.A., Fomenkov A.A., Foroutan M., Francis J.M., Franklin R.C., Freitas M., Fukumoto T., Gad M.M., Gaidhane A.M., Gayesa R.T., Geberemariyam B.S., Gebregiorgis B.G., Gebremariam H., Gebremariam T.B.B., Gebremeskel L., Gebremeskel G.G., Gebreslassie A.A., Geramo Y.C.D., Gesesew H.A., Gessner B.D., Getacher L., Ghadiri K., Ghaffarifar F., Ghafourifard M., Ghajarzadeh M., Ghamari F., Ghashghaee A., Ghith N., Gilani S.A., Gill T.K., Godinho M.A., Gona P.N., Grada A., Gubari M.I.M., Gudi N., Guido D., Guled R.A., Guo Y., Gupta R., Haj-Mirzaian A., Hamadeh R.R., Handiso D.W., Hanif A., Hargono A., Hasaballah A.I., Hasan M.M., Hasan S.S., Hashemian M., Hashi A., Hassan S., Hassan A., Hassanipour S., Hassankhani H., Hayat K., Hegazy M.I., Heidari-Soureshjani R., Henry N.J., Herteliu C., Heydarpour F., Heydarpour S., Hidru H.D., Hoang C.L., Holla R., Hon J., Hong S.H., Hoogar P., Hosseini S.N., Hosseinzadeh M., Hostiuc M., Hostiuc S., Hotez P.J., Househ M., Huda T.M., Huluko D.H.H., Hussain S.A., Hwang B.-F., Ilesanmi O.S., Ilic I.M., Ilic M.D., Inbaraj L.R., Iqbal U., Islam M.M., Islam S.M.S., Iwu C.J., Iwu C.C.D., Jadidi-Niaragh F., Jahani M.A., Jain V., Jakovljevic M., Jalali A., Jalilian F., Janodia M.D., Javaheri T., Jha R.P., John O., Johnson K.B., Jonas J.B., Jonnagaddala J., Joseph N., Joshi A., Joukar F., Jozwiak J.J., Kabir A., Kabir Z., Kahlon T., Kalankesh L.R., Kalhor R., Kamath A., Kamiab Z., Kanchan T., Kapil U., Kapoor N., Karami Matin B., Karimi S.E., Kasa A.S., Kasahun G.G., Kassa Z.Y., Kassa G.G., Kassahun G., Kayode G.A., Kazemi Karyani A., Keflie T.S., Keiyoro P.N., Kelkay B., Keramati M., Ketema D.B., Khalid N., Khammarnia M., Khan M.N., Khan M., Khan J., Khatab K., Khater A.M., Khater M.M., Khoja A.T., Khubchandani J., Kianipour N., Kim Y.-E., Kim Y.J., Kimokoti R.W., Kisa S., Kisa A., Kolola T., Koolivand A., Kosen S., Koul P.A., Koyanagi A., Krishan K., Krishnamoorthy V., Kuate Defo B., Kugbey N., Kulkarni V., Kumar G.A., Kumar N., Kumar P., Kumar M., Kurmi O.P., Kusuma D., Lacey B., Lad D.P., Lal D.K., Lami F.H., Landires I., Larsson A.O., Lasrado S., Laurens M.B., La Vecchia C., Laxmaiah A., Lee P.H., Lee S.W.H., LeGrand K.E., Lewycka S., Li B., Li S., Liu X., Lopez J.C.F., Machado D.B., Madhava Kunjathur S., Magdy Abd El Razek H., Magdy Abd El Razek M., Mahadeshwara Prasad D.R., Mahasha P.W., Maheri M., Mahotra N.B., Majeed A., Maled V., Maleki S., Malekzadeh R., Malta D.C., Mamun A.A., Mansour-Ghanaei F., Mansouri B., Mansournia M.A., Manzar M.D.D., Marrugo Arnedo C.A., Martins-Melo F.R., Masaka A., Maulik P.K., Mayala B.K., Mehari M., Mehndiratta M.M., Mehrabi Nasab E., Mehri F., Mehta K.M., Meitei W.B., Mekonnen T., Meles G.G., Melku M., Mendoza W., Menezes R.G., Mengesha M.B., Mengesha E.W., Meretoja T.J., Mersha A.M., Metekiya W.M., Miazgowski T., Michalek I.M., Mini G.K., Mir S.A., Mirica A., Mirrakhimov E.M., Mirzaei H., Mirzaei M., Mirzaei-Alavijeh M., Misra S., Moazen B., Moghadaszadeh M., Mohammad Y., Mohammad D.K., Mohammad Gholi Mezerji N., Mohammadi S.M., Mohammadian-Hafshejani A., Mohammadpourhodki R., Mohammed H.M., Mohammed A.S., Mohammed S., Mohammed J.A., Mohseni Bandpei M.A., Mokdad A.H., Molassiotis A., Monasta L., Moradi M., Moradi-Lakeh M., Moradzadeh R., Moraga P., Mosapour A., Mouodi S., Mousavi S.M., Mousavi Khaneghah A., Mulu G.B.B., Munir M., Muriithi M.K., Murthy G.V.S., Mustafa G., Nabhan A.F., Naderi M., Nagarajan A.J., Nagaraju S.P., Naghavi M., Naik G., Naimzada M.D., Nangia V., Nansseu J.R., Naqvi A.A., Nascimento B.R., Nayak S., Nayak V.C., Nazari J., Ndejjo R., Negoi I., Negoi R.I., Netsere H.B., Nguefack-Tsague G., Ngunjiri J.W., Nguyen C.T., Nguyen D.N., Nguyen H.L.T., Nigatu Y.T., Nikbakhsh R., Nikpoor A.R., Nnaji C.A., Nong V.M., Noubiap J.J., Nunez-Samudio V., Nwatah V.E., Nyanhanda T., Oancea B., Ogbo F.A., Oghenetega O.B., Oh I.-H., Okello D.M., Oladnabi M., Olagunju A.T., Olusanya J.O., Olusanya B.O., Bali A.O., Omer M.O., Omonisi A.E.E., Onwujekwe O.E., Ortiz A., Ortiz-Panozo E., Otstavnov N., Otstavnov S.S., Owolabi M.O., Mahesh P.A., Padubidri J.R., Pakhare A.P., Pakshir K., Pana A., Panda-Jonas S., Pandey A., Pandi-Perumal S.R., Pangaribuan H.U., Pasupula D.K., Patel S.K., Patel U.K., Pathak A., Patton G.C., Toroudi H.P., Pereira J., Pescarini J.M., Pham H.Q., Pickering B.V., Pirouzpanah S., Pirsaheb M., Pokhrel K.N., Postma M.J., Pottoo F.H., Pourchamani H., Pourjafar H., Poustchi H., Prada S.I., Pribadi D.R.A., Syed Z.Q., Rabiee N., Rafiee A., Rahim F., Rahman M.H.U., Rahman M.A., Rahmani A.M., Rai R.K., Rajesh A., Ram P., Ramezanzadeh K., Ranabhat C.L., Rao S.J., Rao S., Rastogi P., Rathi P., Rawal L., Rawasia W.F., Rawassizadeh R., Regassa L.D., Reiner R.C., Reshmi B., Rezaei N., Rezahosseini O., Rezapour A., Riahi S.M., Ribeiro D., Ribeiro A.I., Rickard J., Roba H.S., Roever L., Ronfani L., Rostamian M., Rumisha S.F., Rwegerera G.M., Sabour S., Sadeghi E., Saeedi Moghaddam S., Sagar R., Sahebkar A., Sahraian M.A., Sajadi S.M., Salam N., Salem M.R., Kafil H.S., Santos I.S., Santric-Milicevic M.M., Saraswathy S.Y.I., Sarrafzadegan N., Sartorius B., Sarveazad A., Sathian B., Sathish T., Saxena D., Sbarra A.N., Schwebel D.C., Senbeta A.M., Sengupta D., Senthilkumaran S., Sepanlou S.G., Seylani A., Sha F., Shafaat O., Shahabi S., Shahbaz M., Shahid I., Shaikh M.A., Shaka M.F., Shalash A.S., Shamali M., Shams-Beyranvand M., Shamsi M.B., Shamsizadeh M., Shannawaz M., Sharafi K., Sharifi A., Sheikh A., Sheikhtaheri A., Shetty R.S., Shetty B.S.K., Shetty A., Shiferaw W.S., Shigematsu M., Il Shin J., Shiri R., Shirkoohi R., Shivarov V., Siabani S., Malleshappa S.K.S., Siddiqi T.J., Sidemo N.B., Singh B.B., Singh S., Sintayehu Y., Skryabin V.Y., Skryabina A.A., Sobhiyeh M.R., Soheili A., Soltani S., Sorrie M.B., Spurlock E.E., Sreeramareddy C.T., Sudaryanto A., Sufiyan M.B., Sultan I., Tabares-Seisdedos R., Tabuchi T., Taddele B.W., Tadesse E.G., Taherkhani A., Tamir Z., Tamiru A.T., Tareque M.I., Tbakhi A., Teame H., Tefera Y.G., Tehrani-Banihashemi A., Tekalegn Y., Tekle M.G., Teklehaimanot B.F., Temsah M.-H., Tesema G.A., Thankappan K.R., Thomas N., Tiki T., Tilahune A.B., Titova M.V., Tovani-Palone M.R., Tran K.B., Tran B.X., Tripathi R., Tripathy J.P., Truong P.N., Uddin R., Ullah A., Umeokonkwo C.D., Uneke C.J., Unnikrishnan B., Upadhyay E., Usman M.S., Vacante M., Vakilian A., Tahbaz S.V., Valdez P.R., Vasseghian Y., Verma M., Violante F.S., Vo B., Wado Y.D., Waheed Y., Wang Y., Wang Y.-P., Wangdi K., Weldesamuel G.T., Werdecker A., Wiangkham T., Wickramasinghe N.D., Wiysonge C.S., Wonde T.E., Wu A.-M., Wu C., Xie Y., Yadollahpour A., Jabbari S.H.Y., Yamada T., Yang M., Yaya S., Yazdi-Feyzabadi V., Yeheyis T.Y., Yeshaneh A., Yeshaw Y., Yeshitila Y.G., Yilma M.T., Yip P., Young M.F., Yousefi Z., Yousefinezhadi T., Yousof H.-A.S.A., Yousuf A.Y., Yu C., Yu Y., Zafar S., Zaidi S.S., Zaidi Z., Zakzuk J., Bin Zaman S., Zamani M., Zamanian M., Zandifar A., Zangeneh A., Zastrozhin M.S., Zastrozhina A., Zewdie D.T., Zewdie K.A., Zhang Y., Zhu C., Ziapour A., Kassebaum N.J., Hay S.I., Kinyoki D., Osgood-Zimmerman A.E., Bhattacharjee N.V., Schaeffer L.E., Lazzar-Atwood A., Lu D., Ewald S.B., Donkers K.M., Letourneau I.D., Collison M., Schipp M.F., Abajobir A., Abbasi S., Abbasi N., Abbasifard M., Abbasi-Kangevari M., Abbastabar H., Abd-Allah F., Abdelalim A., Abd-Elsalam S.M., Abdoli A., Abdollahpour I., Abedi A., Abolhassani H., Abraham B., Abreu L.G., Abrigo M.R.M., Abualhasan A., Abu-Gharbieh E., Abushouk A.I., Accrombessi M.M.K., Adabi M., Adebayo O.M., Adegbosin A.E., Adekanmbi V., Adetokunboh O.O., Adeyinka D.A., Adham D., Advani S.M., Agasthi P., Aghaali M., Ahmad S., Ahmad T., Ahmadi K., Ahmadi S., Ahmed M.B., Aichour M.T.E., Aji B., Akinyemi O.O., Aklilu A., Akunna C.J., Al-Aly Z., Alanzi T.M., Alcalde-Rabanal J.E., Alemu B.W., Alemu A., Alhassan R.K., Alif S.M., Alipour V., Alizade H., Aljunid S.M., Almasi-Hashiani A., Al-Mekhlafi H.M., Al-Raddadi R.M., Alvis-Guzman N., Amini S., Amiri F., Amugsi D.A., Anber N.H., Ancuceanu R., Andrei T., Anegago M.T., Anjomshoa M., Ansari F., Ansari-Moghaddam A., Anteneh Z.A., Antriyandarti E., Anvari D., Anwer R., Aqeel M., Arabloo J., Arab-Zozani M., Aremu O., Areri H.A., Artaman A., Arzani A., Asaad M., Asadi-Aliabadi M., Asadi-Pooya A.A., Asemahagn M.A., Asghari Jafarabadi M., Ashebir M.M., Ataro Z., Athari S.M., Athari S.S., Atout M.M.W., Ausloos M., Awoke N., Ayala Quintanilla B.P., Ayano G., Ayanore M.A., Aynalem Y.A., Ayza M.A., Azadmehr A., B D., Babalola T.K., Badawi A., Badiye A.D., Bahrami M.A., Bairwa M., Bakkannavar S.M., Banik P.C., Baraki A.G., Barboza M.A., Basaleem H., Basu S., Bayati M., Baye B.A., Bazmandegan G., Bedi N., Bekuma T.T.T., Bell M.L., Bensenor I.M., Berhe K., Berhe A.K., Berhie K.A., Bhandari D., Bhardwaj N., Bhardwaj P., Bhattacharyya K., Bhattarai S., Bhutta Z.A., Bijani A., Bikbov B., Biondi A., Birhanu M., Biswas R.K., Bockarie M.J., Bohlouli S., Bohluli M., Boloor A., Borzouei S., Bragazzi N.L., Braithwaite D., Brunoni A.R., Burugina Nagaraja S., Butt Z.A., Caetano dos Santos F.L., Camera L.A., Car J., Cardenas R., Carvalho F., Castaldelli-Maia J.M., Castaneda-Orjuela C.A., Castro F., Cevik M., Chanie W.F., Charan J., Chatterjee S., Chattu V.K., Chaturvedi S., Chen S., Chin K.L., Chowdhury M.A.K., Cook A.J., Costa V.M., Cromwell E.A., Dachew B.A., Dagne H., Dagnew B., Dahiru T., Dahlawi S.M.A., Dai H., Dandona L., Dandona R., Daneshpajouhnejad P., Daoud F., Das J.K., Das Gupta R., Dash A.P., Davila-Cervantes C.A., Davletov K., Deeba F., De Neve J.-W., Denova-Gutierrez E., Deribe K., Desalew A., Dessie G.A., Dey S., Dhimal M., Dhungana G.P., Dianatinasab M., Diaz D., Dipeolu I.O., Djalalinia S., Do H.T., Dorostkar F., Doshmangir L., Duko B., Duraes A.R., Earl L., Edinur H.A., Efendi F., Elayedath R., Elema T.B., Elhabashy H.R., El-Jaafary S.I., El Sayed I., El Sayed Zaki M., Elsharkawy A., El-Sherbiny Y.M., El Tantawi M., Endalew D.A., Eshrati B., Eskandari K., Eskandarieh S., Fadhil I., Faraon E.J.A., Fareed M., Faris P.S., Farwati M., Farzadfar F., Fasanmi A.O., Fattahi N., Fauk N.K., Feigin V.L., Feleke B.E., Fereshtehnejad S.-M., Fernandes E., Ferrara P., Foigt N.A., Fomenkov A.A., Foroutan M., Francis J.M., Franklin R.C., Freitas M., Fukumoto T., Gad M.M., Gaidhane A.M., Gayesa R.T., Geberemariyam B.S., Gebregiorgis B.G., Gebremariam H., Gebremariam T.B.B., Gebremeskel L., Gebremeskel G.G., Gebreslassie A.A., Geramo Y.C.D., Gesesew H.A., Gessner B.D., Getacher L., Ghadiri K., Ghaffarifar F., Ghafourifard M., Ghajarzadeh M., Ghamari F., Ghashghaee A., Ghith N., Gilani S.A., Gill T.K., Godinho M.A., Gona P.N., Grada A., Gubari M.I.M., Gudi N., Guido D., Guled R.A., Guo Y., Gupta R., Haj-Mirzaian A., Hamadeh R.R., Handiso D.W., Hanif A., Hargono A., Hasaballah A.I., Hasan M.M., Hasan S.S., Hashemian M., Hashi A., Hassan S., Hassan A., Hassanipour S., Hassankhani H., Hayat K., Hegazy M.I., Heidari-Soureshjani R., Henry N.J., Herteliu C., Heydarpour F., Heydarpour S., Hidru H.D., Hoang C.L., Holla R., Hon J., Hong S.H., Hoogar P., Hosseini S.N., Hosseinzadeh M., Hostiuc M., Hostiuc S., Hotez P.J., Househ M., Huda T.M., Huluko D.H.H., Hussain S.A., Hwang B.-F., Ilesanmi O.S., Ilic I.M., Ilic M.D., Inbaraj L.R., Iqbal U., Islam M.M., Islam S.M.S., Iwu C.J., Iwu C.C.D., Jadidi-Niaragh F., Jahani M.A., Jain V., Jakovljevic M., Jalali A., Jalilian F., Janodia M.D., Javaheri T., Jha R.P., John O., Johnson K.B., Jonas J.B., Jonnagaddala J., Joseph N., Joshi A., Joukar F., Jozwiak J.J., Kabir A., Kabir Z., Kahlon T., Kalankesh L.R., Kalhor R., Kamath A., Kamiab Z., Kanchan T., Kapil U., Kapoor N., Karami Matin B., Karimi S.E., Kasa A.S., Kasahun G.G., Kassa Z.Y., Kassa G.G., Kassahun G., Kayode G.A., Kazemi Karyani A., Keflie T.S., Keiyoro P.N., Kelkay B., Keramati M., Ketema D.B., Khalid N., Khammarnia M., Khan M.N., Khan M., Khan J., Khatab K., Khater A.M., Khater M.M., Khoja A.T., Khubchandani J., Kianipour N., Kim Y.-E., Kim Y.J., Kimokoti R.W., Kisa S., Kisa A., Kolola T., Koolivand A., Kosen S., Koul P.A., Koyanagi A., Krishan K., Krishnamoorthy V., Kuate Defo B., Kugbey N., Kulkarni V., Kumar G.A., Kumar N., Kumar P., Kumar M., Kurmi O.P., Kusuma D., Lacey B., Lad D.P., Lal D.K., Lami F.H., Landires I., Larsson A.O., Lasrado S., Laurens M.B., La Vecchia C., Laxmaiah A., Lee P.H., Lee S.W.H., LeGrand K.E., Lewycka S., Li B., Li S., Liu X., Lopez J.C.F., Machado D.B., Madhava Kunjathur S., Magdy Abd El Razek H., Magdy Abd El Razek M., Mahadeshwara Prasad D.R., Mahasha P.W., Maheri M., Mahotra N.B., Majeed A., Maled V., Maleki S., Malekzadeh R., Malta D.C., Mamun A.A., Mansour-Ghanaei F., Mansouri B., Mansournia M.A., Manzar M.D.D., Marrugo Arnedo C.A., Martins-Melo F.R., Masaka A., Maulik P.K., Mayala B.K., Mehari M., Mehndiratta M.M., Mehrabi Nasab E., Mehri F., Mehta K.M., Meitei W.B., Mekonnen T., Meles G.G., Melku M., Mendoza W., Menezes R.G., Mengesha M.B., Mengesha E.W., Meretoja T.J., Mersha A.M., Metekiya W.M., Miazgowski T., Michalek I.M., Mini G.K., Mir S.A., Mirica A., Mirrakhimov E.M., Mirzaei H., Mirzaei M., Mirzaei-Alavijeh M., Misra S., Moazen B., Moghadaszadeh M., Mohammad Y., Mohammad D.K., Mohammad Gholi Mezerji N., Mohammadi S.M., Mohammadian-Hafshejani A., Mohammadpourhodki R., Mohammed H.M., Mohammed A.S., Mohammed S., Mohammed J.A., Mohseni Bandpei M.A., Mokdad A.H., Molassiotis A., Monasta L., Moradi M., Moradi-Lakeh M., Moradzadeh R., Moraga P., Mosapour A., Mouodi S., Mousavi S.M., Mousavi Khaneghah A., Mulu G.B.B., Munir M., Muriithi M.K., Murthy G.V.S., Mustafa G., Nabhan A.F., Naderi M., Nagarajan A.J., Nagaraju S.P., Naghavi M., Naik G., Naimzada M.D., Nangia V., Nansseu J.R., Naqvi A.A., Nascimento B.R., Nayak S., Nayak V.C., Nazari J., Ndejjo R., Negoi I., Negoi R.I., Netsere H.B., Nguefack-Tsague G., Ngunjiri J.W., Nguyen C.T., Nguyen D.N., Nguyen H.L.T., Nigatu Y.T., Nikbakhsh R., Nikpoor A.R., Nnaji C.A., Nong V.M., Noubiap J.J., Nunez-Samudio V., Nwatah V.E., Nyanhanda T., Oancea B., Ogbo F.A., Oghenetega O.B., Oh I.-H., Okello D.M., Oladnabi M., Olagunju A.T., Olusanya J.O., Olusanya B.O., Bali A.O., Omer M.O., Omonisi A.E.E., Onwujekwe O.E., Ortiz A., Ortiz-Panozo E., Otstavnov N., Otstavnov S.S., Owolabi M.O., Mahesh P.A., Padubidri J.R., Pakhare A.P., Pakshir K., Pana A., Panda-Jonas S., Pandey A., Pandi-Perumal S.R., Pangaribuan H.U., Pasupula D.K., Patel S.K., Patel U.K., Pathak A., Patton G.C., Toroudi H.P., Pereira J., Pescarini J.M., Pham H.Q., Pickering B.V., Pirouzpanah S., Pirsaheb M., Pokhrel K.N., Postma M.J., Pottoo F.H., Pourchamani H., Pourjafar H., Poustchi H., Prada S.I., Pribadi D.R.A., Syed Z.Q., Rabiee N., Rafiee A., Rahim F., Rahman M.H.U., Rahman M.A., Rahmani A.M., Rai R.K., Rajesh A., Ram P., Ramezanzadeh K., Ranabhat C.L., Rao S.J., Rao S., Rastogi P., Rathi P., Rawal L., Rawasia W.F., Rawassizadeh R., Regassa L.D., Reiner R.C., Reshmi B., Rezaei N., Rezahosseini O., Rezapour A., Riahi S.M., Ribeiro D., Ribeiro A.I., Rickard J., Roba H.S., Roever L., Ronfani L., Rostamian M., Rumisha S.F., Rwegerera G.M., Sabour S., Sadeghi E., Saeedi Moghaddam S., Sagar R., Sahebkar A., Sahraian M.A., Sajadi S.M., Salam N., Salem M.R., Kafil H.S., Santos I.S., Santric-Milicevic M.M., Saraswathy S.Y.I., Sarrafzadegan N., Sartorius B., Sarveazad A., Sathian B., Sathish T., Saxena D., Sbarra A.N., Schwebel D.C., Senbeta A.M., Sengupta D., Senthilkumaran S., Sepanlou S.G., Seylani A., Sha F., Shafaat O., Shahabi S., Shahbaz M., Shahid I., Shaikh M.A., Shaka M.F., Shalash A.S., Shamali M., Shams-Beyranvand M., Shamsi M.B., Shamsizadeh M., Shannawaz M., Sharafi K., Sharifi A., Sheikh A., Sheikhtaheri A., Shetty R.S., Shetty B.S.K., Shetty A., Shiferaw W.S., Shigematsu M., Il Shin J., Shiri R., Shirkoohi R., Shivarov V., Siabani S., Malleshappa S.K.S., Siddiqi T.J., Sidemo N.B., Singh B.B., Singh S., Sintayehu Y., Skryabin V.Y., Skryabina A.A., Sobhiyeh M.R., Soheili A., Soltani S., Sorrie M.B., Spurlock E.E., Sreeramareddy C.T., Sudaryanto A., Sufiyan M.B., Sultan I., Tabares-Seisdedos R., Tabuchi T., Taddele B.W., Tadesse E.G., Taherkhani A., Tamir Z., Tamiru A.T., Tareque M.I., Tbakhi A., Teame H., Tefera Y.G., Tehrani-Banihashemi A., Tekalegn Y., Tekle M.G., Teklehaimanot B.F., Temsah M.-H., Tesema G.A., Thankappan K.R., Thomas N., Tiki T., Tilahune A.B., Titova M.V., Tovani-Palone M.R., Tran K.B., Tran B.X., Tripathi R., Tripathy J.P., Truong P.N., Uddin R., Ullah A., Umeokonkwo C.D., Uneke C.J., Unnikrishnan B., Upadhyay E., Usman M.S., Vacante M., Vakilian A., Tahbaz S.V., Valdez P.R., Vasseghian Y., Verma M., Violante F.S., Vo B., Wado Y.D., Waheed Y., Wang Y., Wang Y.-P., Wangdi K., Weldesamuel G.T., Werdecker A., Wiangkham T., Wickramasinghe N.D., Wiysonge C.S., Wonde T.E., Wu A.-M., Wu C., Xie Y., Yadollahpour A., Jabbari S.H.Y., Yamada T., Yang M., Yaya S., Yazdi-Feyzabadi V., Yeheyis T.Y., Yeshaneh A., Yeshaw Y., Yeshitila Y.G., Yilma M.T., Yip P., Young M.F., Yousefi Z., Yousefinezhadi T., Yousof H.-A.S.A., Yousuf A.Y., Yu C., Yu Y., Zafar S., Zaidi S.S., Zaidi Z., Zakzuk J., Bin Zaman S., Zamani M., Zamanian M., Zandifar A., Zangeneh A., Zastrozhin M.S., Zastrozhina A., Zewdie D.T., Zewdie K.A., Zhang Y., Zhu C., Ziapour A., Kassebaum N.J., and Hay S.I.

Abstract

Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000-2018 geospatial estimates of anemia prevalence in women of reproductive age (15-49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization's Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations.Copyright © 2021, The Author(s).

Published
2022

5. Measuring the availability of human resources for health and its relationship to universal health coverage for 204 countries and territories from 1990 to 2019: A systematic analysis for the Global Burden of Disease Study 2019

Author

Haakenstad, A., Irvine, C.M.S., Knight, M., Bintz, C., Aravkin, A.Y., Zheng, P., Gupta, V., Abrigo, M.R.M., Abushouk, A.I., Adebayo, O.M., Agarwal, G., Alahdab, F., Al-Aly, Z., Alam, K., Alanzi, T.M., Alcalde-Rabanal, J.E., Alipour, V., Alvis-Guzman, N., Amit, A.M.L., Andrei, C.L., Andrei, T., Antonio, C.A.T., Arabloo, J., Aremu, O., Ayanore, M.A., Banach, M., Bärnighausen, T.W., Barthelemy, C.M., Bayati, M., Benzian, H., Berman, A.E., Bienhoff, K., Bijani, A., Bikbov, B., Biondi, A., Boloor, A., Busse, R., Butt, Z.A., Cámera, L.A., Campos-Nonato, I.R., Cárdenas, R., Carvalho, F., Chansa, C., Chattu, S.K., Chattu, V.K., Chu, D-T, Dai, X., Dandona, L., Dandona, R., Dangel, W.J., Daryani, A., De Neve, J-W, Dhimal, M., Dipeolu, I.O., Djalalinia, S., Do, H.T., Doshi, C.P., Doshmangir, L., Ehsani-Chimeh, E., El Tantawi, M., Fernandes, E., Fischer, F., Foigt, N.A., Fomenkov, A.A., Foroutan, M., Fukumoto, T., Fullman, N., Gad, M.M., Ghadiri, K., Ghafourifard, M., Ghashghaee, A., Glucksman, T., Goudarzi, H., Gupta, R.D., Hamadeh, R.R., Hamidi, S., Haro, J.M., Hasanpoor, E., Hay, S.I., Hegazy, M.I., Heibati, B., Henry, N.J., Hole, M.K., Hossain, N., Househ, M., Ilesanmi, O.S., Imani-Nasab, M-H, Irvani, S.S.N., Islam, S.M.S., Jahani, M.A., Joshi, A., Kalhor, R., Kayode, G.A., Khalid, N., Khatab, K., Kisa, A., Kochhar, S., Krishan, K., Kuate Defo, B., Lal, D.K., Lami, F.H., Larsson, A.O., Leasher, J.L., LeGrand, K.E., Lim, L-L, Mahotra, N.B., Majeed, A., Maleki, A., Manjunatha, N., Massenburg, B.B., Mestrovic, T., Mini, G.K., Mirica, A., Mirrakhimov, E.M., Mohammad, Y., Mohammed, S., Mokdad, A.H., Morrison, S.D., Naghavi, M., Ndwandwe, D.E., Negoi, I., Negoi, R.I., Ngunjiri, J.W., Nguyen, C.T., Nigatu, Y.T., Onwujekwe, O.E., Ortega-Altamirano, D.V., Otstavnov, N., Otstavnov, S.S., Owolabi, M.O., Pakhare, A.P., Pepito, V.C.F., Perico, N., Pham, H.Q., Pigott, D.M., Pokhrel, K.N., Rabiee, M., Rabiee, N., Rahimi-Movaghar, V., Rawaf, D.L., Rawaf, S., Rawal, L., Remuzzi, G., Renzaho, A.M.N., Resnikoff, S., Rezaei, N., Rezapour, A., Rickard, J., Roever, L., Sahu, M., Samy, A.M., Sanabria, J., Santric-Milicevic, M.M., Saraswathy, S.Y.I., Seedat, S., Senthilkumaran, S., Serván-Mori, E., Shaikh, M.A., Sheikh, A., Silva, D.A.S., Stein, C., Stein, D.J., Titova, M.V., Topp, S.M., Tovani-Palone, M.R., Ullah, S., Unnikrishnan, B., Vacante, M., Valdez, P.R., Vasankari, T.J., Venketasubramanian, N., Vlassov, V., Vos, T., Yearwood, J.A., Yonemoto, N., Younis, M.Z., Yu, C., Zadey, S., Zaman, S.B., Zerfu, T.A., Zhang, Z-J, Ziapour, A., Zodpey, S., Lim, S.S., Murray, C.J.L., Lozano, R., Haakenstad, A., Irvine, C.M.S., Knight, M., Bintz, C., Aravkin, A.Y., Zheng, P., Gupta, V., Abrigo, M.R.M., Abushouk, A.I., Adebayo, O.M., Agarwal, G., Alahdab, F., Al-Aly, Z., Alam, K., Alanzi, T.M., Alcalde-Rabanal, J.E., Alipour, V., Alvis-Guzman, N., Amit, A.M.L., Andrei, C.L., Andrei, T., Antonio, C.A.T., Arabloo, J., Aremu, O., Ayanore, M.A., Banach, M., Bärnighausen, T.W., Barthelemy, C.M., Bayati, M., Benzian, H., Berman, A.E., Bienhoff, K., Bijani, A., Bikbov, B., Biondi, A., Boloor, A., Busse, R., Butt, Z.A., Cámera, L.A., Campos-Nonato, I.R., Cárdenas, R., Carvalho, F., Chansa, C., Chattu, S.K., Chattu, V.K., Chu, D-T, Dai, X., Dandona, L., Dandona, R., Dangel, W.J., Daryani, A., De Neve, J-W, Dhimal, M., Dipeolu, I.O., Djalalinia, S., Do, H.T., Doshi, C.P., Doshmangir, L., Ehsani-Chimeh, E., El Tantawi, M., Fernandes, E., Fischer, F., Foigt, N.A., Fomenkov, A.A., Foroutan, M., Fukumoto, T., Fullman, N., Gad, M.M., Ghadiri, K., Ghafourifard, M., Ghashghaee, A., Glucksman, T., Goudarzi, H., Gupta, R.D., Hamadeh, R.R., Hamidi, S., Haro, J.M., Hasanpoor, E., Hay, S.I., Hegazy, M.I., Heibati, B., Henry, N.J., Hole, M.K., Hossain, N., Househ, M., Ilesanmi, O.S., Imani-Nasab, M-H, Irvani, S.S.N., Islam, S.M.S., Jahani, M.A., Joshi, A., Kalhor, R., Kayode, G.A., Khalid, N., Khatab, K., Kisa, A., Kochhar, S., Krishan, K., Kuate Defo, B., Lal, D.K., Lami, F.H., Larsson, A.O., Leasher, J.L., LeGrand, K.E., Lim, L-L, Mahotra, N.B., Majeed, A., Maleki, A., Manjunatha, N., Massenburg, B.B., Mestrovic, T., Mini, G.K., Mirica, A., Mirrakhimov, E.M., Mohammad, Y., Mohammed, S., Mokdad, A.H., Morrison, S.D., Naghavi, M., Ndwandwe, D.E., Negoi, I., Negoi, R.I., Ngunjiri, J.W., Nguyen, C.T., Nigatu, Y.T., Onwujekwe, O.E., Ortega-Altamirano, D.V., Otstavnov, N., Otstavnov, S.S., Owolabi, M.O., Pakhare, A.P., Pepito, V.C.F., Perico, N., Pham, H.Q., Pigott, D.M., Pokhrel, K.N., Rabiee, M., Rabiee, N., Rahimi-Movaghar, V., Rawaf, D.L., Rawaf, S., Rawal, L., Remuzzi, G., Renzaho, A.M.N., Resnikoff, S., Rezaei, N., Rezapour, A., Rickard, J., Roever, L., Sahu, M., Samy, A.M., Sanabria, J., Santric-Milicevic, M.M., Saraswathy, S.Y.I., Seedat, S., Senthilkumaran, S., Serván-Mori, E., Shaikh, M.A., Sheikh, A., Silva, D.A.S., Stein, C., Stein, D.J., Titova, M.V., Topp, S.M., Tovani-Palone, M.R., Ullah, S., Unnikrishnan, B., Vacante, M., Valdez, P.R., Vasankari, T.J., Venketasubramanian, N., Vlassov, V., Vos, T., Yearwood, J.A., Yonemoto, N., Younis, M.Z., Yu, C., Zadey, S., Zaman, S.B., Zerfu, T.A., Zhang, Z-J, Ziapour, A., Zodpey, S., Lim, S.S., Murray, C.J.L., and Lozano, R.

Abstract

Background Human resources for health (HRH) include a range of occupations that aim to promote or improve human health. The UN Sustainable Development Goals (SDGs) and the WHO Health Workforce 2030 strategy have drawn attention to the importance of HRH for achieving policy priorities such as universal health coverage (UHC). Although previous research has found substantial global disparities in HRH, the absence of comparable cross-national estimates of existing workforces has hindered efforts to quantify workforce requirements to meet health system goals. We aimed to use comparable and standardised data sources to estimate HRH densities globally, and to examine the relationship between a subset of HRH cadres and UHC effective coverage performance. Methods Through the International Labour Organization and Global Health Data Exchange databases, we identified 1404 country-years of data from labour force surveys and 69 country-years of census data, with detailed microdata on health-related employment. From the WHO National Health Workforce Accounts, we identified 2950 country-years of data. We mapped data from all occupational coding systems to the International Standard Classification of Occupations 1988 (ISCO-88), allowing for standardised estimation of densities for 16 categories of health workers across the full time series. Using data from 1990 to 2019 for 196 of 204 countries and territories, covering seven Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) super-regions and 21 regions, we applied spatiotemporal Gaussian process regression (ST-GPR) to model HRH densities from 1990 to 2019 for all countries and territories. We used stochastic frontier meta-regression to model the relationship between the UHC effective coverage index and densities for the four categories of health workers enumerated in SDG indicator 3.c.1 pertaining to HRH: physicians, nurses and midwives, dentistry personnel, and pharmaceutical personnel. We identified minimum workfor

Published
2022

6. Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019

Author

Abbafati, C., Machado, D.B., Cislaghi, B., Salman, O.M., Karanikolos, M., McKee, M., Abbas, K.M., Brady, O.J., Larson, H.J., Trias-Llimós, S., Cummins, S., Langan, S.M., Sartorius, B., Hafiz, A., Jenabi, E., Mohammad Gholi Mezerji, N., Borzouei, S., Azarian, G., Khazaei, S., Abbasi, M., Asghari, B., Masoumi, S., Komaki, H., Taherkhani, A., Adabi, M., Abbasifard, M., Bazmandegan, G., Kamiab, Z., Vakilian, A., Anjomshoa, M., Mokari, A., Sabour, S., Shahbaz, M., Saeedi, R., Ahmadieh, H., Yousefinezhadi, T., Haj-Mirzaian, A., Nikbakhsh, R., Safi, S., Asgari, S., Irvani, S.N., Jahanmehr, N., Ramezanzadeh, K., Abbasi-Kangevari, M., Khayamzadeh, M., Abbastabar, H., Shirkoohi, R., Fazlzadeh, M., Janjani, H., Hosseini, M., Mansournia, M., Tohidinik, H., Bakhtiari, A., Fazaeli, A., Mousavi, S., Hasanzadeh, A., Nabavizadeh, B., Malekzadeh, R., Hashemian, M., Pourshams, A., Salimzadeh, H., Sepanlou, S.G., Afarideh, M., Esteghamati, A., Esteghamati, S., Ghajar, A., Heidari, B., Rezaei, N., Mohamadi, E., Rahimi-Movaghar, A., Rahim, F., Eskandarieh, S., Sahraian, M., Mohebi, F., Aminorroaya, A., Ebrahimi, H., Farzadfar, F., Mohajer, B., Pishgar, F., Saeedi Moghaddam, S., Shabani, M., Zarafshan, H., Abolhassani, H., Hafezi-Nejad, N., Heidari-Soureshjani, R., Abdollahi, M., Farahmand, M., Salamati, P., Mehrabi Nasab, E., Tajdini, M., Aghamir, S., Mirzaei, R., Dibaji Forooshani, Z., Khater, M.M., Abd-Allah, F., Abdelalim, A., Abualhasan, A., El-Jaafary, S.I., Hassan, A., Elsharkawy, A., Khater, A.M., Elhabashy, H.R., Salem, M.R.R., Salem, H., Sadeghi, M., Jafarinia, M., Amini-Rarani, M., Mohammadifard, N., Sarrafzadegan, N., Abdollahpour, I., Sarveazad, A., Tehrani-Banihashemi, A., Yoosefi Lebni, J., Manafi, N., Pazoki Toroudi, H., Dorostkar, F., Alipour, V., Sheikhtaheri, A., Arabloo, J., Azari, S., Ghashghaee, A., Rezapour, A., Naserbakht, M., Kabir, A., Mehri, F., Yousefifard, M., Asadi-Aliabadi, M., Babaee, E., Eshrati, B., Goharinezhad, S., Moradi-Lakeh, M., Abedi, P., Rashedi, V., Kumar, V., Elgendy, I.Y., Basu, S., Park, J., Pereira, A., Norheim, O.F., Eagan, A.W., Cahill, L.E., Sheikh, A., Abushouk, A.I., Kraemer, M.U.G., Thakur, B., Bärnighausen, T.W., Shrime, M.G., Abedi, A., Doshi, C.P., Abegaz, K.H., Geberemariyam, B.S., Aynalem, Y.A., Shiferaw, W.S., Abosetugn, A.E., Aboyans, V., Abrams, E.M., Gitimoghaddam, M., Kissoon, N., Stubbs, J.L., Brauer, M., Iyamu, I.O., Kopec, J.A., Pourmalek, F., Ribeiro, A.P., Malta, D.C., Gomez, R.S., Abreu, L.G., Abrigo, M.R.M., Almulhim, A.M., Dahlawi, S.M.A., Pottoo, F.H., Menezes, R.G., Alanzi, T.M., Alumran, A.K., Abu Haimed, A.K., Madadin, M., Alanezi, F.M., Abu-Gharbieh, E., Saddik, B., Abu-Raddad, L.J., Samy, A.M., El Nahas, N., Shalash, A.S., Nabhan, A.F., Kamath, A.M., Kassebaum, N.J., Aravkin, A.Y., Kochhar, S., Sorensen, R.J.D., Afshin, A., Burkart, K., Cromwell, E.A., Dandona, L., Dharmaratne, S.D., Gakidou, E., Hay, S.I., Kyu, H.H., Lopez, A.D., Lozano, R., Misganaw, A.T., Mokdad, A.H., Naghavi, M., Pigott, D.M., Reiner Jr, R.C., Roth, G.A., Stanaway, J.D., Vollset, S., Vos, T., Wang, H., Lim, S.S., Murray, C.J.L., Kalani, R., Ikuta, K.S., Cho, D.Y., Kneib, C.J., Crowe, C.S., Massenburg, B.B., Morrison, S.D., Acebedo, A., Adelson, J.D., Agesa, K.M., Alam, T., Albertson, S.B., Anderson, J.A., Antony, C.M., Ashbaugh, C., Assmus, M., Azhar, G., Balassyano, S., Bannick, M.S., Barthelemy, C.M., Bender, R.G., Bennitt, F.B., Bertolacci, G.J., Biehl, M.H., Bisignano, C., Boon-Dooley, A.S., Briant, P.S., Bryazka, D., Bumgarner, B.R., Callender, C.S., Cao, J., Castle, C.D., Castro, E., Causey, K., Cercy, K.M., Chalek, J., Charlson, F.J., Cohen, A.J., Comfort, H., Compton, K., Croneberger, A.J., Cruz, J.A., Cunningham, M., Dandona, R., Dangel, W.J., Dean, F.E., DeCleene, N.K., Deen, A., Degenhardt, L., Dingels, Z.V., Dippenaar, I.N., Dirac, M.A., Dolgert, A.J., Emmons-Bell, S., Estep, K., Farag, T., Feigin, V.L., Feldman, R., Ferrara, G., Ferrari, A.J., Fitzgerald, R., Force, L.M., Fox, J.T., Frank, T.D., Fu, W., Fukutaki, K., Fuller, J.E., Fullman, N., Galles, N.C., Gardner, W.M., Gershberg Hayoon, A., Goren, E., Gorman, T.M., Gottlich, H.C., Guo, G., Haddock, B., Hagins, H., Haile, L.M., Hamilton, E.B., Han, C., Han, H., Harvey, J.D., Henny, K., Henrikson, H.J., Henry, N.J., Herbert, M.E., Hsiao, T., Huynh, C.K., Iannucci, V.C., Ippolito, H., Irvine, C.M.S., Jafari, H., Jahagirdar, D., James, S.L., Johnson, C.O., Johnson, S.C., Keller, C., Kemmer, L., Kendrick, P.J., Knight, M., Kocarnik, J.M., Krohn, K.J., Larson, S.L., Lau, K.M., Ledesma, J.R., Leever, A.T., LeGrand, K.E., Lescinsky, H., Lin, C., Liu, H., Liu, Z., Lo, J., Lu, A., Ma, J., Maddison, E.R., Manguerra, H., Marks, A., Martopullo, I., Mastrogiacomo, C.I., May, E.A., Mooney, M.D., Mosser, J.F., Mullany, E.C., Mumford, J., Munro, S.B., Nandakumar, V., Nguyen, J., Nguyen, M., Nichols, E., Nixon, M.R., Odell, C.M., Ong, K.L., Orji, A.U., Ostroff, S.M., Pasovic, M., Paulson, K.R., Pease, S.A., Pennini, A., 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Stephen, Ilic, Irena M, Ilic, Milena D, Imani-Nasab, Mohammad Hasan, Islam, Mdmohaimenul, Iso, Hiroyasu, Iwu, Chinwe Juliana, Jaafari, Jalil, Jacobsen, Kathryn H, Jahagirdar, Deepa, Jahanmehr, Nader, Jalali, Amir, Jalilian, Farzad, James, Spencer L, Janjani, Hosna, Jenabi, Ensiyeh, Jha, Ravi Prakash, Jha, Vivekanand, Ji, John S, Jonas, Jost B, Joukar, Farahnaz, Jozwiak, Jacek Jerzy, Jürisson, Mikk, Kabir, Zubair, Kalani, Hamed, Kalankesh, Leila R, Kamiab, Zahra, Kanchan, Tanuj, Kapoor, Neeti, Karch, André, Karimi, Salah Eddin, Karimi, Seyed Asaad, Kassebaum, Nicholas J, Katikireddi, Srinivasa Vittal, Kawakami, Norito, Kayode, Gbenga A, Keiyoro, Peter Njenga, Keller, Cathleen, Khader, Yousef Saleh, Khalid, Nauman, Khan, Ejaz Ahmad, Khan, Maseer, Khang, Young-Ho, Khater, Amir M, Khater, Mona M, Khazaei, Salman, Khazaie, Habibolah, Khodayari, Mohammad Taghi, Khubchandani, Jagdish, Kianipour, Neda, Kim, Cho-il, Kim, Young-Eun, Kim, Yun Jin, Kinfu, Yohanne, Kisa, Adnan, Kisa, Sezer, Kissimova-Skarbek, Katarzyna, Kivimäki, Mika, Komaki, Hamidreza, Kopec, Jacek A, Kosen, Soewarta, Koul, Parvaiz A, Koyanagi, Ai, Kravchenko, Michael A, Krishan, Kewal, Krohn, Kris J, Kuate Defo, Barthelemy, Kumar, G Anil, Kumar, Manasi, Kumar, Pushpendra, Kumar, Vivek, Kusuma, Dian, Kyu, Hmwe Hmwe, La Vecchia, Carlo, Lacey, Ben, Lal, Dharmesh Kumar, Lalloo, Ratilal, Lami, Faris Hasan, Lansky, Sonia, Larson, Samantha Leigh, Larsson, Anders O, Lasrado, Savita, Lassi, Zohra S, Lazarus, Jeffrey V, Lee, Paul H, Lee, Shaun Wen Huey, Leever, Andrew T, Legrand, Kate E, Leonardi, Matilde, Li, Shanshan, Lim, Lee-Ling, Lim, Stephen S, Linn, Shai, Lodha, Rakesh, Logroscino, Giancarlo, Lopez, Alan D, Lopukhov, Platon D, Lotufo, Paulo A, Lozano, Rafael, Lu, Alton, Lunevicius, Raimunda, Madadin, Mohammed, Maddison, Emilie R, Magdy Abd El Razek, Hassan, Magdy Abd El Razek, Muhammed, Mahasha, Phetole Walter, Mahdavi, Mokhtar Mahdavi, Malekzadeh, Reza, Mamun, Abdullah A, Manafi, Navid, Mansour-Ghanaei, Fariborz, Mansouri, Borhan, Mansournia, Mohammad Ali, Mapoma, Chabila Christopher, Martini, Santi, Martins-Melo, Francisco Rogerlândio, Masaka, Anthony, Mastrogiacomo, Claudia I, Mathur, Manu Raj, May, Erin A, Mcalinden, Colm, Mcgrath, John J, Mckee, Martin, Mehndiratta, Man Mohan, Mehri, Fereshteh, Mehta, Kala M, Meitei, Wahengbam Bigyananda, Memiah, Peter T N, Mendoza, Walter, Menezes, Ritesh G, Mengesha, Endalkachew Worku, Mensah, George A, Meretoja, Atte, Meretoja, Tuomo J, Mestrovic, Tomislav, Michalek, Irmina Maria, Mihretie, Kebadnew Mulatu, Miller, Ted R, Mills, Edward J, Milne, George J, Mirrakhimov, Erkin M, Mirzaei, Hamed, Mirzaei, Maryam, Mirzaei-Alavijeh, Mehdi, Misganaw, Awoke Temesgen, Moazen, Babak, Moghadaszadeh, Masoud, Mohamadi, Efat, Mohammad, Dara K, Mohammad, Yousef, Mohammad Gholi Mezerji, Naser, Mohammadbeigi, Abolfazl, Mohammadian-Hafshejani, Abdollah, Mohammadpourhodki, Reza, Mohammed, Hussen, Mohammed, Shafiu, Mohebi, Farnam, Mohseni Bandpei, Mohammad A, Mokari, Amin, Mokdad, Ali H, Momen, Natalie C, Monasta, Lorenzo, Mooney, Meghan D, Moradi, Ghobad, Moradi, Masoud, Moradi-Joo, Mohammad, Moradi-Lakeh, Maziar, Moradzadeh, Rahmatollah, Moraga, Paula, Moreno Velásquez, Ilai, Morgado-da-Costa, Joana, Morrison, Shane Dougla, Mosser, Jonathan F, Mouodi, Simin, Mousavi, Seyyed Meysam, Mousavi Khaneghah, Amin, Mueller, Ulrich Otto, Musa, Kamarul Imran, Muthupandian, Saravanan, Nabavizadeh, Behnam, Naderi, Mehdi, Nagarajan, Ahamarshan Jayaraman, Naghavi, Mohsen, Naghshtabrizi, Behshad, Naik, Gurudatta, Najafi, Farid, Nangia, Vinay, Nansseu, Jobert Richie, Ndwandwe, Duduzile Edith, Negoi, Ionut, Negoi, Ruxandra Irina, Ngunjiri, Josephine W, Nguyen, Huong Lan Thi, Nguyen, Trang Huyen, Nigatu, Yeshambel T, Nikbakhsh, Rajan, Nikpoor, Amin Reza, Nixon, Molly R, Nnaji, Chukwudi A, Nomura, Shuhei, Noubiap, Jean Jacque, Nouraei Motlagh, Soraya, Nowak, Christoph, Oţoiu, Adrian, Odell, Christopher M, Oh, In-Hwan, Oladnabi, Morteza, Olagunju, Andrew T, Olusanya, Bolajoko Olubukunola, Olusanya, Jacob Olusegun, Omar Bali, Ahmed, Ong, Kanyin L, Onwujekwe, Obinna E, Ortiz, Alberto, Otstavnov, Nikita, Otstavnov, Stanislav S, Øverland, Simon, Owolabi, Mayowa O, P A, Mahesh, Padubidri, Jagadish Rao, Pakshir, Keyvan, Palladino, Raffaele, Pana, Adrian, Panda-Jonas, Songhomitra, Park, Jame, Pasupula, Deepak Kumar, Patel, Jenil R, Patel, Sangram Kishor, Patton, George C, Paulson, Katherine R, Pazoki Toroudi, Hamidreza, Pease, Spencer A, Peden, Amy E, Pepito, Veincent Christian Filipino, Peprah, Emmanuel K, Pereira, Alexandre, Pereira, David M, Perico, Norberto, Pigott, David M, Pilgrim, Thoma, Pilz, Tessa M, Piradov, Michael A, Pirsaheb, Meghdad, Pokhrel, Khem Narayan, Postma, Maarten J, Pourjafar, Hadi, Pourmalek, Farshad, Pourshams, Akram, Poznańska, Anna, Prada, Sergio I, Prakash, Sanjay, Preotescu, Liliana, Quazi Syed, Zahiruddin, Rabiee, Mohammad, Rabiee, Navid, Radfar, Amir, Rafiei, Alireza, Raggi, Alberto, Rahman, Muhammad Aziz, Rajabpour-Sanati, Ali, Ram, Pradhum, Ranabhat, Chhabi Lal, Rao, Sowmya J, Rasella, Davide, Rashedi, Vahid, Rastogi, Prateek, Rathi, Priya, Rawal, Lal, Remuzzi, Giuseppe, Renjith, Vishnu, Renzaho, Andre M N, Resnikoff, Serge, Rezaei, Nima, Rezai, Mohammad sadegh, Rezapour, Aziz, Rickard, Jennifer, Roever, Leonardo, Ronfani, Luca, Roshandel, Gholamreza, Rostamian, Morteza, Rubagotti, Enrico, Rwegerera, Godfrey M, Sabour, Siamak, Saddik, Basema, Sadeghi, Ehsan, Sadeghi, Masoumeh, Saeedi Moghaddam, Sahar, Safari, Yahya, Safi, Sare, Safiri, Saeid, Sagar, Rajesh, Sahebkar, Amirhossein, Sahraian, Mohammad Ali, Sajadi, S Mohammad, Salahshoor, Mohammad Reza, Salama, Joseph S, Salamati, Payman, Salem, Marwa R Rashad, Salimi, Yahya, Salomon, Joshua A, Salz, Inbal, Samad, Zainab, Samy, Abdallah M, Sanabria, Juan, Santric-Milicevic, Milena M, Saraswathy, Sivan Yegnanarayana Iyer, Sartorius, Benn, Sarveazad, Arash, Sathian, Brijesh, Sathish, Thirunavukkarasu, Sattin, Davide, Saylan, Mete, Schaeffer, Lauren E, Schiavolin, Silvia, Schwebel, David C, Schwendicke, Falk, Sekerija, Mario, Senbeta, Anbissa Muleta, Senthilkumaran, Subramanian, Sepanlou, Sadaf G, Serván-Mori, Edson, Shabani, Mahsima, Shahabi, Saeed, Shahbaz, Mohammad, Shaheen, Amira A, Shaikh, Masood Ali, Shalash, Ali S, Shams-Beyranvand, Mehran, Shamsi, Mohammadbagher, Shamsizadeh, Morteza, Shannawaz, Mohammed, Sharafi, Kiomar, Sharafi, Zeinab, Sharara, Fablina, Sharma, Rajesh, Shaw, David H, Sheikh, Aziz, Shin, Jae Il, Shiri, Rahman, Shrime, Mark G, Shuval, Kerem, Siabani, Soraya, Sigfusdottir, Inga Dora, Sigurvinsdottir, Rannveig, Silva, Diego Augusto Santo, Simonetti, Biagio, Simpson, Kyle E, Singh, Jasvinder A, Skiadaresi, Eirini, Skryabin, Valentin Yurievich, Soheili, Amin, Sokhan, Anton, Sorensen, Reed J D, Soriano, Joan B, Sorrie, Muluken Bekele, Soyiri, Ireneous N, Spurlock, Emma Elizabeth, Sreeramareddy, Chandrashekhar T, Stockfelt, Leo, Stokes, Mark A, Stubbs, Jacob L, Sudaryanto, Agu, Sufiyan, Mu'awiyyah Babale, Suliankatchi Abdulkader, Rizwan, Sykes, Bryan L, Tabarés-Seisdedos, Rafael, Tabb, Karen M, Tadakamadla, Santosh Kumar, Taherkhani, Amir, Tang, Muming, Taveira, Nuno, Taylor, Heather Jean, Teagle, Whitney L, Tehrani-Banihashemi, Arash, Teklehaimanot, Berhane Fseha, Tessema, Zemenu Tadesse, Thankappan, Kavumpurathu Raman, Thomas, Nihal, Thrift, Amanda G, Titova, Mariya Vladimirovna, Tohidinik, Hamid Reza, Tonelli, Marcello, Topor-Madry, Roman, Topouzis, Foti, Tovani-Palone, Marcos Roberto Roberto, Traini, Eugenio, Tran, Bach Xuan, Travillian, Ravensara, Trias-Llimós, Sergi, Truelsen, Thomas Clement, Tudor Car, Lorainne, Unnikrishnan, Bhaskaran, Upadhyay, Era, Vacante, Marco, Vakilian, Alireza, Valdez, Pascual R, Valli, Alessandro, Vardavas, Constantine, Vasankari, Tommi Juhani, Vasconcelos, Ana Maria Nogale, Vasseghian, Yasser, Veisani, Yousef, Venketasubramanian, Narayanaswamy, Vidale, Simone, Violante, Francesco S, Vlassov, Vasily, Vollset, Stein Emil, Vos, Theo, Vujcic, Isidora S, Vukovic, Ana, Vukovic, Rade, Waheed, Yasir, Wallin, Mitchell Taylor, Walters, Magdalene K, Wang, Hongbo, Wang, Yuan-Pang, Watson, Stefanie, Wei, Jingkai, Weiss, Jordan, Weldesamuel, Girmay Teklay, Werdecker, Andrea, Westerman, Ronny, Whiteford, Harvey A, Wiangkham, Taweewat, Wiens, Kirsten E, Wijeratne, Tissa, Wiysonge, Charles Shey, Wojtyniak, Bogdan, Wolfe, Charles D A, Wondmieneh, Adam Belay, Wool, Eve E, Wu, Ai-Min, Wu, Junjie, Xu, Gelin, Yamada, Tomohide, Yamagishi, Kazumasa, Yano, Yuichiro, Yaya, Sanni, Yazdi-Feyzabadi, Vahid, Yearwood, Jamal A, Yeheyis, Tomas Y, Yilgwan, Christopher Sabo, Yip, Paul, Yonemoto, Naohiro, Yoon, Seok-Jun, Yoosefi Lebni, Javad, York, Hunter W, Younis, Mustafa Z, Younker, Theodore Patrick, Yousefi, Zabihollah, Yousefinezhadi, Taraneh, Yousuf, Abdilahi Yousuf, Yusefzadeh, Hasan, Zahirian Moghadam, Telma, Zakzuk, Josefina, Zaman, Sojib Bin, Zamani, Mohammad, Zamanian, Maryam, Zandian, Hamed, Zhang, Zhi-Jiang, Zheng, Peng, Zhou, Maigeng, Ziapour, Arash, Murray, Christopher J L, Collaborators, GBD 2019 Demographics, GBD 2019 Demographics Collaborator, Violante FS, Value, Affordability and Sustainability (VALUE), Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET), Microbes in Health and Disease (MHD), Department of Earth Systems Analysis, Biomechanical Engineering, TechMed Centre, Biomolecular Nanotechnology, Research Methodology, Measurement and Data Analysis, Materials Science and Technology of Polymers, Inorganic Materials Science, MESA+ Institute, Biomedical and Environmental Sensorsystems, Mesoscale Chemical Systems, Faculty of Engineering Technology, Nonlinear Solid Mechanics, Digital Society Institute, Pervasive Systems, Nanobiophysics, Faculty of Geo-Information Science and Earth Observation, Multi Scale Mechanics, Engineering Fluid Dynamics, Physics of Complex Fluids, Developmental BioEngineering, Physics of Fluids, Elastomer Technology and Engineering, Medical Cell Biophysics, European Membrane Institute, Department of Earth Observation Science, Biomaterials Science and Technology, Sustainable Process Technology, Department of Urban and Regional Planning and Geo-Information Management, Department of Natural Resources, XUV Optics, Databases (Former), Department of Water Resources, Psychology, Health & Technology, Membrane Science & Technology, Department of Public Health, Clinicum, HUS Neurocenter, HUS Comprehensive Cancer Center, and Environmental Sciences

Subjects
Male, very elderly, Demographic transition, HALE, 030204 cardiovascular system & hematology, preschool child, Global Burden of Disease, Carga Global de Enfermedades, 0302 clinical medicine, newborn, Risk Factors, Surveys and Questionnaires, and Risk Factors Study, 80 and over, 030212 general & internal medicine, Birth Rate, Child, Migration, 11 Medical and Health Sciences, Aged, 80 and over, education.field_of_study, Injuries, Geography, Mortality rate, 1. No poverty, DEATH, Censuses, General Medicine, SDG 10 - Reduced Inequalities, Middle Aged, Demographic analysis, 3142 Public health care science, environmental and occupational health, 3. Good health, demographic analysis, Estilo de Vida Saludable, risk factor, Child, Preschool, Demography/statistics & numerical data, Global Burden of Diseases, Injuries, Risk Factors, Fertility, Mortality, Migration, Population, epidemiology, Female, A990 Medicine and Dentistry not elsewhere classified, CHILD-MORTALITY, Live Birth, Global Health Metrics, TRANSITION, demographics, GBD, fertility, mortality, hale, Adult, Adolescent, Total fertility rate, Population, Global Burden of Diseases, Injuries, and Risk Factors Study, Birth rate, 03 medical and health sciences, Young Adult, Life Expectancy, SDG 3 - Good Health and Well-being, General & Internal Medicine, SYSTEMATIC ANALYSIS, Demografía, Humans, Global Burden of Disease Study, human, Mortality, education, Preschool, Aged, Demography, Spatial Analysis, questionnaire, Infant, Newborn, Klinisk medicin, HIV, Infant, Global Burden of Diseases, sex-specific fertility, Live Birth/epidemiology, purl.org/pe-repo/ocde/ford#3.02.00 [https], MODEL, Fertilidad, Fertility, Demographic change, Life expectancy, NA, global disease burden, Clinical Medicine, population research
Abstract

Background Accurate and up-to-date assessment of demographic metrics is crucial for understanding a wide range of social, economic, and public health issues that affect populations worldwide. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 produced updated and comprehensive demographic assessments of the key indicators of fertility, mortality, migration, and population for 204 countries and territories and selected subnational locations from 1950 to 2019. Methods 8078 country-years of vital registration and sample registration data, 938 surveys, 349 censuses, and 238 other sources were identified and used to estimate age-specific fertility. Spatiotemporal Gaussian process regression (ST-GPR) was used to generate age-specific fertility rates for 5-year age groups between ages 15 and 49 years. With extensions to age groups 10-14 and 50-54 years, the total fertility rate (TFR) was then aggregated using the estimated age-specific fertility between ages 10 and 54 years. 7417 sources were used for under-5 mortality estimation and 7355 for adult mortality. ST-GPR was used to synthesise data sources after correction for known biases. Adult mortality was measured as the probability of death between ages 15 and 60 years based on vital registration, sample registration, and sibling histories, and was also estimated using ST-GPR. HIV-free life tables were then estimated using estimates of under-5 and adult mortality rates using a relational model life table system created for GBD, which closely tracks observed age-specific mortality rates from complete vital registration when available. Independent estimates of HIV-specific mortality generated by an epidemiological analysis of HIV prevalence surveys and antenatal clinic serosurveillance and other sources were incorporated into the estimates in countries with large epidemics. Annual and single-year age estimates of net migration and population for each country and territory were generated using a Bayesian hierarchical cohort component model that analysed estimated age-specific fertility and mortality rates along with 1250 censuses and 747 population registry years. We classified location-years into seven categories on the basis of the natural rate of increase in population (calculated by subtracting the crude death rate from the crude birth rate) and the net migration rate. We computed healthy life expectancy (HALE) using years lived with disability (YLDs) per capita, life tables, and standard demographic methods. Uncertainty was propagated throughout the demographic estimation process, including fertility, mortality, and population, with 1000 draw-level estimates produced for each metric. Findings The global TFR decreased from 2.72 (95% uncertainty interval [UI] 2.66-2.79) in 2000 to 2.31 (2.17-2.46) in 2019. Global annual livebirths increased from 134.5 million (131.5-137.8) in 2000 to a peak of 139.6 million (133.0-146.9) in 2016. Global livebirths then declined to 135.3 million (127.2-144.1) in 2019. Of the 204 countries and territories included in this study, in 2019, 102 had a TFR lower than 2.1, which is considered a good approximation of replacement-level fertility. All countries in sub-Saharan Africa had TFRs above replacement level in 2019 and accounted for 27.1% (95% UI 26.4-27.8) of global livebirths. Global life expectancy at birth increased from 67.2 years (95% UI 66.8-67.6) in 2000 to 73.5 years (72.8-74.3) in 2019. The total number of deaths increased from 50.7 million (49.5-51.9) in 2000 to 56.5 million (53.7-59.2) in 2019. Under-5 deaths declined from 9.6 million (9.1-10.3) in 2000 to 5.0 million (4.3-6.0) in 2019. Global population increased by 25.7%, from 6.2 billion (6.0-6.3) in 2000 to 7.7 billion (7.5-8.0) in 2019. In 2019, 34 countries had negative natural rates of increase; in 17 of these, the population declined because immigration was not sufficient to counteract the negative rate of decline. Globally, HALE increased from 58.6 years (56.1-60.8) in 2000 to 63.5 years (60.8-66.1) in 2019. HALE increased in 202 of 204 countries and territories between 2000 and 2019. Interpretation Over the past 20 years, fertility rates have been dropping steadily and life expectancy has been increasing, with few exceptions. Much of this change follows historical patterns linking social and economic determinants, such as those captured by the GBD Socio-demographic Index, with demographic outcomes. More recently, several countries have experienced a combination of low fertility and stagnating improvement in mortality rates, pushing more populations into the late stages of the demographic transition. Tracking demographic change and the emergence of new patterns will be essential for global health monitoring. Copyright (C) 2020 The Author(s). Published by Elsevier Ltd.

Published
2020

7. 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 S., Azene Z.N., Babar Z.-U.-D., Baig A.A., Balakrishnan S., Banach M., Barnighausen 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., Cardenas 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., Nunez-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., 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

8. Global, regional, and national progress towards Sustainable Development Goal 3.2 for neonatal and child health: all-cause and cause-specific mortality findings from the Global Burden of Disease Study 2019

Author

Paulson, K.R., Kamath, A.M., Alam, T., Bienhoff, K., Abady, G.G., Abbas, J., Abbasi-Kangevari, M., Abbastabar, H., Abd-Allah, F., Abd-Elsalam, S.M., Abdoli, A., Abedi, A., Abolhassani, H., Abreu, L.G., Abu-Gharbieh, E., Abu-Rmeileh, N.M.E., Abushouk, A.I., Adamu, A.L., Adebayo, O.M., Adegbosin, A.E., Adekanmbi, V., Adetokunboh, O.O., Adeyinka, D.A., Adsuar, J.C., Afshari, K., Aghaali, M., Agudelo-Botero, M., Ahinkorah, B.O., Ahmad, T., Ahmadi, K., Ahmed, M.B., Aji, B., Akalu, Y., Akinyemi, O.O., Aklilu, A., Al-Aly, Z., Alam, K., Alanezi, F.M., Alanzi, T.M., Alcalde-Rabanal, J.E., Al-Eyadhy, A., Ali, T., Alicandro, G., Alif, S.M., Alipour, V., Alizade, H., Aljunid, S.M., Almasi-Hashiani, A., Almasri, N.A., Al-Mekhlafi, H.M., Alonso, J., Al-Raddadi, R.M., Altirkawi, K.A., Alumran, A.K., Alvis-Guzman, N., Alvis-Zakzuk, N.J., Ameyaw, E.K., Amini, S., Amini-Rarani, M., Amit, A.M.L., Amugsi, D.A., Ancuceanu, R., Anderlini, D., Andrei, C.L., Ansari, F., Ansari-Moghaddam, A., Antonio, C.A.T., Antriyandarti, E., Anvari, D., Anwer, R., Aqeel, M., Arabloo, J., Arab-Zozani, M., Aripov, T., Ärnlöv, J., Artanti, K.D., Arzani, A., Asaad, M., Asadi-Aliabadi, M., Asadi-Pooya, A.A., Asghari Jafarabadi, M., Athari, S.S., Athari, S.M., Atnafu, D.D., Atreya, A., Atteraya, M.S., Ausloos, M., Awan, A.T., Ayala Quintanilla, B.P., Ayano, G., Ayanore, M.A., Aynalem, Y.A., Azari, S., Azarian, G., Azene, Z.N., Darshan, B.B., Babaee, E., Badiye, A.D., Baig, A.A., Banach, M., Banik, Pa.C., Barker-Collo, S.L., Barqawi, H.J., Bassat, Q., Basu, S., Baune, B.T., Bayati, M., Bedi, N., Beghi, E., Beghi, M., Bell, M.L., Bendak, S., Bennett, D.A., Bensenor, I.M., Berhe, K., Berman, A.E., Bezabih, Y.M., Bhagavathula, A.S., Bhandari, D., Bhardwaj, N., Bhardwaj, P., Bhattacharyya, K., Bhattarai, S., Bhutta, Z.A., Bikbov, B., Biondi, A., Birihane, B.M., Biswas, R.K., Bohlouli, S., Bragazzi, N.L., Breusov, A.V., Brunoni, A.R., Burkart, K., Burugina Nagaraja, S., Busse, R., Butt, Z.A., Caetano dos Santos, F.L., Cahuana-Hurtado, L., Camargos, P., Cámera, L.A., Cárdenas, R., Carreras, G., Carrero, J.J., Carvalho, F., Castaldelli-Maia, J.M., Castañeda-Orjuela, C.A., Castelpietra, G., Cerin, E., Chang, J-C, Chanie, W.F., Charan, J., Chatterjee, S., Chattu, S.K., Chattu, V.K., Chaturvedi, S., Chen, S., Cho, D.Y., Choi, J-Y.J., Chu, D-T, Ciobanu, L.G., Cirillo, M., Conde, J., Costa, V.M., Couto, R.A.S., Dachew, B.A., Dahlawi, S.M.A., Dai, H., Dai, X., Dandona, L., Dandona, R., Daneshpajouhnejad, P., Darmstadt, G.L, Das, J.K., Dávila-Cervantes, C.A., Davis, A.C., Davletov, K., De la Hoz, F.P., De Leo, D., Deeba, F., Denova-Gutiérrez, E., Dervenis, N., Desalew, A., Deuba, K., Dey, S., Dharmaratne, S.D., Dhingra, S., Dhungana, G.P., Dias da Silva, D., Diaz, D., Dorostkar, F., Doshmangir, L., Dubljanin, E., Duraes, A.R., Eagan, A.W., Edinur, H.A., Efendi, F., Eftekharzadeh, S., El Sayed, I., El Tantawi, M., Elbarazi, I., Elgendy, I.Y., El-Jaafary, S.I., Emami, A., Enany, S., Eyawo, O., Ezzikouri, S., Faris, P.S., Farzadfar, F., Fattahi, N., Fauk, N.K., Fazlzadeh, M., Feigin, V.L., Ferede, T.Y., Fereshtehnejad, S-M, Fernandes, E., Ferrara, P., Filip, I., Fischer, F., Fisher, J.L., Foigt, N.A., Folayan, M.O., Foroutan, M., Franklin, R.C., Freitas, M., Friedman, S.D., Fukumoto, T., Gad, M.M., Gaidhane, A.M., Gaidhane, S., Gaihre, S., Gallus, S., Garcia-Basteiro, A.L., Garcia-Gordillo, M.A., Gardner, W.M., Gaspar Fonseca, M., Gebremedhin, K.B., Getacher, L., Ghashghaee, A., Gholamian, A., Gilani, S.A., Gill, T.K., Giussani, G., Gnedovskaya, E.V., Godinho, M.A., Goel, A., Golechha, M., Gona, P.N., Gopalani, S.V., Goudarzi, H., Grivna, M., Gugnani, H.C., Guido, D., Guimarães, R.A., Gupta, R.D., Gupta, R., Hafezi-Nejad, N., Haider, M.R., Haj-Mirzaian, A., Hamidi, S., Hanif, A., Hankey, G.J., Hargono, A., Hasaballah, A.I., Hasan, M.M., Hasan, S.S., Hassan, A., Hassanipour, S., Hassankhani, H., Havmoeller, R.J., Hayat, K., Heidari-Soureshjani, R., Henry, N.J., Herteliu, C., Hole, M.K., Holla, R., Hossain, N., Hosseini, M., Hosseinzadeh, M., Hostiuc, M., Hostiuc, S., Househ, M., Huang, J., Humayun, A., Hwang, B-F, Iavicoli, I., Ibitoye, S.E., Ikuta, K.S., Ilesanmi, O.S., Ilic, I.M., Ilic, M.D., Inamdar, S., Inbaraj, L.R., Iqbal, K., Iqbal, U., Islam, M.M., Islam, S.M.S., Iso, H., Iwagami, M., Iwu, C.C.D., Jaafari, J., Jacobsen, K.H., Jagnoor, J., Jain, V., Janodia, M.D., Javaheri, T., Javanmardi, F., Jayaram, S., Jayatilleke, A.U., Jenabi, E., Jha, R.P., Ji, J.S., John, O., Jonas, J.B., Joo, T., Joseph, N., Joukar, F., Jozwiak, J.J., Jürisson, M., Kabir, A., Kabir, Z., Kalankesh, L.R., Kamyari, N., Kanchan, T., Kapoor, N., Karami Matin, B., Karch, A., Karimi, S.E., Kassahun, G., Kayode, G.A., Kazemi Karyani, A., Kemmer, L., Khalid, N., Khalilov, R., Khammarnia, M., Khan, E.A., Khan, G., Khan, M., Khan, Md.N., Khang, Y-H, Khatab, K., Khater, A.M., Khater, M.M., Khayamzadeh, M., Khosravi, A., Kim, D., Kim, Y-E, Kim, Y.J., Kimokoti, R.W., Kisa, A., Kisa, S., Kissoon, N., Kopec, J.A., Kosen, S., Koul, P.A., Koulmane Laxminarayana, S.L., Koyanagi, A., Krishan, K., Krishnamoorthy, V., Kuate Defo, B., Kucuk Bicer, B., Kulkarni, V., Kumar, G.A., Kumar, M., Kumar, N., Kurmi, O.P., Kusuma, D., La Vecchia, C., Lacey, B., Lalloo, R., Lami, F.H., Landires, I., Larsson, A.O., Lasrado, S., Lassi, Z.S., Lauriola, P., Lee, P.H., Lee, S.W.H., Lee, Y.H., Leigh, J., Leonardi, M., Lewycka, S., Li, B., Li, S., Liang, J., Lim, L-L, Limenih, M.A., Lin, R-T, Liu, X., Lodha, R., Lopez, A.D., Lozano, R., Lugo, A., Lunevicius, R., Mackay, M.T., Madhava Kunjathur, S., Magnani, F.G., Mahadeshwara Prasad, D.R., Maheri, M., Mahmoudi, M., Majeed, A., Maled, V., Maleki, A., Maleki, S., Malekzadeh, R., Malik, A.A., Malta, D.C., Mamun, A.A., Mansouri, B., Mansournia, M.A., Martinez, G., Martini, S., Martins-Melo, F.R., Masoumi, S.Z., Maulik, P.K., McAlinden, C., McGrath, J.J., Medina-Solís, C.E., Mehrabi Nasab, E., Mejia-Rodriguez, F., Memish, Z.A., Mendoza, W., Menezes, R.G., Mengesha, E.W., Mensah, G.A., Meretoja, A., Meretoja, T.J., Mersha, A.M., Mestrovic, T., Miazgowski, B., Miazgowski, T., Michalek, I.M., Miller, T.R., Mini, G.K., Miri, M., Mirica, A., Mirrakhimov, E.M., Mirzaei, H., Mirzaei, M., Moazen, B., Moghadaszadeh, M., Mohajer, B., Mohamad, O., Mohammad, Y., Mohammadi, S.M., Mohammadian-Hafshejani, A., Mohammed, S., Mokdad, A.H., Molokhia, M., Monasta, L., Mondello, S., Moni, M.A., Moore, C.E., Moradi, G., Moradi, M., Moradzadeh, R., Moraga, P., Morawska, L., Morrison, S.D., Mosser, J.F., Mousavi Khaneghah, A., Mustafa, G., Naderi, M., Nagarajan, A.J., Nagaraju, S.P., Naghavi, M., Naghshtabrizi, B., Naimzada, M.D., Nangia, V., Narasimha Swamy, S., Nascimento, B.R., Naveed, M., Nazari, J., Ndejjo, R., Negoi, I., Negoi, R.I., Nena, E., Nepal, S., Netsere, H.B., Nguefack-Tsague, G., Ngunjiri, J.W., Nguyen, C.T.Y., Nguyen, C.T., Nguyen, H.L.T., Nigatu, Y.T., Nigussie, S.N., Nixon, M.R., Nnaji, C.A., Nomura, S., Noor, N.M., Noubiap, J.J., Nunez-Samudio, V., Nwatah, V.E., Oancea, B., Odukoya, O.O., Ogbo, F.A., Olusanya, B.O., Olusanya, J.O., Omar Bali, A., Onwujekwe, O.E., Ortiz, A., Otoiu, A., Otstavnov, N., Otstavnov, S.S., Owolabi, M.O., Mahesh, P.A., Padubidri, J.R., Pakhale, S., Pakshir, K., Pal, P.K., Palladino, R., Pana, A., Panda-Jonas, S., Pandey, A., Pandi-Perumal, S.R., Pangaribuan, H.U., Pardo-Montaño, A.M., Park, E-K, Patel, S.K., Patton, G.C., Pawar, S., Pazoki Toroudi, H., Peden, A.E., Pepito, V.C.F., Peprah, E.K., Pereira, J., Pérez-Gómez, J., Perico, N., Pesudovs, K., Pilgrim, T., Pinheiro, M., Piradov, M.A., Pirsaheb, M., Platts-Mills, J.A., Pokhrel, K.N., Postma, M.J., Pourjafar, H., Prada, S.I., Prakash, S., Pupillo, E., Quazi Syed, Z., Rabiee, N., Radfar, A., Rafiee, A., Rafiei, A., Raggi, A., Rahimzadeh, S., Rahman, M.H.U., Rahmani, A.M., Ramezanzadeh, K., Rana, J., Ranabhat, C.L., Rao, S.J., Rasella, D., Rastogi, P., Rathi, P., Rawaf, D.L., Rawaf, S., Rawasia, W.F., Rawassizadeh, R., Reiner Jr, R.C., Remuzzi, G., Renzaho, A.M.N., Reshmi, B., Resnikoff, S., Rezaei, N., Rezapour, A., Riahi, S.M., Ribeiro, D., Rickard, J., Roever, L., Ronfani, L., Rothenbacher, D., Rubagotti, E., Rumisha, S.F., Ryan, P.M., Saddik, B., Sadeghi, E., Saeedi Moghaddam, S., Sagar, R., Sahebkar, A., Salahshoor, M.R., Salehi, S., Salem, M.R., Salimzadeh, H., Salomon, J.A., Samodra, Y.L., Samy, A.M., Sanabria, J., Santric-Milicevic, M.M., Saraswathy, S.Y.I., Sarker, A.R., Sarrafzadegan, N., Sarveazad, A., Sathian, B., Sathish, T., Sattin, D., Saxena, S., Saya, G.K., Saylan, M., Schiavolin, S., Schlaich, M.P., Schwebel, D.C., Schwendicke, F., Senthilkumaran, S., Sepanlou, S.G., Serván-Mori, E., Sha, F., Shafaat, O., Shahabi, S., Shahbaz, M., Shaheen, A.A., Shahid, I., Shaikh, M.A., Shakiba, S., Shalash, A.S., Shams-Beyranvand, M., Shannawaz, M., Sharafi, K., Sheikh, A., Sheikhbahaei, S., Shiferaw, W.S., Shigematsu, M., Shin, J.I., Shiri, R., Shiue, I., Shuval, K., Siddiqi, T.J., Sidemo, N.B., Sigfusdottir, I.D., Sigurvinsdottir, R., Silva, J.P., Silverberg, J.I.S., Simonetti, B., Singh, B.B., Singh, J.A., Singhal, D., Sinha, D.N., Skiadaresi, E., Skryabin, V.Y., Skryabina, A.A., Sleet, D.A., Sobaih, B.H., Sobhiyeh, M.R., Soltani, S., Soriano, J.B., Spurlock, E.E., Sreeramareddy, C.T., Steiropoulos, P., Stokes, M.A., Stortecky, S., Sufiyan, M.B., Suliankatchi Abdulkader, R., Sulo, G., Swope, C.B., Sykes, B.L., Szeto, M.D., Szócska, M., Tabarés-Seisdedos, R., Tadesse, E.G., Taherkhani, A., Tamiru, A.T., Tareque, M.I., Tehrani-Banihashemi, A., Temsah, M-H, Tesfay, F.H., Tessema, G.A., Tessema, Z.T., Thankappan, K.R., Thapar, R., Tolani, M.A., Tovani-Palone, M.R., Traini, E., Tran, B.X., Tripathy, J.P., Tsapparellas, G., Tsatsakis, A., Tudor Car, L., Uddin, R., Ullah, A., Umeokonkwo, C.D., Unim, B., Unnikrishnan, B., Upadhyay, E., Usman, M.S., Vacante, M., Vaezi, M., Valadan Tahbaz, S., Valdez, P.R., Vasankari, T.J., Venketasubramanian, N., Verma, M., Violante, F.S., Vlassov, V., Vo, B., Vu, G.T., Wado, Y.D., Waheed, Y., Wamai, R.G., Wang, Y., Wang, Y-P, Ward, P., Werdecker, A., Westerman, R., Wickramasinghe, N.D., Wilner, L.B., Wiysonge, C.S., Wu, A-M, Wu, C., Xie, Y., Yahyazadeh Jabbari, S.H., Yamagishi, K., Yandrapalli, S., Yaya, S., Yazdi-Feyzabadi, V., Yip, P., Yonemoto, N., Yoon, S-J, Younis, M.Z., Yousefi, Z., Yousefinezhadi, T., Yu, C., Yusuf, S.S., Zaidi, S.S., Zaman, S.B., Zamani, M., Zamanian, M., Zastrozhin, M.S., Zastrozhina, A., Zhang, Y., Zhang, Z-J, Zhao, Xi-J.G., Ziapour, A., Hay, S.I., Murray, C.J.L., Wang, H., Kassebaum, N.J., Paulson, K.R., Kamath, A.M., Alam, T., Bienhoff, K., Abady, G.G., Abbas, J., Abbasi-Kangevari, M., Abbastabar, H., Abd-Allah, F., Abd-Elsalam, S.M., Abdoli, A., Abedi, A., Abolhassani, H., Abreu, L.G., Abu-Gharbieh, E., Abu-Rmeileh, N.M.E., Abushouk, A.I., Adamu, A.L., Adebayo, O.M., Adegbosin, A.E., Adekanmbi, V., Adetokunboh, O.O., Adeyinka, D.A., Adsuar, J.C., Afshari, K., Aghaali, M., Agudelo-Botero, M., Ahinkorah, B.O., Ahmad, T., Ahmadi, K., Ahmed, M.B., Aji, B., Akalu, Y., Akinyemi, O.O., Aklilu, A., Al-Aly, Z., Alam, K., Alanezi, F.M., Alanzi, T.M., Alcalde-Rabanal, J.E., Al-Eyadhy, A., Ali, T., Alicandro, G., Alif, S.M., Alipour, V., Alizade, H., Aljunid, S.M., Almasi-Hashiani, A., Almasri, N.A., Al-Mekhlafi, H.M., Alonso, J., Al-Raddadi, R.M., Altirkawi, K.A., Alumran, A.K., Alvis-Guzman, N., Alvis-Zakzuk, N.J., Ameyaw, E.K., Amini, S., Amini-Rarani, M., Amit, A.M.L., Amugsi, D.A., Ancuceanu, R., Anderlini, D., Andrei, C.L., Ansari, F., Ansari-Moghaddam, A., Antonio, C.A.T., Antriyandarti, E., Anvari, D., Anwer, R., Aqeel, M., Arabloo, J., Arab-Zozani, M., Aripov, T., Ärnlöv, J., Artanti, K.D., Arzani, A., Asaad, M., Asadi-Aliabadi, M., Asadi-Pooya, A.A., Asghari Jafarabadi, M., Athari, S.S., Athari, S.M., Atnafu, D.D., Atreya, A., Atteraya, M.S., Ausloos, M., Awan, A.T., Ayala Quintanilla, B.P., Ayano, G., Ayanore, M.A., Aynalem, Y.A., Azari, S., Azarian, G., Azene, Z.N., Darshan, B.B., Babaee, E., Badiye, A.D., Baig, A.A., Banach, M., Banik, Pa.C., Barker-Collo, S.L., Barqawi, H.J., Bassat, Q., Basu, S., Baune, B.T., Bayati, M., Bedi, N., Beghi, E., Beghi, M., Bell, M.L., Bendak, S., Bennett, D.A., Bensenor, I.M., Berhe, K., Berman, A.E., Bezabih, Y.M., Bhagavathula, A.S., Bhandari, D., Bhardwaj, N., Bhardwaj, P., Bhattacharyya, K., Bhattarai, S., Bhutta, Z.A., Bikbov, B., Biondi, A., Birihane, B.M., Biswas, R.K., Bohlouli, S., Bragazzi, N.L., Breusov, A.V., Brunoni, A.R., Burkart, K., Burugina Nagaraja, S., Busse, R., Butt, Z.A., Caetano dos Santos, F.L., Cahuana-Hurtado, L., Camargos, P., Cámera, L.A., Cárdenas, R., Carreras, G., Carrero, J.J., Carvalho, F., Castaldelli-Maia, J.M., Castañeda-Orjuela, C.A., Castelpietra, G., Cerin, E., Chang, J-C, Chanie, W.F., Charan, J., Chatterjee, S., Chattu, S.K., Chattu, V.K., Chaturvedi, S., Chen, S., Cho, D.Y., Choi, J-Y.J., Chu, D-T, Ciobanu, L.G., Cirillo, M., Conde, J., Costa, V.M., Couto, R.A.S., Dachew, B.A., Dahlawi, S.M.A., Dai, H., Dai, X., Dandona, L., Dandona, R., Daneshpajouhnejad, P., Darmstadt, G.L, Das, J.K., Dávila-Cervantes, C.A., Davis, A.C., Davletov, K., De la Hoz, F.P., De Leo, D., Deeba, F., Denova-Gutiérrez, E., Dervenis, N., Desalew, A., Deuba, K., Dey, S., Dharmaratne, S.D., Dhingra, S., Dhungana, G.P., Dias da Silva, D., Diaz, D., Dorostkar, F., Doshmangir, L., Dubljanin, E., Duraes, A.R., Eagan, A.W., Edinur, H.A., Efendi, F., Eftekharzadeh, S., El Sayed, I., El Tantawi, M., Elbarazi, I., Elgendy, I.Y., El-Jaafary, S.I., Emami, A., Enany, S., Eyawo, O., Ezzikouri, S., Faris, P.S., Farzadfar, F., Fattahi, N., Fauk, N.K., Fazlzadeh, M., Feigin, V.L., Ferede, T.Y., Fereshtehnejad, S-M, Fernandes, E., Ferrara, P., Filip, I., Fischer, F., Fisher, J.L., Foigt, N.A., Folayan, M.O., Foroutan, M., Franklin, R.C., Freitas, M., Friedman, S.D., Fukumoto, T., Gad, M.M., Gaidhane, A.M., Gaidhane, S., Gaihre, S., Gallus, S., Garcia-Basteiro, A.L., Garcia-Gordillo, M.A., Gardner, W.M., Gaspar Fonseca, M., Gebremedhin, K.B., Getacher, L., Ghashghaee, A., Gholamian, A., Gilani, S.A., Gill, T.K., Giussani, G., Gnedovskaya, E.V., Godinho, M.A., Goel, A., Golechha, M., Gona, P.N., Gopalani, S.V., Goudarzi, H., Grivna, M., Gugnani, H.C., Guido, D., Guimarães, R.A., Gupta, R.D., Gupta, R., Hafezi-Nejad, N., Haider, M.R., Haj-Mirzaian, A., Hamidi, S., Hanif, A., Hankey, G.J., Hargono, A., Hasaballah, A.I., Hasan, M.M., Hasan, S.S., Hassan, A., Hassanipour, S., Hassankhani, H., Havmoeller, R.J., Hayat, K., Heidari-Soureshjani, R., Henry, N.J., Herteliu, C., Hole, M.K., Holla, R., Hossain, N., Hosseini, M., Hosseinzadeh, M., Hostiuc, M., Hostiuc, S., Househ, M., Huang, J., Humayun, A., Hwang, B-F, Iavicoli, I., Ibitoye, S.E., Ikuta, K.S., Ilesanmi, O.S., Ilic, I.M., Ilic, M.D., Inamdar, S., Inbaraj, L.R., Iqbal, K., Iqbal, U., Islam, M.M., Islam, S.M.S., Iso, H., Iwagami, M., Iwu, C.C.D., Jaafari, J., Jacobsen, K.H., Jagnoor, J., Jain, V., Janodia, M.D., Javaheri, T., Javanmardi, F., Jayaram, S., Jayatilleke, A.U., Jenabi, E., Jha, R.P., Ji, J.S., John, O., Jonas, J.B., Joo, T., Joseph, N., Joukar, F., Jozwiak, J.J., Jürisson, M., Kabir, A., Kabir, Z., Kalankesh, L.R., Kamyari, N., Kanchan, T., Kapoor, N., Karami Matin, B., Karch, A., Karimi, S.E., Kassahun, G., Kayode, G.A., Kazemi Karyani, A., Kemmer, L., Khalid, N., Khalilov, R., Khammarnia, M., Khan, E.A., Khan, G., Khan, M., Khan, Md.N., Khang, Y-H, Khatab, K., Khater, A.M., Khater, M.M., Khayamzadeh, M., Khosravi, A., Kim, D., Kim, Y-E, Kim, Y.J., Kimokoti, R.W., Kisa, A., Kisa, S., Kissoon, N., Kopec, J.A., Kosen, S., Koul, P.A., Koulmane Laxminarayana, S.L., Koyanagi, A., Krishan, K., Krishnamoorthy, V., Kuate Defo, B., Kucuk Bicer, B., Kulkarni, V., Kumar, G.A., Kumar, M., Kumar, N., Kurmi, O.P., Kusuma, D., La Vecchia, C., Lacey, B., Lalloo, R., Lami, F.H., Landires, I., Larsson, A.O., Lasrado, S., Lassi, Z.S., Lauriola, P., Lee, P.H., Lee, S.W.H., Lee, Y.H., Leigh, J., Leonardi, M., 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S.B., Zamani, M., Zamanian, M., Zastrozhin, M.S., Zastrozhina, A., Zhang, Y., Zhang, Z-J, Zhao, Xi-J.G., Ziapour, A., Hay, S.I., Murray, C.J.L., Wang, H., and Kassebaum, N.J.

Abstract

Background Sustainable Development Goal 3.2 has targeted elimination of preventable child mortality, reduction of neonatal death to less than 12 per 1000 livebirths, and reduction of death of children younger than 5 years to less than 25 per 1000 livebirths, for each country by 2030. To understand current rates, recent trends, and potential trajectories of child mortality for the next decade, we present the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 findings for all-cause mortality and cause-specific mortality in children younger than 5 years of age, with multiple scenarios for child mortality in 2030 that include the consideration of potential effects of COVID-19, and a novel framework for quantifying optimal child survival. Methods We completed all-cause mortality and cause-specific mortality analyses from 204 countries and territories for detailed age groups separately, with aggregated mortality probabilities per 1000 livebirths computed for neonatal mortality rate (NMR) and under-5 mortality rate (U5MR). Scenarios for 2030 represent different potential trajectories, notably including potential effects of the COVID-19 pandemic and the potential impact of improvements preferentially targeting neonatal survival. Optimal child survival metrics were developed by age, sex, and cause of death across all GBD location-years. The first metric is a global optimum and is based on the lowest observed mortality, and the second is a survival potential frontier that is based on stochastic frontier analysis of observed mortality and Healthcare Access and Quality Index. Findings Global U5MR decreased from 71·2 deaths per 1000 livebirths (95% uncertainty interval [UI] 68·3–74·0) in 2000 to 37·1 (33·2–41·7) in 2019 while global NMR correspondingly declined more slowly from 28·0 deaths per 1000 live births (26·8–29·5) in 2000 to 17·9 (16·3–19·8) in 2019. In 2019, 136 (67%) of 204 countries had a U5MR at or below the SDG 3.2 threshold and 133 (65%) had an

Published
2021

9. Tracking development assistance for health and for COVID-19: A review of development assistance, government, out-of-pocket, and other private spending on health for 204 countries and territories, 1990–2050

Author

Micah, A.E., Cogswell, I.E., Cunningham, B., Ezoe, S., Harle, A.C., Maddison, E.R., McCracken, D., Nomura, S., Simpson, K.E., Stutzman, H.N., Tsakalos, G., Wallace, L.E., Zhao, Y., Zende, R.R., Abbafati, C., Abdelmasseh, M., Abedi, A., Abegaz, K.H., Abhilash, E.S., Abolhassani, H., Abrigo, M.R.M., Adhikari, T.B., Afzal, S., Ahinkorah, B.O., Ahmadi, S., Ahmed, H., Ahmed, M.B., Ahmed Rashid, T., Ajami, M., Aji, B., Akalu, Y., Akunna, C.J., Al Hamad, H., Alam, K., Alanezi, F.M., Alanzi, T.M., Alemayehu, Y., Alhassan, R.K., Alinia, C., Aljunid, S.M., Almustanyir, S.A., Alvis-Guzman, N., Alvis-Zakzuk, N.J., Amini, S., Amini-Rarani, M., Amu, H., Ancuceanu, R., Andrei, C.L., Andrei, T., Angell, B., Anjomshoa, M., Antonio, C.A.T., Antony, C.M., Aqeel, M., Arabloo, J., Arab-Zozani, M., Aripov, T., Arrigo, A., Ashraf, T., Atnafu, D.D., Ausloos, M., Avila-Burgos, L., Awan, A.T., Ayano, G., Ayanore, M.A., Azari, S., Azhar, G.S., Babalola, T.K., Bahrami, M.A., Baig, A.A., Banach, M., Barati, N., Bärnighausen, T.W., Barrow, A., Basu, S., Baune, B.T., Bayati, M., Benzian, H., Berman, A.E., Bhagavathula, A.S., Bhardwaj, N., Bhardwaj, P., Bhaskar, S., Bibi, S., Bijani, A., Bodolica, V., Bragazzi, N.L., Braithwaite, D., Breitborde, N.J.K., Breusov, A.V., Briko, N.I., Busse, R., Cahuana-Hurtado, L., Callander, E.J., Cámera, L.A., Castañeda-Orjuela, C.A., Catalá-López, F., Charan, J., Chatterjee, S., Chattu, S.K., Chattu, V.K., Chen, S., Cicero, A.F.G., Dadras, O., Dahlawi, S.M.A., Dai, X., Dalal, K., Dandona, L., Dandona, R., Davitoiu, D.V., De Neve, J-W, de Sá-Junior, A.R., Denova-Gutiérrez, E., Dhamnetiya, D., Dharmaratne, S.D., Doshmangir, L., Dube, J., Ehsani-Chimeh, E., El Sayed Zaki, M., El Tantawi, M., Eskandarieh, S., Farzadfar, F., Ferede, T.Y., Fischer, F., Foigt, N.A., Freitas, A., Friedman, S.D., Fukumoto, T., Fullman, N., Gaal, P.A., Gad, M.M., Garcia-Gordillo, M.A., Garg, T., Ghafourifard, M., Ghashghaee, A., Gholamian, A., Gholamrezanezhad, A., Ghozali, G., Gilani, S.A., Glăvan, I-R, Glushkova, E.V., Goharinezhad, S., Golechha, M., Goli, S., Guha, A., Gupta, V.B., Gupta, V.K., Haakenstad, A., Haider, M.R., Hailu, A., Hamidi, S., Hanif, A., Harapan, H., Hartono, R.K., Hasaballah, A.I., Hassan, S., Hassanein, M.H., Hayat, K., Hegazy, M.I., Heidari, G., Hendrie, D., Heredia-Pi, I., Herteliu, C., Hezam, K., Holla, R., Hossain, S.., Hosseinzadeh, M., Hostiuc, S., Huda, T.M., Hwang, B-F, Iavicoli, I., Idrisov, B., Ilesanmi, O.S., Irvani, S.S.N., Islam, S.M.S., Ismail, N.E., Isola, G., Jahani, M.A., Jahanmehr, N., Jakovljevic, M., Janodia, M.D., Javaheri, T., Jayapal, S.K., Jayawardena, R., Jazayeri, S.B., Jha, R.P., Jonas, J.B., Joo, T., Joukar, F., Jürisson, M., Kaambwa, B., Kalhor, R., Kanchan, T., Kandel, H., Karami Matin, B., Karimi, S.E., Kassahun, G., Kayode, G.A., Kazemi Karyani, A., Keikavoosi-Arani, L., Khader, Y.S., Khajuria, H., Khalilov, R., Khammarnia, M., Khan, J., Khubchandani, J., Kianipour, N., Kim, G.R., Kim, Y.J., Kisa, A., Kisa, S., Kohler, S., Kosen, S., Koteeswaran, R., Koulmane Laxminarayana, S.L., Koyanagi, A., Krishan, K., Kumar, G.A., Kusuma, D., Lamnisos, D., Lansingh, V.C., Larsson, A.O., Lasrado, S., Le, L.K.D., Lee, S.W.H., Lee, Y.Y., Lim, S.S., Lobo, S.W., Lozano, R., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Mahdavi, M.M., Majeed, A., Makki, A., Maleki, A., Malekzadeh, R., Manda, A.L., Mansour-Ghanaei, F., Mansournia, M.A., Marrugo Arnedo, C.A., Martinez-Valle, A., Masoumi, S.Z., Maude, Ri.J., McKee, M., Medina-Solís, C.E., Menezes, R.G., Meretoja, A., Meretoja, T.J., Mesregah, M.K., Mestrovic, T., Milevska Kostova, N., Miller, T.R., Mini, G.K., Mirica, A., Mirrakhimov, E.M., Mohajer, B., Mohamed, T.A., Mohammadi, M., Mohammadian-Hafshejani, A., Mohammed, S., Moitra, M., Mokdad, A.H., Molokhia, M., Moni, M.A., Moradi, Y., Morze, J., Mousavi, S.M., Mpundu-Kaambwa, C., Muriithi, M.K, Muthupandian, S., Nagarajan, A.J., Naimzada, M.D., Nangia, V., Naqvi, A.A., Narayana, A.I., Nascimento, B.R., 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J.L., and Dieleman, J.L.

Abstract

Background The rapid spread of COVID-19 renewed the focus on how health systems across the globe are financed, especially during public health emergencies. Development assistance is an important source of health financing in many low-income countries, yet little is known about how much of this funding was disbursed for COVID-19. We aimed to put development assistance for health for COVID-19 in the context of broader trends in global health financing, and to estimate total health spending from 1995 to 2050 and development assistance for COVID-19 in 2020. Methods We estimated domestic health spending and development assistance for health to generate total health-sector spending estimates for 204 countries and territories. We leveraged data from the WHO Global Health Expenditure Database to produce estimates of domestic health spending. To generate estimates for development assistance for health, we relied on project-level disbursement data from the major international development agencies' online databases and annual financial statements and reports for information on income sources. To adjust our estimates for 2020 to include disbursements related to COVID-19, we extracted project data on commitments and disbursements from a broader set of databases (because not all of the data sources used to estimate the historical series extend to 2020), including the UN Office of Humanitarian Assistance Financial Tracking Service and the International Aid Transparency Initiative. We reported all the historic and future spending estimates in inflation-adjusted 2020 US$, 2020 US$ per capita, purchasing-power parity-adjusted US$ per capita, and as a proportion of gross domestic product. We used various models to generate future health spending to 2050. Findings In 2019, health spending globally reached $8·8 trillion (95% uncertainty interval [UI] 8·7–8·8) or $1132 (1119–1143) per person. Spending on health varied within and across income groups and geographical regions. Of this tota

Published
2021

10. Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018.

Author

Kinyoki D., Osgood-Zimmerman A.E., Bhattacharjee N.V., Schaeffer L.E., Lazzar-Atwood A., Lu D., Ewald S.B., Donkers K.M., Letourneau I.D., Collison M., Schipp M.F., Abajobir A., Abbasi S., Abbasi N., Abbasifard M., Abbasi-Kangevari M., Abbastabar H., Abd-Allah F., Abdelalim A., Abd-Elsalam S.M., Abdoli A., Abdollahpour I., Abedi A., Abolhassani H., Abraham B., Abreu L.G., Abrigo M.R.M., Abualhasan A., Abu-Gharbieh E., Abushouk A.I., Accrombessi M.M.K., Adabi M., Adebayo O.M., Adegbosin A.E., Adekanmbi V., Adetokunboh O.O., Adeyinka D.A., Adham D., Advani S.M., Agasthi P., Aghaali M., Ahmad S., Ahmad T., Ahmadi K., Ahmadi S., Ahmed M.B., Aichour M.T.E., Aji B., Akinyemi O.O., Aklilu A., Akunna C.J., Al-Aly Z., Alanzi T.M., Alcalde-Rabanal J.E., Alemu B.W., Alemu A., Alhassan R.K., Alif S.M., Alipour V., Alizade H., Aljunid S.M., Almasi-Hashiani A., Al-Mekhlafi H.M., Al-Raddadi R.M., Alvis-Guzman N., Amini S., Amiri F., Amugsi D.A., Anber N.H., Ancuceanu R., Andrei T., Anegago M.T., Anjomshoa M., Ansari F., Ansari-Moghaddam A., Anteneh Z.A., Antriyandarti E., Anvari D., Anwer R., Aqeel M., Arabloo J., Arab-Zozani M., Aremu O., Areri H.A., Artaman A., Arzani A., Asaad M., Asadi-Aliabadi M., Asadi-Pooya A.A., Asemahagn M.A., Asghari Jafarabadi M., Ashebir M.M., Ataro Z., Athari S.M., Athari S.S., Atout M.M.W., Ausloos M., Awoke N., Ayala Quintanilla B.P., Ayano G., Ayanore M.A., Aynalem Y.A., Ayza M.A., Azadmehr A., B D., Babalola T.K., Badawi A., Badiye A.D., Bahrami M.A., Bairwa M., Bakkannavar S.M., Banik P.C., Baraki A.G., Barboza M.A., Basaleem H., Basu S., Bayati M., Baye B.A., Bazmandegan G., Bedi N., Bekuma T.T.T., Bell M.L., Bensenor I.M., Berhe K., Berhe A.K., Berhie K.A., Bhandari D., Bhardwaj N., Bhardwaj P., Bhattacharyya K., Bhattarai S., Bhutta Z.A., Bijani A., Bikbov B., Biondi A., Birhanu M., Biswas R.K., Bockarie M.J., Bohlouli S., Bohluli M., Boloor A., Borzouei S., Bragazzi N.L., Braithwaite D., Brunoni A.R., Burugina Nagaraja S., Butt Z.A., Caetano dos Santos F.L., Camera L.A., Car J., Cardenas R., Carvalho F., Castaldelli-Maia J.M., Castaneda-Orjuela C.A., Castro F., Cevik M., Chanie W.F., Charan J., Chatterjee S., Chattu V.K., Chaturvedi S., Chen S., Chin K.L., Chowdhury M.A.K., Cook A.J., Costa V.M., Cromwell E.A., Dachew B.A., Dagne H., Dagnew B., Dahiru T., Dahlawi S.M.A., Dai H., Dandona L., Dandona R., Daneshpajouhnejad P., Daoud F., Das J.K., Das Gupta R., Dash A.P., Davila-Cervantes C.A., Davletov K., Deeba F., De Neve J.-W., Denova-Gutierrez E., Deribe K., Desalew A., Dessie G.A., Dey S., Dhimal M., Dhungana G.P., Dianatinasab M., Diaz D., Dipeolu I.O., Djalalinia S., Do H.T., Dorostkar F., Doshmangir L., Duko B., Duraes A.R., Earl L., Edinur H.A., Efendi F., Elayedath R., Elema T.B., Elhabashy H.R., El-Jaafary S.I., El Sayed I., El Sayed Zaki M., Elsharkawy A., El-Sherbiny Y.M., El Tantawi M., Endalew D.A., Eshrati B., Eskandari K., Eskandarieh S., Fadhil I., Faraon E.J.A., Fareed M., Faris P.S., Farwati M., Farzadfar F., Fasanmi A.O., Fattahi N., Fauk N.K., Feigin V.L., Feleke B.E., Fereshtehnejad S.-M., Fernandes E., Ferrara P., Foigt N.A., Fomenkov A.A., Foroutan M., Francis J.M., Franklin R.C., Freitas M., Fukumoto T., Gad M.M., Gaidhane A.M., Gayesa R.T., Geberemariyam B.S., Gebregiorgis B.G., Gebremariam H., Gebremariam T.B.B., Gebremeskel L., Gebremeskel G.G., Gebreslassie A.A., Geramo Y.C.D., Gesesew H.A., Gessner B.D., Getacher L., Ghadiri K., Ghaffarifar F., Ghafourifard M., Ghajarzadeh M., Ghamari F., Ghashghaee A., Ghith N., Gilani S.A., Gill T.K., Godinho M.A., Gona P.N., Grada A., Gubari M.I.M., Gudi N., Guido D., Guled R.A., Guo Y., Gupta R., Haj-Mirzaian A., Hamadeh R.R., Handiso D.W., Hanif A., Hargono A., Hasaballah A.I., Hasan M.M., Hasan S.S., Hashemian M., Hashi A., Hassan S., Hassan A., Hassanipour S., Hassankhani H., Hayat K., Hegazy M.I., Heidari-Soureshjani R., Henry N.J., Herteliu C., Heydarpour F., Heydarpour S., Hidru H.D., Hoang C.L., Holla R., Hon J., Hong S.H., Hoogar P., Hosseini S.N., Hosseinzadeh M., Hostiuc M., Hostiuc S., Hotez P.J., Househ M., Huda T.M., Huluko D.H.H., Hussain S.A., Hwang B.-F., Ilesanmi O.S., Ilic I.M., Ilic M.D., Inbaraj L.R., Iqbal U., Islam M.M., Islam S.M.S., Iwu C.J., Iwu C.C.D., Jadidi-Niaragh F., Jahani M.A., Jain V., Jakovljevic M., Jalali A., Jalilian F., Janodia M.D., Javaheri T., Jha R.P., John O., Johnson K.B., Jonas J.B., Jonnagaddala J., Joseph N., Joshi A., Joukar F., Jozwiak J.J., Kabir A., Kabir Z., Kahlon T., Kalankesh L.R., Kalhor R., Kamath A., Kamiab Z., Kanchan T., Kapil U., Kapoor N., Karami Matin B., Karimi S.E., Kasa A.S., Kasahun G.G., Kassa Z.Y., Kassa G.G., Kassahun G., Kayode G.A., Kazemi Karyani A., Keflie T.S., Keiyoro P.N., Kelkay B., Keramati M., Ketema D.B., Khalid N., Khammarnia M., Khan M.N., Khan M., Khan J., Khatab K., Khater A.M., Khater M.M., Khoja A.T., Khubchandani J., Kianipour N., Kim Y.-E., Kim Y.J., Kimokoti R.W., Kisa S., Kisa A., Kolola T., Koolivand A., Kosen S., Koul P.A., Koyanagi A., Krishan K., Krishnamoorthy V., Kuate Defo B., Kugbey N., Kulkarni V., Kumar G.A., Kumar N., Kumar P., Kumar M., Kurmi O.P., Kusuma D., Lacey B., Lad D.P., Lal D.K., Lami F.H., Landires I., Larsson A.O., Lasrado S., Laurens M.B., La Vecchia C., Laxmaiah A., Lee P.H., Lee S.W.H., LeGrand K.E., Lewycka S., Li B., Li S., Liu X., Lopez J.C.F., Machado D.B., Madhava Kunjathur S., Magdy Abd El Razek H., Magdy Abd El Razek M., Mahadeshwara Prasad D.R., Mahasha P.W., Maheri M., Mahotra N.B., Majeed A., Maled V., Maleki S., Malekzadeh R., Malta D.C., Mamun A.A., Mansour-Ghanaei F., Mansouri B., Mansournia M.A., Manzar M.D.D., Marrugo Arnedo C.A., Martins-Melo F.R., Masaka A., Maulik P.K., Mayala B.K., Mehari M., Mehndiratta M.M., Mehrabi Nasab E., Mehri F., Mehta K.M., Meitei W.B., Mekonnen T., Meles G.G., Melku M., Mendoza W., Menezes R.G., Mengesha M.B., Mengesha E.W., Meretoja T.J., Mersha A.M., Metekiya W.M., Miazgowski T., Michalek I.M., Mini G.K., Mir S.A., Mirica A., Mirrakhimov E.M., Mirzaei H., Mirzaei M., Mirzaei-Alavijeh M., Misra S., Moazen B., Moghadaszadeh M., Mohammad Y., Mohammad D.K., Mohammad Gholi Mezerji N., Mohammadi S.M., Mohammadian-Hafshejani A., Mohammadpourhodki R., Mohammed H.M., Mohammed A.S., Mohammed S., Mohammed J.A., Mohseni Bandpei M.A., Mokdad A.H., Molassiotis A., Monasta L., Moradi M., Moradi-Lakeh M., Moradzadeh R., Moraga P., Mosapour A., Mouodi S., Mousavi S.M., Mousavi Khaneghah A., Mulu G.B.B., Munir M., Muriithi M.K., Murthy G.V.S., Mustafa G., Nabhan A.F., Naderi M., Nagarajan A.J., Nagaraju S.P., Naghavi M., Naik G., Naimzada M.D., Nangia V., Nansseu J.R., Naqvi A.A., Nascimento B.R., Nayak S., Nayak V.C., Nazari J., Ndejjo R., Negoi I., Negoi R.I., Netsere H.B., Nguefack-Tsague G., Ngunjiri J.W., Nguyen C.T., Nguyen D.N., Nguyen H.L.T., Nigatu Y.T., Nikbakhsh R., Nikpoor A.R., Nnaji C.A., Nong V.M., Noubiap J.J., Nunez-Samudio V., Nwatah V.E., Nyanhanda T., Oancea B., Ogbo F.A., Oghenetega O.B., Oh I.-H., Okello D.M., Oladnabi M., Olagunju A.T., Olusanya J.O., Olusanya B.O., Bali A.O., Omer M.O., Omonisi A.E.E., Onwujekwe O.E., Ortiz A., Ortiz-Panozo E., Otstavnov N., Otstavnov S.S., Owolabi M.O., Mahesh P.A., Padubidri J.R., Pakhare A.P., Pakshir K., Pana A., Panda-Jonas S., Pandey A., Pandi-Perumal S.R., Pangaribuan H.U., Pasupula D.K., Patel S.K., Patel U.K., Pathak A., Patton G.C., Toroudi H.P., Pereira J., Pescarini J.M., Pham H.Q., Pickering B.V., Pirouzpanah S., Pirsaheb M., Pokhrel K.N., Postma M.J., Pottoo F.H., Pourchamani H., Pourjafar H., Poustchi H., Prada S.I., Pribadi D.R.A., Syed Z.Q., Rabiee N., Rafiee A., Rahim F., Rahman M.H.U., Rahman M.A., Rahmani A.M., Rai R.K., Rajesh A., Ram P., Ramezanzadeh K., Ranabhat C.L., Rao S.J., Rao S., Rastogi P., Rathi P., Rawal L., Rawasia W.F., Rawassizadeh R., Regassa L.D., Reiner R.C., Reshmi B., Rezaei N., Rezahosseini O., Rezapour A., Riahi S.M., Ribeiro D., Ribeiro A.I., Rickard J., Roba H.S., Roever L., Ronfani L., Rostamian M., Rumisha S.F., Rwegerera G.M., Sabour S., Sadeghi E., Saeedi Moghaddam S., Sagar R., Sahebkar A., Sahraian M.A., Sajadi S.M., Salam N., Salem M.R., Kafil H.S., Santos I.S., Santric-Milicevic M.M., Saraswathy S.Y.I., Sarrafzadegan N., Sartorius B., Sarveazad A., Sathian B., Sathish T., Saxena D., Sbarra A.N., Schwebel D.C., Senbeta A.M., Sengupta D., Senthilkumaran S., Sepanlou S.G., Seylani A., Sha F., Shafaat O., Shahabi S., Shahbaz M., Shahid I., Shaikh M.A., Shaka M.F., Shalash A.S., Shamali M., Shams-Beyranvand M., Shamsi M.B., Shamsizadeh M., Shannawaz M., Sharafi K., Sharifi A., Sheikh A., Sheikhtaheri A., Shetty R.S., Shetty B.S.K., Shetty A., Shiferaw W.S., Shigematsu M., Il Shin J., Shiri R., Shirkoohi R., Shivarov V., Siabani S., Malleshappa S.K.S., Siddiqi T.J., Sidemo N.B., Singh B.B., Singh S., Sintayehu Y., Skryabin V.Y., Skryabina A.A., Sobhiyeh M.R., Soheili A., Soltani S., Sorrie M.B., Spurlock E.E., Sreeramareddy C.T., Sudaryanto A., Sufiyan M.B., Sultan I., Tabares-Seisdedos R., Tabuchi T., Taddele B.W., Tadesse E.G., Taherkhani A., Tamir Z., Tamiru A.T., Tareque M.I., Tbakhi A., Teame H., Tefera Y.G., Tehrani-Banihashemi A., Tekalegn Y., Tekle M.G., Teklehaimanot B.F., Temsah M.-H., Tesema G.A., Thankappan K.R., Thomas N., Tiki T., Tilahune A.B., Titova M.V., Tovani-Palone M.R., Tran K.B., Tran B.X., Tripathi R., Tripathy J.P., Truong P.N., Uddin R., Ullah A., Umeokonkwo C.D., Uneke C.J., Unnikrishnan B., Upadhyay E., Usman M.S., Vacante M., Vakilian A., Tahbaz S.V., Valdez P.R., Vasseghian Y., Verma M., Violante F.S., Vo B., Wado Y.D., Waheed Y., Wang Y., Wang Y.-P., Wangdi K., Weldesamuel G.T., Werdecker A., Wiangkham T., Wickramasinghe N.D., Wiysonge C.S., Wonde T.E., Wu A.-M., Wu C., Xie Y., Yadollahpour A., Jabbari S.H.Y., Yamada T., Yang M., Yaya S., Yazdi-Feyzabadi V., Yeheyis T.Y., Yeshaneh A., Yeshaw Y., Yeshitila Y.G., Yilma M.T., Yip P., Young M.F., Yousefi Z., Yousefinezhadi T., Yousof H.-A.S.A., Yousuf A.Y., Yu C., Yu Y., 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S., Bhutta Z.A., Bijani A., Bikbov B., Biondi A., Birhanu M., Biswas R.K., Bockarie M.J., Bohlouli S., Bohluli M., Boloor A., Borzouei S., Bragazzi N.L., Braithwaite D., Brunoni A.R., Burugina Nagaraja S., Butt Z.A., Caetano dos Santos F.L., Camera L.A., Car J., Cardenas R., Carvalho F., Castaldelli-Maia J.M., Castaneda-Orjuela C.A., Castro F., Cevik M., Chanie W.F., Charan J., Chatterjee S., Chattu V.K., Chaturvedi S., Chen S., Chin K.L., Chowdhury M.A.K., Cook A.J., Costa V.M., Cromwell E.A., Dachew B.A., Dagne H., Dagnew B., Dahiru T., Dahlawi S.M.A., Dai H., Dandona L., Dandona R., Daneshpajouhnejad P., Daoud F., Das J.K., Das Gupta R., Dash A.P., Davila-Cervantes C.A., Davletov K., Deeba F., De Neve J.-W., Denova-Gutierrez E., Deribe K., Desalew A., Dessie G.A., Dey S., Dhimal M., Dhungana G.P., Dianatinasab M., Diaz D., Dipeolu I.O., Djalalinia S., Do H.T., Dorostkar F., Doshmangir L., Duko B., Duraes A.R., Earl L., Edinur H.A., Efendi F., Elayedath R., Elema T.B., Elhabashy H.R., El-Jaafary S.I., El Sayed I., El Sayed Zaki M., Elsharkawy A., El-Sherbiny Y.M., El Tantawi M., Endalew D.A., Eshrati B., Eskandari K., Eskandarieh S., Fadhil I., Faraon E.J.A., Fareed M., Faris P.S., Farwati M., Farzadfar F., Fasanmi A.O., Fattahi N., Fauk N.K., Feigin V.L., Feleke B.E., Fereshtehnejad S.-M., Fernandes E., Ferrara P., Foigt N.A., Fomenkov A.A., Foroutan M., Francis J.M., Franklin R.C., Freitas M., Fukumoto T., Gad M.M., Gaidhane A.M., Gayesa R.T., Geberemariyam B.S., Gebregiorgis B.G., Gebremariam H., Gebremariam T.B.B., Gebremeskel L., Gebremeskel G.G., Gebreslassie A.A., Geramo Y.C.D., Gesesew H.A., Gessner B.D., Getacher L., Ghadiri K., Ghaffarifar F., Ghafourifard M., Ghajarzadeh M., Ghamari F., Ghashghaee A., Ghith N., Gilani S.A., Gill T.K., Godinho M.A., Gona P.N., Grada A., Gubari M.I.M., Gudi N., Guido D., Guled R.A., Guo Y., Gupta R., Haj-Mirzaian A., Hamadeh R.R., Handiso D.W., Hanif A., Hargono A., Hasaballah A.I., Hasan M.M., Hasan S.S., Hashemian M., Hashi A., Hassan S., Hassan A., Hassanipour S., Hassankhani H., Hayat K., Hegazy M.I., Heidari-Soureshjani R., Henry N.J., Herteliu C., Heydarpour F., Heydarpour S., Hidru H.D., Hoang C.L., Holla R., Hon J., Hong S.H., Hoogar P., Hosseini S.N., Hosseinzadeh M., Hostiuc M., Hostiuc S., Hotez P.J., Househ M., Huda T.M., Huluko D.H.H., Hussain S.A., Hwang B.-F., Ilesanmi O.S., Ilic I.M., Ilic M.D., Inbaraj L.R., Iqbal U., Islam M.M., Islam S.M.S., Iwu C.J., Iwu C.C.D., Jadidi-Niaragh F., Jahani M.A., Jain V., Jakovljevic M., Jalali A., Jalilian F., Janodia M.D., Javaheri T., Jha R.P., John O., Johnson K.B., Jonas J.B., Jonnagaddala J., Joseph N., Joshi A., Joukar F., Jozwiak J.J., Kabir A., Kabir Z., Kahlon T., Kalankesh L.R., Kalhor R., Kamath A., Kamiab Z., Kanchan T., Kapil U., Kapoor N., Karami Matin B., Karimi S.E., Kasa A.S., Kasahun G.G., Kassa Z.Y., Kassa G.G., Kassahun G., Kayode G.A., Kazemi Karyani A., Keflie T.S., Keiyoro P.N., Kelkay B., Keramati M., Ketema D.B., Khalid 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Yamada T., Yang M., Yaya S., Yazdi-Feyzabadi V., Yeheyis T.Y., Yeshaneh A., Yeshaw Y., Yeshitila Y.G., Yilma M.T., Yip P., Young M.F., Yousefi Z., Yousefinezhadi T., Yousof H.-A.S.A., Yousuf A.Y., Yu C., Yu Y., Zafar S., Zaidi S.S., Zaidi Z., Zakzuk J., Bin Zaman S., Zamani M., Zamanian M., Zandifar A., Zangeneh A., Zastrozhin M.S., Zastrozhina A., Zewdie D.T., Zewdie K.A., Zhang Y., Zhu C., Ziapour A., Kassebaum N.J., and Hay S.I.

Abstract

Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000-2018 geospatial estimates of anemia prevalence in women of reproductive age (15-49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization's Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations.Copyright © 2021, The Author(s).

Published
2021

11. Mapping routine measles vaccination in low- and middle-income countries.

Author

Sambala E.Z., Waheed Y., Wakefield J., Wang Y., Wang Y.-P., Weldesamuel G.T., Werdecker A., Westerman R., Wiangkham T., Wiens K.E., Wiysonge C.S., Woldu G., Wondafrash D.Z., Wonde T.E., Wu A.-M., Yadollahpour A., Jabbari S.H.Y., Yamada T., Yaya S., Yazdi-Feyzabadi V., Yeheyis T.Y., Yeshaw Y., Yilgwan C.S., Yip P., Yonemoto N., Younis M.Z., Yousefi Z., Yousefifard M., Yousefinezhadi T., Yu C., Yusefzadeh H., Zadey S., Zahirian Moghadam T., Zaki L., Zaman S.B., Zamani M., Zamanian M., Zandian H., Zangeneh A., Zarei F., Zerfu T.A., Zhang Y., Zhang Z.-J., Zhao X.-J.G., Zhou M., Ziapour A., Hay S.I., Lim S.S., Mosser J.F., Biswas A., Sbarra A.N., Rolfe S., Nguyen J.Q., Earl L., Galles N.C., Marks A., Abbas K.M., Abbasi-Kangevari M., Abbastabar H., Abd-Allah F., Abdelalim A., Abdollahi M., Abegaz K.H., Abiy H.A.A., Abolhassani H., Abreu L.G., Abrigo M.R.M., Abushouk A.I., Accrombessi M.M.K., Adabi M., Adebayo O.M., Adekanmbi V., Adetokunboh O.O., Adham D., Afarideh M., Aghaali M., Ahmad T., Ahmadi R., Ahmadi K., Ahmed M.B., Alanezi F.M., Alanzi T.M., Alcalde-Rabanal J.E., Alemnew B.T., Ali B.A., Ali M., Alijanzadeh M., Alinia C., Alipoor R., Alipour V., Alizade H., Aljunid S.M., Almasi A., Almasi-Hashiani A., Al-Mekhlafi H.M., Altirkawi K.A., Amare B., Amini S., Amini-Rarani M., Amiri F., Amit A.M.L., Amugsi D.A., Ancuceanu R., Andrei C.L., Anjomshoa M., Ansari F., Ansari-Moghaddam A., Ansha M.G., Antonio C.A.T., Antriyandarti E., Anvari D., Arabloo J., Arab-Zozani M., Aremu O., Armoon B., Aryal K.K., Arzani A., Asadi-Aliabadi M., Asgari S., Atafar Z., Ausloos M., Awoke N., Quintanilla B.P.A., Ayanore M.A., Aynalem Y.A., Azadmehr A., Azari S., Babaee E., Badawi A., Badiye A.D., Bahrami M.A., Baig A.A., Bakhtiari A., Balakrishnan S., Banach M., Banik P.C., Barac A., Baradaran-Seyed Z., Baraki A.G., Basu S., Bayati M., Bayou Y.T., Bedi N., Behzadifar M., Bell M.L., Berbada D.A., Berhe K., Bhattarai S., Bhutta Z.A., Bijani A., Birhanu M., Bisanzio D., Bohlouli S., Bolla S.R., Borzouei S., Brady O.J., Bragazzi N.L., Briko A.N., Briko N.I., Nagaraja S.B., Butt Z.A., Camera L.A., Campos-Nonato I.R., Car J., Cardenas R., Carvalho F., Castaldelli-Maia J.M., Castro F., Chattu V.K., Chehrazi M., Chin K.L., Chu D.-T., Cook A.J., Cormier N.M., Cunningham B., Dahlawi S.M.A., Damiani G., Dandona R., Dandona L., Danovaro M.C., Dansereau E., Daoud F., Darwesh A.M., Darwish A.H., Das J.K., Weaver N.D., De Neve J.-W., Demeke F.M., Demis A.B., Denova-Gutierrez E., Desalew A., Deshpande A., Desta D.M., Dharmaratne S.D., Dhungana G.P., Dianatinasab M., Diaz D., Dipeolu I.O., Djalalinia S., Do H.T., Dorostkar F., Doshmangir L., Doyle K.E., Dunachie S.J., Duraes A.R., Kalan M.E., Leylabadlo H.E., Edinur H.A., Effiong A., Eftekhari A., El Sayed I., El Sayed Zaki M., Elema T.B., Elhabashy H.R., El-Jaafary S.I., Elsharkawy A., Emamian M.H., Enany S., Eshrati B., Eskandari K., Eskandarieh S., Esmaeilnejad S., Esmaeilzadeh F., Esteghamati A., Etisso A.E., Farahmand M., Faraon E.J.A., Fareed M., Faridnia R., Farioli A., Farzadfar F., Fattahi N., Fazlzadeh M., Fereshtehnejad S.-M., Fernandes E., Filip I., Fischer F., Foigt N.A., Folayan M.O., Foroutan M., Fukumoto T., Fullman N., Gad M.M., Geberemariyam B.S., Gebrehiwot T.T., Gebrehiwot A.M., Gebremariam K.T., Gebremedhin K.B., Gebremeskel G.G., Gebreslassie A.A., Gedefaw G.A., Gezae K.E., Ghadiri K., Ghaffari R., Ghaffarifar F., Ghajarzadeh M., Gheshlagh R.G., Ghashghaee A., Ghiasvand H., Gholamian A., Gilani S.A., Gill P.S., Girmay A., Gomes N.G.M., Gopalani S.V., Goulart B.N.G., Grada A., Guimaraes R.A., Guo Y., Gupta R., Hafezi-Nejad N., Haj-Mirzaian A., Handiso D.W., Hanif A., Haririan H., Hasaballah A.I., Hasan M.M., Hasanpoor E., Hasanzadeh A., Hassanipour S., Hassankhani H., Heidari-Soureshjani R., Henry N.J., Herteliu C., Heydarpour F., Hollerich G.I., Rad E.H., Hoogar P., Hossain N., Hosseini M., Hosseinzadeh M., Househ M., Hu G., Huda T.M., Humayun A., Ibitoye S.E., Ikilezi G., Ilesanmi O.S., Ilic I.M., Ilic M.D., Imani-Nasab M.H., Inbaraj L.R., Iqbal U., Irvani S.S.N., Islam S.M.S., Islam M.M., Iwu C.J., Iwu C.C.D., Jadidi-Niaragh F., Jafarinia M., Jahanmehr N., Jakovljevic M., Jalali A., Jalilian F., Javidnia J., Jenabi E., Jha V., Ji J.S., John O., Johnson K.B., Joukar F., Jozwiak J.J., Kabir Z., Kabir A., Kalani H., Kalankesh L.R., Kalhor R., Kamal Z., Kanchan T., Kapoor N., Karami M., Matin B.K., Karch A., Karimi S.E., Kayode G.A., Karyani A.K., Keiyoro P.N., Khader Y.S., Khafaie M.A., Khammarnia M., Khan M.S., Khan E.A., Khan J., Khan M.N., Khatab K., Khater M.M., Khatib M.N., Khayamzadeh M., Khazaei M., Khazaei S., Khosravi A., Khubchandani J., Kianipour N., Kim Y.J., Kimokoti R.W., Kinyoki D.K., Kisa A., Kisa S., Kolola T., Komaki H., Kosen S., Koul P.A., Koyanagi A., Kraemer M.U.G., Krishan K., Kuate Defo B., Kumar M., Kumar P., Kumar G.A., Kusuma D., La Vecchia C., Lacey B., Lad S.D., Lal D.K., Lam F., Lami F.H., Lansingh V.C., Larson H.J., Lasrado S., Lee S.W.H., Lee P.H., LeGrand K.E., Lenjebo T.L., Li S., Liang X., Liu P.Y., Lopukhov P.D., Machado D.B., Mahasha P.W., Mahdavi M.M., Maheri M., Mahotra N.B., Maled V., Maleki S., Malik M.A., Malta D.C., Mansour-Ghanaei F., Mansouri B., Mansourian M., Mansournia M.A., Martins-Melo F.R., Masaka A., Mayala B.K., Mehndiratta M.M., Mehri F., Mehta K.M., Memiah P.T.N., Mendoza W., Menezes R.G., Mengesha M.B., Mengesha E.W., Mestrovic T., Mihretie K.M., Miller-Petrie M.K., Mills E.J., Milne G.J., Mirabi P., Mirrakhimov E.M., Mirzaei R., Mirzaei M., Mirzaei H.R., Mirzaei H., Mirzaei-Alavijeh M., Moazen B., Moghadaszadeh M., Mohamadi E., Mohammad D.K., Mohammad Y., Mohammad K.A., Mohammad Gholi Mezerji N., Mohammadbeigi A., Mohammadian-Hafshejani A., Mohammadpourhodki R., Mohammed S., Mohammed A.S., Mohammed H., Mohebi F., Mokdad A.H., Monasta L., Moosavi M.A., Moosazadeh M., Moradi G., Moradi M., Moradi-Joo M., Moradi-Lakeh M., Moradzadeh R., Moraga P., Mosapour A., Mouodi S., Mousavi S.M., Khaneghah A.M., Mueller U.O., Muluneh A.G., Munro S.B., Murray C.J.L., Murthy G.V.S., Muthupandian S., Naderi M., Nagarajan A.J., Naghavi M., Nangia V., Nansseu J.R., Nayak V.C., Nazari J., Ndwandwe D.E., Negoi I., Ngunjiri J.W., Nguyen H.L.T., Nguyen C.T.K., Nguyen T.H., Nigatu Y.T., Nikbakhsh R., Nikfar S., Nikpoor A.R., Ningrum D.N.A., Nnaji C.A., Oh I.-H., Oladnabi M., Olagunju A.T., Olusanya J.O., Olusanya B.O., Bali A.O., Omer M.O., Onwujekwe O.E., Osgood-Zimmerman A.E., Owolabi M.O., P A M., Padubidri J.R., Pakshir K., Pana A., Pandey A., Pando-Robles V., Pashaei T., Pasupula D.K., Paternina-Caicedo A.J., Patton G.C., Pazoki Toroudi H., Pepito V.C.F., Pescarini J.M., Pigott D.M., Pilgrim T., Pirsaheb M., Poljak M., Postma M.J., Pourjafar H., Pourmalek F., Pourmirza Kalhori R., Prada S.I., Prakash S., Quazi Syed Z., Quintana H., Rabiee N., Rabiee M., Radfar A., Rafiei A., Rahim F., Rajati F., Rameto M.A., Ramezanzadeh K., Ranabhat C.L., Rao S.J., Rasella D., Rastogi P., Rathi P., Rawaf S., Rawaf D.L., Rawal L., Rawassizadeh R., Rawat R., Renjith V., Renzaho A.M.N., Reshmi B., Reta M.A., Rezaei N., Rezai M.S., Rezapour A., Riahi S.M., Ribeiro A.I., Rickard J., Rios-Blancas M., Rios-Gonzalez C.M., Roever L., Rostamian M., Rubino S., Rwegerera G.M., Saad A.M., Saadatagah S., Sabour S., Sadeghi E., Moghaddam S.S., Saeidi S., Sagar R., Sahebkar A., Sahraian M.A., Sajadi S.M., Salahshoor M.R., Salam N., Salem H., Salem M.R., Salomon J.A., Kafil H.S., Samy A.M., Saraswathy S.Y.I., Sarmiento-Suarez R., Saroshe S., Sartorius B., Sarveazad A., Sathian B., Sathish T., Schaeffer L.E., Schwebel D.C., Senthilkumaran S., Shabaninejad H., Shahabi S., Shaheen A.A., Shaikh M.A., Shalash A.S., Shams-Beyranvand M., Shamsi M.B., Shamsizadeh M., Sharafi K., Sharifi H., Sheikh A., Sheikhtaheri A., Shetty R.S., Shiferaw W.S., Shigematsu M., Shin J.I., Shirkoohi R., Siabani S., Siddiqi T.J., Silverberg J.I.S., Simonetti B., Singh J.A., Sinha D.N., Sinke A.H., Soheili A., Sokhan A., Soltani S., Soofi M., Sorrie M.B., Soyiri I.N., Spotin A., Spurlock E.E., Sreeramareddy C.T., Sudaryanto A., Sufiyan M.B., Suleria H.A.R., Abdulkader R.S., Taherkhani A., Tapak L., Taveira N., Taymoori P., Tefera Y.M., Tehrani-Banihashemi A., Teklehaimanot B.F., Tekulu G.H., Tesfay B.E., Tessema Z.T., Tessema B., Thankappan K.R., Tohidinik H.R., Topor-Madry R., Tovani-Palone M.R., Tran B.X., Uddin R., Ullah I., Umeokonkwo C.D., Unnikrishnan B., Upadhyay E., Usman M.S., Vaezi M., Valadan Tahbaz S., Valdez P.R., Vasseghian Y., Veisani Y., Violante F.S., Vollmer S., Sambala E.Z., Waheed Y., Wakefield J., Wang Y., Wang Y.-P., Weldesamuel G.T., Werdecker A., Westerman R., Wiangkham T., Wiens K.E., Wiysonge C.S., Woldu G., Wondafrash D.Z., Wonde T.E., Wu A.-M., Yadollahpour A., Jabbari S.H.Y., Yamada T., Yaya S., Yazdi-Feyzabadi V., Yeheyis T.Y., Yeshaw Y., Yilgwan C.S., Yip P., Yonemoto N., Younis M.Z., Yousefi Z., Yousefifard M., Yousefinezhadi T., Yu C., Yusefzadeh H., Zadey S., Zahirian Moghadam T., Zaki L., Zaman S.B., Zamani M., Zamanian M., Zandian H., Zangeneh A., Zarei F., Zerfu T.A., Zhang Y., Zhang Z.-J., Zhao X.-J.G., Zhou M., Ziapour A., Hay S.I., Lim S.S., Mosser J.F., Biswas A., Sbarra A.N., Rolfe S., Nguyen J.Q., Earl L., Galles N.C., Marks A., Abbas K.M., Abbasi-Kangevari M., Abbastabar H., Abd-Allah F., Abdelalim A., Abdollahi M., Abegaz K.H., Abiy H.A.A., Abolhassani H., Abreu L.G., Abrigo M.R.M., Abushouk A.I., Accrombessi M.M.K., Adabi M., Adebayo O.M., Adekanmbi V., Adetokunboh O.O., Adham D., Afarideh M., Aghaali M., Ahmad T., Ahmadi R., Ahmadi K., Ahmed M.B., Alanezi F.M., Alanzi T.M., Alcalde-Rabanal J.E., Alemnew B.T., Ali B.A., Ali M., Alijanzadeh M., Alinia C., Alipoor R., Alipour V., Alizade H., Aljunid S.M., Almasi A., Almasi-Hashiani A., Al-Mekhlafi H.M., Altirkawi K.A., Amare B., Amini S., Amini-Rarani M., Amiri F., Amit A.M.L., Amugsi D.A., Ancuceanu R., Andrei C.L., Anjomshoa M., Ansari F., Ansari-Moghaddam A., Ansha M.G., Antonio C.A.T., Antriyandarti E., Anvari D., Arabloo J., Arab-Zozani M., Aremu O., Armoon B., Aryal K.K., Arzani A., Asadi-Aliabadi M., Asgari S., Atafar Z., Ausloos M., Awoke N., Quintanilla B.P.A., Ayanore M.A., Aynalem Y.A., Azadmehr A., Azari S., Babaee E., Badawi A., Badiye A.D., Bahrami M.A., Baig A.A., Bakhtiari A., Balakrishnan S., Banach M., Banik P.C., Barac A., Baradaran-Seyed Z., Baraki A.G., Basu S., Bayati M., Bayou Y.T., Bedi N., Behzadifar M., Bell M.L., Berbada D.A., Berhe K., Bhattarai S., Bhutta Z.A., Bijani A., Birhanu M., Bisanzio D., Bohlouli S., Bolla S.R., Borzouei S., Brady O.J., Bragazzi N.L., Briko A.N., Briko N.I., Nagaraja S.B., Butt Z.A., Camera L.A., Campos-Nonato I.R., Car J., Cardenas R., Carvalho F., Castaldelli-Maia J.M., Castro F., Chattu V.K., Chehrazi M., Chin K.L., Chu D.-T., Cook A.J., Cormier N.M., Cunningham B., Dahlawi S.M.A., Damiani G., Dandona R., Dandona L., Danovaro M.C., Dansereau E., Daoud F., Darwesh A.M., Darwish A.H., Das J.K., Weaver N.D., De Neve J.-W., Demeke F.M., Demis A.B., Denova-Gutierrez E., Desalew A., Deshpande A., Desta D.M., Dharmaratne S.D., Dhungana G.P., Dianatinasab M., Diaz D., Dipeolu I.O., Djalalinia S., Do H.T., Dorostkar F., Doshmangir L., Doyle K.E., Dunachie S.J., Duraes A.R., Kalan M.E., Leylabadlo H.E., Edinur H.A., Effiong A., Eftekhari A., El Sayed I., El Sayed Zaki M., Elema T.B., Elhabashy H.R., El-Jaafary S.I., Elsharkawy A., Emamian M.H., Enany S., Eshrati B., Eskandari K., Eskandarieh S., Esmaeilnejad S., Esmaeilzadeh F., Esteghamati A., Etisso A.E., Farahmand M., Faraon E.J.A., Fareed M., Faridnia R., Farioli A., Farzadfar F., Fattahi N., Fazlzadeh M., Fereshtehnejad S.-M., Fernandes E., Filip I., Fischer F., Foigt N.A., Folayan M.O., Foroutan M., Fukumoto T., Fullman N., Gad M.M., Geberemariyam B.S., Gebrehiwot T.T., Gebrehiwot A.M., Gebremariam K.T., Gebremedhin K.B., Gebremeskel G.G., Gebreslassie A.A., Gedefaw G.A., Gezae K.E., Ghadiri K., Ghaffari R., Ghaffarifar F., Ghajarzadeh M., Gheshlagh R.G., Ghashghaee A., Ghiasvand H., Gholamian A., Gilani S.A., Gill P.S., Girmay A., Gomes N.G.M., Gopalani S.V., Goulart B.N.G., Grada A., Guimaraes R.A., Guo Y., Gupta R., Hafezi-Nejad N., Haj-Mirzaian A., Handiso D.W., Hanif A., Haririan H., Hasaballah A.I., Hasan M.M., Hasanpoor E., Hasanzadeh A., Hassanipour S., Hassankhani H., Heidari-Soureshjani R., Henry N.J., Herteliu C., Heydarpour F., Hollerich G.I., Rad E.H., Hoogar P., Hossain N., Hosseini M., Hosseinzadeh M., Househ M., Hu G., Huda T.M., Humayun A., Ibitoye S.E., Ikilezi G., Ilesanmi O.S., Ilic I.M., Ilic M.D., Imani-Nasab M.H., Inbaraj L.R., Iqbal U., Irvani S.S.N., Islam S.M.S., Islam M.M., Iwu C.J., Iwu C.C.D., Jadidi-Niaragh F., Jafarinia M., Jahanmehr N., Jakovljevic M., Jalali A., Jalilian F., Javidnia J., Jenabi E., Jha V., Ji J.S., John O., Johnson K.B., Joukar F., Jozwiak J.J., Kabir Z., Kabir A., Kalani H., Kalankesh L.R., Kalhor R., Kamal Z., Kanchan T., Kapoor N., Karami M., Matin B.K., Karch A., Karimi S.E., Kayode G.A., Karyani A.K., Keiyoro P.N., Khader Y.S., Khafaie M.A., Khammarnia M., Khan M.S., Khan E.A., Khan J., Khan M.N., Khatab K., Khater M.M., Khatib M.N., Khayamzadeh M., Khazaei M., Khazaei S., Khosravi A., Khubchandani J., Kianipour N., Kim Y.J., Kimokoti R.W., Kinyoki D.K., Kisa A., Kisa S., Kolola T., Komaki H., Kosen S., Koul P.A., Koyanagi A., Kraemer M.U.G., Krishan K., Kuate Defo B., Kumar M., Kumar P., Kumar G.A., Kusuma D., La Vecchia C., Lacey B., Lad S.D., Lal D.K., Lam F., Lami F.H., Lansingh V.C., Larson H.J., Lasrado S., Lee S.W.H., Lee P.H., LeGrand K.E., Lenjebo T.L., Li S., Liang X., Liu P.Y., Lopukhov P.D., Machado D.B., Mahasha P.W., Mahdavi M.M., Maheri M., Mahotra N.B., Maled V., Maleki S., Malik M.A., Malta D.C., Mansour-Ghanaei F., Mansouri B., Mansourian M., Mansournia M.A., Martins-Melo F.R., Masaka A., Mayala B.K., Mehndiratta M.M., Mehri F., Mehta K.M., Memiah P.T.N., Mendoza W., Menezes R.G., Mengesha M.B., Mengesha E.W., Mestrovic T., Mihretie K.M., Miller-Petrie M.K., Mills E.J., Milne G.J., Mirabi P., Mirrakhimov E.M., Mirzaei R., Mirzaei M., Mirzaei H.R., Mirzaei H., Mirzaei-Alavijeh M., Moazen B., Moghadaszadeh M., Mohamadi E., Mohammad D.K., Mohammad Y., Mohammad K.A., Mohammad Gholi Mezerji N., Mohammadbeigi A., Mohammadian-Hafshejani A., Mohammadpourhodki R., Mohammed S., Mohammed A.S., Mohammed H., Mohebi F., Mokdad A.H., Monasta L., Moosavi M.A., Moosazadeh M., Moradi G., Moradi M., Moradi-Joo M., Moradi-Lakeh M., Moradzadeh R., Moraga P., Mosapour A., Mouodi S., Mousavi S.M., Khaneghah A.M., Mueller U.O., Muluneh A.G., Munro S.B., Murray C.J.L., Murthy G.V.S., Muthupandian S., Naderi M., Nagarajan A.J., Naghavi M., Nangia V., Nansseu J.R., Nayak V.C., Nazari J., Ndwandwe D.E., Negoi I., Ngunjiri J.W., Nguyen H.L.T., Nguyen C.T.K., Nguyen T.H., Nigatu Y.T., Nikbakhsh R., Nikfar S., Nikpoor A.R., Ningrum D.N.A., Nnaji C.A., Oh I.-H., Oladnabi M., Olagunju A.T., Olusanya J.O., Olusanya B.O., Bali A.O., Omer M.O., Onwujekwe 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Salomon J.A., Kafil H.S., Samy A.M., Saraswathy S.Y.I., Sarmiento-Suarez R., Saroshe S., Sartorius B., Sarveazad A., Sathian B., Sathish T., Schaeffer L.E., Schwebel D.C., Senthilkumaran S., Shabaninejad H., Shahabi S., Shaheen A.A., Shaikh M.A., Shalash A.S., Shams-Beyranvand M., Shamsi M.B., Shamsizadeh M., Sharafi K., Sharifi H., Sheikh A., Sheikhtaheri A., Shetty R.S., Shiferaw W.S., Shigematsu M., Shin J.I., Shirkoohi R., Siabani S., Siddiqi T.J., Silverberg J.I.S., Simonetti B., Singh J.A., Sinha D.N., Sinke A.H., Soheili A., Sokhan A., Soltani S., Soofi M., Sorrie M.B., Soyiri I.N., Spotin A., Spurlock E.E., Sreeramareddy C.T., Sudaryanto A., Sufiyan M.B., Suleria H.A.R., Abdulkader R.S., Taherkhani A., Tapak L., Taveira N., Taymoori P., Tefera Y.M., Tehrani-Banihashemi A., Teklehaimanot B.F., Tekulu G.H., Tesfay B.E., Tessema Z.T., Tessema B., Thankappan K.R., Tohidinik H.R., Topor-Madry R., Tovani-Palone M.R., Tran B.X., Uddin R., Ullah I., Umeokonkwo C.D., Unnikrishnan B., Upadhyay E., Usman M.S., Vaezi M., Valadan Tahbaz S., Valdez P.R., Vasseghian Y., Veisani Y., Violante F.S., and Vollmer S.

Abstract

The safe, highly effective measles vaccine has been recommended globally since 1974, yet in 2017 there were more than 17 million cases of measles and 83,400 deaths in children under 5 years old, and more than 99% of both occurred in low- and middle-income countries (LMICs)1-4. Globally comparable, annual, local estimates of routine first-dose measles-containing vaccine (MCV1) coverage are critical for understanding geographically precise immunity patterns, progress towards the targets of the Global Vaccine Action Plan (GVAP), and high-risk areas amid disruptions to vaccination programmes caused by coronavirus disease 2019 (COVID-19)5-8. Here we generated annual estimates of routine childhood MCV1 coverage at 5 x 5-km2 pixel and second administrative levels from 2000 to 2019 in 101 LMICs, quantified geographical inequality and assessed vaccination status by geographical remoteness. After widespread MCV1 gains from 2000 to 2010, coverage regressed in more than half of the districts between 2010 and 2019, leaving many LMICs far from the GVAP goal of 80% coverage in all districts by 2019. MCV1 coverage was lower in rural than in urban locations, although a larger proportion of unvaccinated children overall lived in urban locations; strategies to provide essential vaccination services should address both geographical contexts. These results provide a tool for decision-makers to strengthen routine MCV1 immunization programmes and provide equitable disease protection for all children.Copyright © 2020, The Author(s).

Published
2021

12. Five insights from the Global Burden of Disease Study 2019

Author

Murray, C.J.L., Abbafati, C., Abbas, K.M., Abbasi, M., Abbasi-Kangevari, M., Abd-Allah, F., Abdollahi, M., Abedi, P., Abedi, A., Abolhassani, H., Aboyans, V., Abreu, L.G., Abrigo, M.R.M., Abu-Gharbieh, E., Abu Haimed, A.K., Abushouk, A.I., Acebedo, A., Ackerman, I.N., Adabi, M., Adamu, A.A., Adebayo, O.M., Adelson, J.D., Adetokunboh, O.O., Afarideh, M., Afshin, A., Agarwal, G., Agrawal, A., Ahmad, T., Ahmadi, K., Ahmadi, M., Ahmed, M.B., Aji, B., Akinyemiju, T., Akombi, B., Alahdab, F., Alam, K., Alanezi, F.M., Alanzi, T.M., Albertson, S.B., Alemu, B.W., Alemu, Y.M., Alhabib, K.F., Ali, M., Ali, S., Alicandro, G., Alipour, V., Alizade, H., Aljunid, S.M., Alla, F., Allebeck, P., Almadi, M.A.H., Almasi-Hashiani, A., Al-Mekhlafi, H.M., Almulhim, A.M., Alonso, J., Al-Raddadi, R.M., Altirkawi, K.A., Alvis-Guzman, N., Amare, B., Amare, A.T, Amini, S., Amit, A.M.L., Amugsi, D.A., Anbesu, E.W., Ancuceanu, R., Anderlini, D., Anderson, J.A., Andrei, T., Andrei, C.L., Anjomshoa, M., Ansari, F., Ansari-Moghaddam, A., Antonio, C.A.T., Antony, C.M., Anvari, D., Appiah, S.C.Y., Arabloo, J., Arab-Zozani, M., Aravkin, A.Y., Arba, A.A.K., Aripov, T., Ärnlöv, J., Arowosegbe, O.O., Asaad, M., Asadi-Aliabadi, M., Asadi-Pooya, A.A., Ashbaugh, C., Assmus, M., Atout, M.M.W., Ausloos, M., Ausloos, F., Ayala Quintanilla, B.P., Ayano, G., Ayanore, M.A., Azari, S., Azene, Z.N., Babaee, E., Badawi, A., Badiye, A.D., Bagherzadeh, M., Bairwa, M., Bakhtiari, A., Bakkannavar, S.M., Balachandran, A., Banach, M., Banerjee, S.K., Banik, P.C., Baraki, A.G., Barker-Collo, S.L., Basaleem, H., Basu, S., Baune, B.T., Bayati, M., Baye, B.A., Bedi, N., Beghi, E., Bell, M.L., Bensenor, I.M., Berhe, K., Berman, A.E., Bhagavathula, A.S., Bhala, N., Bhardwaj, P., Bhattacharyya, K., Bhattarai, S., Bhutta, Z.A., Bijani, A., Bikbov, B., Biondi, A., Bisignano, C., Biswas, R.K., Bjørge, T., Bohlouli, S., Bohluli, M., Bolla, S.R.R., Boloor, A., Bose, D., Boufous, S., Brady, O.J., Braithwaite, D., Brauer, M., Breitborde, N.J.K, Brenner, H., Breusov, A.V., Briant, P.S., Briggs, A.M., Britton, G.B., Brugha, T., Burugina Nagaraja, S., Busse, R., Butt, Z.A., Caetano dos Santos, F.L., Cámera, L.L.A., Campos-Nonato, I.R., Campuzano Rincon, J.C., Car, J., Cárdenas, R., Carreras, G., Carrero, J. J., Carvalho, F., Castaldelli-Maia, J.M., Castelpietra, G., Castro, F., Catalá-López, F., Causey, K., Cederroth, C.R., Cercy, K.M., Cerin, E., Chandan, J.S., Chang, J-C, Charan, J., Charlson, F. 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Abstract

The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 provides a rules-based synthesis of the available evidence on levels and trends in health outcomes, a diverse set of risk factors, and health system responses. GBD 2019 covered 204 countries and territories, as well as first administrative level disaggregations for 22 countries, from 1990 to 2019. Because GBD is highly standardised and comprehensive, spanning both fatal and non-fatal outcomes, and uses a mutually exclusive and collectively exhaustive list of hierarchical disease and injury causes, the study provides a powerful basis for detailed and broad insights on global health trends and emerging challenges. GBD 2019 incorporates data from 281 586 sources and provides more than 3·5 billion estimates of health outcome and health system measures of interest for global, national, and subnational policy dialogue. All GBD estimates are publicly available and adhere to the Guidelines on Accurate and Transparent Health Estimate Reporting. From this vast amount of information, five key insights that are important for health, social, and economic development strategies have been distilled. These insights are subject to the many limitations outlined in each of the component GBD capstone papers.

Published
2020

13. Five insights from the Global Burden of Disease Study 2019.

Author

Hamadeh R.R., Soyiri I.N., Sreeramareddy C.T., Srinivasan V., Sripada K., Stovner L.J., Stockfelt L., Sultan I., Swope C.B., Vaicekonyte R., Sykes B.L., Szumowski L., Tabb K.M., Tabuchi T., Taddele B.W., Tahir Z., Tareque M.I., Tarigan I.U., Taveira N., Thankappan K.R., Thomas N., Varughese S., Touvier M., Tran B.X., Tsatsakis A., Vardavas C., Ullah I., Umeokonkwo C.D., Undurraga E.A., Upadhyay E., Vasankari T.J., Vasconcelos A.N., Veisani Y., Vidale S., Waheed Y., Wei J., Wang F., Zhao X.G., Wang Y., Yu C., Zhang Z., Wang H., Weiss J., Wiangkham T., Wickramasinghe N.D., Wu A., Xie Y., Xu G., Yahyazadeh Jabbari S., Yilgwan C.S., Yonemoto N., Younis M.Z., Younker T.P., Yu Y., Zaidi S., Zhang J., Zhang Y., Zheleva B., Zhu C., Abbafati C., Machado D.B., Cislaghi B., Salman O.M., Karanikolos M., McKee M., Abbas K.M., Brady O.J., Larson H.J., Trias-Llimos S., Cummins S., Langan S.M., Sartorius B., Hafiz A., Jenabi E., Mohammad Gholi Mezerji N., Borzouei S., Azarian G., Khazaei S., Abbasi M., Asghari B., Masoumi S., Komaki H., Taherkhani A., Adabi M., Abbasifard M., Bazmandegan G., Kamiab Z., Vakilian A., Anjomshoa M., Mokari A., Sabour S., Shahbaz M., Saeedi R., Ahmadieh H., Yousefinezhadi T., Haj-Mirzaian A., Nikbakhsh R., Safi S., Asgari S., Irvani S.N., Jahanmehr N., Ramezanzadeh K., Abbasi-Kangevari M., Khayamzadeh M., Abbastabar H., Shirkoohi R., Fazlzadeh M., Janjani H., Hosseini M., Mansournia M., Tohidinik H., Bakhtiari A., Fazaeli A., Mousavi S., Hasanzadeh A., Nabavizadeh B., Malekzadeh R., Hashemian M., Pourshams A., Salimzadeh H., Sepanlou S.G., Afarideh M., Esteghamati A., Esteghamati S., Ghajar A., Heidari B., Rezaei N., Mohamadi E., Rahimi-Movaghar A., Rahim F., Eskandarieh S., Sahraian M., Mohebi F., Aminorroaya A., Ebrahimi H., Farzadfar F., Mohajer B., Pishgar F., Saeedi Moghaddam S., Shabani M., Zarafshan H., Abolhassani H., Hafezi-Nejad N., Heidari-Soureshjani R., Abdollahi M., Farahmand M., Salamati P., Mehrabi Nasab E., Tajdini M., Aghamir S., 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Otstavnov S.S., Soshnikov S., Titova M.V., Nair S., Naldi L., Nangia V., Nansseu J., Sobngwi E., Nguefack-Tsague G., Ndejjo R., Ngari K.N., Ngunjiri J.W., Nigatu Y.T., Oancea B., Oh I., Okunga E.W., Olusanya J.O., Olusanya B.O., Ong S., Onwujekwe O.E., Ortega-Altamirano D.V., Ortiz A., Soriano J.B., Osarenotor O., Ostojic S.M., Vlassov V., Pa M., Pangaribuan H.U., Park E., Pasupula D., Patel J.R., Patel S.K., Paternina-Caicedo A.J., Pathak M., Pathak A., Patten S.B., Tonelli M., Weintraub R.G., Paudel S., Pepito V.F., Thurston G.D., Peprah E.K., Pereira J., Pescarini J.M., Piccinelli C., Pilgrim T., Plass D., Pokhrel K.N., Prada S.I., Prakash V., Prakash S., Prasad N., Shigematsu M., Pribadi D.R.A., Sudaryanto A., Rabiee M., Radfar A., Ranabhat C.L., Ranta A., Ribeiro D.C., Rao S., Rawaf D.L., Rawal L., Renjith V., Rickard J., Roever L., Romoli M., Rostamian M., Rubagotti E., Rwegerera G.M., Ullah S., Sajadi S., Salam N., Salomon J.A., Salz I., Saraswathy S.Y., Sarmiento-Suarez R., Sathian B., Savic M., Saylan M., Schwendicke F., Sekerija M., Senthilkumaran S., Sha F., Shaheen A.A., Shaikh M.A., Shamsizadeh M., Shannawaz M., Sharma R., Shin J., Shiri R., Sierpinski R., Sigurvinsdottir R., Silva D.A.S., Simonetti B., Singh A., Sinha D.N., Skiadaresi E., Skou S.T., Skryabin V.Y., Zastrozhin M.S., Soheili A., Sokhan A., Somefun O.D., and Korotkova A.V.

Abstract

The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 provides a rules-based synthesis of the available evidence on levels and trends in health outcomes, a diverse set of risk factors, and health system responses. GBD 2019 covered 204 countries and territories, as well as first administrative level disaggregations for 22 countries, from 1990 to 2019. Because GBD is highly standardised and comprehensive, spanning both fatal and non-fatal outcomes, and uses a mutually exclusive and collectively exhaustive list of hierarchical disease and injury causes, the study provides a powerful basis for detailed and broad insights on global health trends and emerging challenges. GBD 2019 incorporates data from 281 586 sources and provides more than 3.5 billion estimates of health outcome and health system measures of interest for global, national, and subnational policy dialogue. All GBD estimates are publicly available and adhere to the Guidelines on Accurate and Transparent Health Estimate Reporting. From this vast amount of information, five key insights that are important for health, social, and economic development strategies have been distilled. These insights are subject to the many limitations outlined in each of the component GBD capstone papers.Copyright © 2020 Elsevier Ltd

Published
2020

14. Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.

Author

Shetty B.S.K., Stein C., Stokes M.A., Sufiyan M.B., Suleria H.A.R., Sultan I., Szumowski L., Tabares-Seisdedos R., Tabuchi T., Tadakamadla S.K., Taddele B.W., Tadesse D.B., Taherkhani A., Tamiru A.T., Tanser F.C., Tareque M.I., Tarigan I.U., Teagle W.L., Tediosi F., Tefera Y.G.G., Tela F.G., Tessema Z.T., Thakur B., Titova M.V., Tonelli M., Topor-Madry R., Topouzis F., Tovani-Palone M.R.R., Tran B.X., Travillian R., Troeger C.E., Tudor Car L., Uddin R., Ullah I., Umeokonkwo C.D., Unnikrishnan B., Upadhyay E., Uthman O.A., Vacante M., Valdez P.R., Varughese S., Vasankari T.J., Vasseghian Y., Venketasubramanian N., Violante F.S., Vlassov V., Vollset S.E., Vongpradith A., Vos T., Waheed Y., Walters M.K., Wamai R.G., Wang H., Wang Y.-P., Weintraub R.G., Weiss J., Werdecker A., Westerman R., Wilner L.B., Woldu G., Wolfe C.D.A., Wu A.-M., Wulf Hanson S., Xie Y., Yahyazadeh Jabbari S.H., Yamagishi K., Yano Y., Yaya S., Yazdi-Feyzabadi V., Yearwood J.A., Yeshitila Y.G., Yip P., Yonemoto N., Younis M.Z., Yousefi Z., Yousefinezhadi T., Yusefzadeh H., Zadey S., Zahirian Moghadam T., Zaidi S.S., Zaki L., Zaman S.B., Zamanian M., Zandian H., Zastrozhin M.S., Zewdie K.A., Zhang Y., Zhao X.-J.G., Zhao Y., Zheng P., Zhu C., Ziapour A., Zlavog B.S., Zodpey S., Murray C.J.L., Lozano R., Fullman N., Mumford J.E., Knight M., Barthelemy C.M., Abbafati C., Abbastabar H., Abd-Allah F., Abdollahi M., Abedi A., Abolhassani H., Abosetugn A.E., Abreu L.G., Abrigo M.R.M., Abu Haimed A.K., Abushouk A.I., Adabi M., Adebayo O.M., Adekanmbi V., Adelson J., Adetokunboh O.O., Adham D., Advani S.M., Afshin A., Agarwal G., Agasthi P., Aghamir S.M.K., Agrawal A., Ahmad T., Akinyemi R.O., Alahdab F., Al-Aly Z., Alam K., Albertson S.B., Alemu Y.M., Alhassan R.K., Ali M., Ali S., Alipour V., Aljunid S.M., Alla F., Almadi M.A.H., Almasi A., Almasi-Hashiani A., Almasri N.A., Al-Mekhlafi H.M., Almulhim A.M., Alonso J., Al-Raddadi R.M., Altirkawi K.A., Alvis-Guzman N., Alvis-Zakzuk N.J., Amini S., Amini-Rarani M., Amiri F., Amit A.M.L., Amugsi D.A., Ancuceanu R., Anderlini D., Andrei C.L., Androudi S., Ansari F., Ansari-Moghaddam A., Antonio C.A.T., Antony C.M., Antriyandarti E., Anvari D., Anwer R., Arabloo J., Arab-Zozani M., Aravkin A.Y., Aremu O., Arnlov J., Asaad M., Asadi-Aliabadi M., Asadi-Pooya A.A., Athari S.S., Atout M.M.W., Ausloos M., Avila-Burgos L., Ayala Quintanilla B.P., Ayano G., Ayanore M.A., Aynalem Y.A., Aynalem G.L., Ayza M.A., Azari S., Azzopardi P.S., B D.B., Babaee E., Badiye A.D., Bahrami M.A., Baig A.A., Bakhshaei M.H., Bakhtiari A., Bakkannavar S.M., Balachandran A., Banach M., Banerjee S.K., Banik P.C., Bante A.B., Bante S.A., Barker-Collo S.L., Barnighausen T.W., Barrero L.H., Bassat Q., Basu S., Baune B.T., Bayati M., Baye B.A., Bedi N., Beghi E., Behzadifar M., Bekuma T.T.T., Bell M.L., Bensenor I.M., Berman A.E., Bernabe E., Bernstein R.S., Bhagavathula A.S., Bhandari D., Bhardwaj P., Bhat A.G., Bhattacharyya K., Bhattarai S., Bhutta Z.A., Bijani 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Doshmangir L., Duncan B.B., Duraes A.R., Eagan A.W., Edvardsson D., El Sayed I., El Tantawi M., Elgendy I.Y., Elyazar I.R., Eskandari K., Eskandarieh S., Esmaeilnejad S., Esteghamati A., Ezekannagha O., Farag T., Farahmand M., Faraon E.J.A., Farinha C.S.E.S., Farioli A., Faris P.S., Faro A., Fazlzadeh M., Feigin V.L., Fernandes E., Ferrara P., Feyissa G.T., Filip I., Fischer F., Fisher J.L., Flor L.S., Foigt N.A., Folayan M.O., Fomenkov A.A., Foroutan M., Francis J.M., Fu W., Fukumoto T., Furtado J.M., Gad M.M., Gaidhane A.M., Gakidou E., Galles N.C., Gallus S., Gardner W.M., Geberemariyam B.S., Gebrehiwot A.M., Gebremeskel L.G., Gebremeskel G.G., Gesesew H.A., Ghadiri K., Ghafourifard M., Ghashghaee A., Ghith N., Gholamian A., Gilani S.A., Gill P.S., Gill T.K., Ginindza T.G., Gitimoghaddam M., Giussani G., Glagn M., Gnedovskaya E.V., Godinho M.A., Goharinezhad S., Gopalani S.V., Goudarzian A.H., Goulart B.N.G., Gubari M.I.M., Guimaraes R.A., Guled R.A., Gultie T., Guo Y., Gupta R., 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Kalhor R., Kamath A.M., Kanchan T., Kapoor N., Karami Matin B., Karanikolos M., Karimi S.M., Kassebaum N.J., Katikireddi S.V., Kayode G.A., Keiyoro P.N., Khader Y.S., Khammarnia M., Khan M., Khan E.A., Khang Y.-H., Khatab K., Khater A.M., Khater M.M., Khatib M.N., Khayamzadeh M., Khubchandani J., Kianipour N., Kim Y.J., Kimokoti R.W., Kinfu Y., Kisa A., Kissimova-Skarbek K., Kivimaki M., Kneib C.J., Kocarnik J.M., Kochhar S., Kohler S., Kopec J.A., Korotkova A.V., Korshunov V.A., Kosen S., Kotlo A., Koul P.A., Koyanagi A., Krishan K., Krohn K.J., Kugbey N., Kulkarni V., Kumar G.A., Kumar N., Kumar M., Kurmi O.P., Kusuma D., Kyu H.H., La Vecchia C., Lacey B., Lal D.K., Lalloo R., Landires I., Lansingh V.C., Larsson A.O., Lasrado S., Lau K.M.-M., Lauriola P., Lazarus J.V., Ledesma J.R., Lee P.H., Lee S.W.H., Leever A.T., LeGrand K.E., Leigh J., Leonardi M., Li S., Lim S.S., Lim L.-L., Liu X., Logroscino G., Lopez A.D., Lopukhov P.D., Lotufo P.A., Lu A., Ma J., Madadin M., Mahasha P.W., Mahmoudi M., Majeed A., Malagon-Rojas J.N., Maleki S., Malta D.C., Mansouri B., Mansournia M.A., Martini S., Martins-Melo F.R., Martopullo I., Massenburg B.B., Mastrogiacomo C.I., Mathur M.R., McAlinden C., McKee M., Medina-Solis C.E., Meharie B.G., Mehndiratta M.M., Mehrabi Nasab E., Mehri F., Mehrotra R., Mekonnen T., Melese A., Memiah P.T.N., Mendoza W., Menezes R.G., Mensah G.A., Meretoja T.J., Meretoja A., Mestrovic T., Miazgowski B., Michalek I.M., Mirrakhimov E.M., Mirzaei M., Mirzaei-Alavijeh M., Mitchell P.B., Moazen B., Moghadaszadeh M., Mohamadi E., Mohammad Y., Mohammad D.K., Mohammad Gholi Mezerji N., Mohammadian-Hafshejani A., Mohammed S., Mohammed J.A., Mokdad A.H., Monasta L., Mondello S., Moradi M., Moradi-Lakeh M., Moradzadeh R., Moraga P., Morgado-da-Costa J., Morrison S.D., Mosapour A., Mosser J.F., Mousavi Khaneghah A., Muriithi M.K., Mustafa G., Nabhan A.F., Naderi M., Nagarajan A.J., Naghavi M., Naghshtabrizi B., Naimzada M.D., Nangia V., Nansseu J.R., Nayak 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Kulkarni V., Kumar G.A., Kumar N., Kumar M., Kurmi O.P., Kusuma D., Kyu H.H., La Vecchia C., Lacey B., Lal D.K., Lalloo R., Landires I., Lansingh V.C., Larsson A.O., Lasrado S., Lau K.M.-M., Lauriola P., Lazarus J.V., Ledesma J.R., Lee P.H., Lee S.W.H., Leever A.T., LeGrand K.E., Leigh J., Leonardi M., Li S., Lim S.S., Lim L.-L., Liu X., Logroscino G., Lopez A.D., Lopukhov P.D., Lotufo P.A., Lu A., Ma J., Madadin M., Mahasha P.W., Mahmoudi M., Majeed A., Malagon-Rojas J.N., Maleki S., Malta D.C., Mansouri B., Mansournia M.A., Martini S., Martins-Melo F.R., Martopullo I., Massenburg B.B., Mastrogiacomo C.I., Mathur M.R., McAlinden C., McKee M., Medina-Solis C.E., Meharie B.G., Mehndiratta M.M., Mehrabi Nasab E., Mehri F., Mehrotra R., Mekonnen T., Melese A., Memiah P.T.N., Mendoza W., Menezes R.G., Mensah G.A., Meretoja T.J., Meretoja A., Mestrovic T., Miazgowski B., Michalek I.M., Mirrakhimov E.M., Mirzaei M., Mirzaei-Alavijeh M., Mitchell P.B., Moazen B., Moghadaszadeh M., Mohamadi 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Abstract

Background: Achieving universal health coverage (UHC) involves all people receiving the health services they need, of high quality, without experiencing financial hardship. Making progress towards UHC is a policy priority for both countries and global institutions, as highlighted by the agenda of the UN Sustainable Development Goals (SDGs) and WHO's Thirteenth General Programme of Work (GPW13). Measuring effective coverage at the health-system level is important for understanding whether health services are aligned with countries' health profiles and are of sufficient quality to produce health gains for populations of all ages. Method(s): Based on the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we assessed UHC effective coverage for 204 countries and territories from 1990 to 2019. Drawing from a measurement framework developed through WHO's GPW13 consultation, we mapped 23 effective coverage indicators to a matrix representing health service types (eg, promotion, prevention, and treatment) and five population-age groups spanning from reproductive and newborn to older adults (>=65 years). Effective coverage indicators were based on intervention coverage or outcome-based measures such as mortality-to-incidence ratios to approximate access to quality care; outcome-based measures were transformed to values on a scale of 0-100 based on the 2.5th and 97.5th percentile of location-year values. We constructed the UHC effective coverage index by weighting each effective coverage indicator relative to its associated potential health gains, as measured by disability-adjusted life-years for each location-year and population-age group. For three tests of validity (content, known-groups, and convergent), UHC effective coverage index performance was generally better than that of other UHC service coverage indices from WHO (ie, the current metric for SDG indicator 3.8.1 on UHC service coverage), the World Bank, and GBD 2017. We quantified frontiers of UH

Published
2020

15. Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950-2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019.

Author

Hird T.R., Shannawaz M., Sharma R., Shin J., Shiri R., Sierpinski R., Sigurvinsdottir R., Silva D.A.S., Simonetti B., Singh A., Sinha D.N., Skiadaresi E., Skou S.T., Skryabin V.Y., Zastrozhin M.S., Soheili A., Sokhan A., Somefun O.D., Korotkova A.V., Soyiri I.N., Sreeramareddy C.T., Srinivasan V., Sripada K., Stovner L.J., Stockfelt L., Sultan I., Swope C.B., Vaicekonyte R., Sykes B.L., Szumowski L., Tabb K.M., Tabuchi T., Taddele B.W., Tahir Z., Tareque M.I., Tarigan I.U., Taveira N., Thankappan K.R., Thomas N., Varughese S., Touvier M., Tran B.X., Tsatsakis A., Vardavas C., Ullah I., Umeokonkwo C.D., Undurraga E.A., Upadhyay E., Vasankari T.J., Vasconcelos A.N., Veisani Y., Vidale S., Waheed Y., Wei J., Wang F., Zhao X.G., Wang Y., Yu C., Zhang Z., Wang H., Weiss J., Wiangkham T., Wickramasinghe N.D., Wu A., Xie Y., Xu G., Yahyazadeh Jabbari S., Yilgwan C.S., Yonemoto N., Younis M.Z., Younker T.P., Yu Y., Zaidi S., Zhang J., Zhang Y., Zheleva B., Zhu C., Abbafati C., Machado D.B., Cislaghi B., Salman O.M., Karanikolos M., McKee M., Abbas K.M., Brady O.J., Larson H.J., Trias-Llimos S., Cummins S., Langan S.M., Sartorius B., Hafiz A., Jenabi E., Mohammad Gholi Mezerji N., Borzouei S., Azarian G., Khazaei S., Abbasi M., Asghari B., Masoumi S., Komaki H., Taherkhani A., Adabi M., Abbasifard M., Bazmandegan G., Kamiab Z., Vakilian A., Anjomshoa M., Mokari A., Sabour S., Shahbaz M., Saeedi R., Ahmadieh H., Yousefinezhadi T., Haj-Mirzaian A., Nikbakhsh R., Safi S., Asgari S., Irvani S.N., Jahanmehr N., Ramezanzadeh K., Abbasi-Kangevari M., Khayamzadeh M., Abbastabar H., Shirkoohi R., Fazlzadeh M., Janjani H., Hosseini M., Mansournia M., Tohidinik H., Bakhtiari A., Fazaeli A., Mousavi S., Hasanzadeh A., Nabavizadeh B., Malekzadeh R., Hashemian M., Pourshams A., Salimzadeh H., Sepanlou S.G., Afarideh M., Esteghamati A., Esteghamati S., Ghajar A., Heidari B., Rezaei N., Mohamadi E., Rahimi-Movaghar A., Rahim F., Eskandarieh S., Sahraian M., Mohebi F., Aminorroaya A., Ebrahimi H., Farzadfar F., Mohajer B., Pishgar F., Saeedi Moghaddam S., Shabani M., Zarafshan H., Abolhassani H., Hafezi-Nejad N., Heidari-Soureshjani R., Abdollahi M., Farahmand M., Salamati P., Mehrabi Nasab E., Tajdini M., Aghamir S., Mirzaei R., Dibaji Forooshani Z., Khater M.M., Abd-Allah F., Abdelalim A., Abualhasan A., El-Jaafary S.I., Hassan A., Elsharkawy A., Khater A.M., Elhabashy H.R., Salem M.R.R., Salem H., Sadeghi M., Jafarinia M., Amini-Rarani M., Mohammadifard N., Sarrafzadegan N., Abdollahpour I., Sarveazad A., Tehrani-Banihashemi A., Yoosefi Lebni J., Manafi N., Pazoki Toroudi H., Dorostkar F., Alipour V., Sheikhtaheri A., Arabloo J., Azari S., Ghashghaee A., Rezapour A., Naserbakht M., Kabir A., Mehri F., Yousefifard M., Asadi-Aliabadi M., Babaee E., Eshrati B., Goharinezhad S., Moradi M., Abedi P., Rashedi V., Kumar V., Elgendy I.Y., Basu S., Park J., Pereira A., Norheim O.F., Eagan A.W., Cahill L.E., Sheikh A., Abushouk A.I., Thakur B., Barnighausen T.W., Shrime 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Ashbaugh C., Assmus M., Azhar G., Balassyano S., Bannick M.S., Barthelemy C.M., Bender R.G., Bennitt F.B., Bertolacci G.J., Biehl M.H., Bisignano C., Boon-Dooley A.S., Briant P.S., Bryazka D., Bumgarner B.R., Callender C.S., Cao J., Castle C.D., Castro E., Causey K., Cercy K.M., Chalek J., Cohen A.J., Comfort H., Compton K., Croneberger A.J., Cruz J.A., Cunningham M., Dangel W.J., Dean F.E., DeCleene N.K., Deen A., Degenhardt L., Dingels Z.V., Dippenaar I.N., Dirac M.A., Dolgert A.J., Emmons-Bell S., Estep K., Farag T., Feigin V.L., Feldman R., Ferrara G., Ferrari A.J., Fitzgerald R., Force L.M., Fox J.T., Frank T.D., Fu W., Fukutaki K., Fuller J.E., Fullman N., Galles N.C., Gardner W.M., Gershberg Hayoon A., Goren E., Gorman T.M., Gottlich H.C., Guo G., Haddock B., Hagins H., Haile L.M., Hamilton E.B., Han C., Han H., Harvey J.D., Henny K., Henrikson H.J., Henry N.J., Herbert M.E., Hsiao T., Huynh C.K., Iannucci V.C., Ippolito H., Irvine C.M.S., Jafari H., Jahagirdar D., James S.L., 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Singh P., Kumaresh G., Lami F.H., Landires I., Nunez-Samudio V., Landires, Lansingh V.C., Lansky S., Larsson A.O., Lasrado S., Lavados P.M., Leasher J.L., Lee S.W.H., Leonardi M., Raggi A., Sattin PsyD, S Schiavolin D., Li B., Lim L., Takahashi K., Linehan C., Linn S., Shuval K., Listl S., Zhou M., Liu S., Logroscino G., Looker K.J., Lorkowski S., Lunevicius R., Lyons R.A., Madotto F., Magdy Abd El Razek H., Magdy Abd El Razek M., Mahmoudi M., Maled V., Moradi G., Maleki A., Manafi A., Mapoma C., Martini S., Martins-Melo F.R., Masaka A., McAlinden C., Momen N.C., Plana-Ripoll O., Medina-Solis C.E., Meharie B., Mehndiratta M., Mehrotra R., Suliankatchi Abdulkader R., Mekonnen T., Memiah P.T.N., Wallin M.T., Memish Z.A., Mendoza W., Mestrovic T., Miazgowski T., Miazgowski B., Michalek I., Mini G., Miri M., Mirrakhimov E.M., Mirzaei H., Mohammadian-Hafshejani A., Mohammadpourhodki R., Sahebkar A., Mohammed H., Sufiyan M.B., Mohseni Bandpei M.A., Monasta L., Ronfani L., Mondello S., Moradi-Joo M., Morawska L., Mousavi Khaneghah A., Westerman R., Werdecker A., Mueller U.O., Mukhopadhyay S., Musa K., Mustafa G., Nagarajan A.J., Nagel G., Rothenbacher D., Naik G., Schwebel D.C., Singh J.A., Naimzada M., Otstavnov N., Otstavnov S.S., Soshnikov S., Titova M.V., Nair S., Naldi L., Nangia V., Nansseu J., Sobngwi E., Nguefack-Tsague G., Ndejjo R., Ngari K.N., Ngunjiri J.W., Nigatu Y.T., Oancea B., Oh I., Okunga E.W., Olusanya J.O., Olusanya B.O., Ong S., Onwujekwe O.E., Ortega-Altamirano D.V., Ortiz A., Soriano J.B., Osarenotor O., Ostojic S.M., Vlassov V., Pa M., Pangaribuan H.U., Park E., Pasupula D., Patel J.R., Patel S.K., Paternina-Caicedo A.J., Pathak M., Pathak A., Patten S.B., Tonelli M., Weintraub R.G., Paudel S., Pepito V.F., Thurston G.D., Peprah E.K., Pereira J., Pescarini J.M., Piccinelli C., Pilgrim T., Plass D., Pokhrel K.N., Prada S.I., Prakash V., Prakash S., Prasad N., Shigematsu M., Pribadi D.R.A., Sudaryanto A., Rabiee M., Radfar A., Ranabhat C.L., Ranta A., Ribeiro D.C., Rao S., Rawaf D.L., Rawal L., Renjith V., Rickard J., Roever L., Romoli M., Rostamian M., Rubagotti E., Rwegerera G.M., Ullah S., Sajadi S., Salam N., Salomon J.A., Salz I., Saraswathy S.Y., Sarmiento-Suarez R., Sathian B., Savic M., Saylan M., Schwendicke F., Sekerija M., Senthilkumaran S., Sha F., Shaheen A.A., Shaikh M.A., and Shamsizadeh M.

Abstract

Background: Accurate and up-to-date assessment of demographic metrics is crucial for understanding a wide range of social, economic, and public health issues that affect populations worldwide. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 produced updated and comprehensive demographic assessments of the key indicators of fertility, mortality, migration, and population for 204 countries and territories and selected subnational locations from 1950 to 2019. Method(s): 8078 country-years of vital registration and sample registration data, 938 surveys, 349 censuses, and 238 other sources were identified and used to estimate age-specific fertility. Spatiotemporal Gaussian process regression (ST-GPR) was used to generate age-specific fertility rates for 5-year age groups between ages 15 and 49 years. With extensions to age groups 10-14 and 50-54 years, the total fertility rate (TFR) was then aggregated using the estimated age-specific fertility between ages 10 and 54 years. 7417 sources were used for under-5 mortality estimation and 7355 for adult mortality. ST-GPR was used to synthesise data sources after correction for known biases. Adult mortality was measured as the probability of death between ages 15 and 60 years based on vital registration, sample registration, and sibling histories, and was also estimated using ST-GPR. HIV-free life tables were then estimated using estimates of under-5 and adult mortality rates using a relational model life table system created for GBD, which closely tracks observed age-specific mortality rates from complete vital registration when available. Independent estimates of HIV-specific mortality generated by an epidemiological analysis of HIV prevalence surveys and antenatal clinic serosurveillance and other sources were incorporated into the estimates in countries with large epidemics. Annual and single-year age estimates of net migration and population for each country and territory were generated using a B

Published
2020

16. Mapping geographical inequalities in oral rehydration therapy coverage in low-income and middle-income countries, 2000-17.

Author

Sathish T., Tesfay B.E., Tesfay F.H., Tessema B., Tessema Z.T., Thankappan K.R., Thomas N., Toma A., Topor-Madry R., Tovani-Palone M.R., Traini E., Tran B.X., Tran K.B., Ullah I., Unnikrishnan B., Usman M.S., Uzochukwu B.S.C., Valdez P.R., Varughese S., Violante F.S., Vollmer S., Whawariat F.G., Waheed Y., Wallin M.T., Wang Y., Wang Y.-P., Weaver M., Weji B.G., Weldesamuel G.T., Welgan C.A., Werdecker A., Westerman R., Wiangkham T., Wiysonge C.S., Wolde H.F., Wondafrash D.Z., Wonde T.E., Worku G.T., Wu A.-M., Xu G., Yadollahpour A., Yahyazadeh Jabbari S.H., Yamada T., Yatsuya H., Yeshaneh A., Yilgwan C.S., Yilma M.T., Yip P., Yisma E., Yonemoto N., Yoon S.-J., Younis M.Z., Yousefifard M., Yousof H.-A.S.A., Yu C., Yusefzadeh H., Zadey S., Zaidi Z., Zaman S.B., Zamani M., Zandian H., Zepro N.B., Zerfu T.A., Zhang Y., Zhao X.-J.G., Ziapour A., Zodpey S., Zuniga Y.M.H., Hay S.I., Reiner R.C., Singh A., Wiens K.E., Lindstedt P.A., Blacker B.F., Johnson K.B., Baumann M.M., Schaeffer L.E., Abbastabar H., Abd-Allah F., Abdelalim A., Abdollahpour I., Abegaz K.H., Abejie A.N., Abreu L.G., Abrigo M.R.M., Abualhasan A., Accrombessi M.M.K., Acharya D., Adabi M., Adamu A.A., Adebayo O.M., Adedoyin R.A., Adekanmbi V., Adetokunboh O.O., Adhena B.M., Afarideh M., Ahmad S., Ahmadi K., Ahmed A.E., Ahmed M.B., Ahmed R., Akalu T.Y., Alahdab F., Al-Aly Z., Alam N., Alam S., Alamene G.M., Alanzi T.M., Alcalde-Rabanal J.E., Ali B.A., Alijanzadeh M., Alipour V., Aljunid S.M., Almasi A., Almasi-Hashiani A., Al-Mekhlafi H.M., Altirkawi K.A., Alvis-Guzman N., Alvis-Zakzuk N.J., Amini S., Amit A.M.L., Andrei C.L., Anjomshoa M., Anoushiravani A., Ansari F., Antonio C.A.T., Antony B., Antriyandarti E., Arabloo J., Aref H.M.A., Aremu O., Armoon B., Arora A., Aryal K.K., Arzani A., Asadi-Aliabadi M., Atalay H.T., Athari S.S., Athari S.M., Atre S.R., Ausloos M., Awoke N., Ayala Quintanilla B.P., Ayano G., Ayanore M.A., Aynalem Y.A., Azari S., Azzopardi P.S., Babaee E., Babalola T.K., Badawi A., Bairwa M., Bakkannavar S.M., Balakrishnan S., Bali A.G., Banach M., Banoub J.A.M., Barac A., Barnighausen T.W., Basaleem H., Basu S., Bay V.D., Bayati M., Baye E., Bedi N., Beheshti M., Behzadifar M., Bekele B.B., Belayneh Y.M., Bell M.L., Bennett D.A., Berbada D.A., Bernstein R.S., Bhat A.G., Bhattacharyya K., Bhattarai S., Bhaumik S., Bhutta Z.A., Bijani A., Bikbov B., Birihane B.M., Biswas R.K., Bohlouli S., Bojia H.A., Boufous S., Brady O.J., Bragazzi N.L., Briko A.N., Briko N.I., Britton G.B., Burugina Nagaraja S., Busse R., Butt Z.A., Camera L.A., Campos-Nonato I.R., Cano J., Car J., Cardenas R., Carvalho F., Castaneda-Orjuela C.A., Castro F., Chanie W.F., Chatterjee P., Chattu V.K., Chichiabellu T.Y., Chin K.L., Christopher D.J., Chu D.-T., Cormier N.M., Costa V.M., Culquichicon C., Daba M.S., Damiani G., Dandona L., Dandona R., Dang A.K., Darwesh A.M., Darwish A.H., Daryani A., Das J.K., Das Gupta R.D., Dash A.P., Davey G., Davila-Cervantes C.A., Davis A.C., Davitoiu D.V., De la Hoz F.P., Demis A.B., Demissie D.B., Demissie G.D., Demoz G.T., Denova-Gutierrez E., Deribe K., Desalew A., Deshpande A., Dharmaratne S.D., Dhillon P., Dhimal M., Dhungana G.P., Diaz D., Dipeolu I.O., Djalalinia S., Doyle K.E., Dubljanin E., Duko B., Duraes A.R., Ebrahimi Kalan M., Edinur H.A., Effiong A., Eftekhari A., El Nahas N., El Sayed I., El Sayed Zaki M., El Tantawi M., Elema T.B., Elhabashy H.R., El-Jaafary S.I., Elkout H., Elsharkawy A., Elyazar I.R.F., Endalamaw A., Endalew D.A., Eskandarieh S., Esteghamati A., Esteghamati S., Etemadi A., Ezekannagha O., Fareed M., Faridnia R., Farzadfar F., Fazlzadeh M., Feigin V.L., Fereshtehnejad S.-M., Fernandes E., Filip I., Fischer F., Foigt N.A., Folayan M.O., Foroutan M., Franklin R.C., Fukumoto T., Gad M.M., Gayesa R.T., Gebre T., Gebremedhin K.B., Gebremeskel G.G., Gesesew H.A., Gezae K.E., Ghadiri K., Ghashghaee A., Ghimire P.R., Gill P.S., Gill T.K., Ginindza T.G., Gomes N.G., Gopalani S.V., Goulart A.C., Goulart B.N.G., Grada A., Gubari M.I.M., Gugnani H.C., Guido D., Guimaraes R.A., Guo Y., Gupta R., Hafezi-Nejad N., Haile D.H., Hailu G.B., Haj-Mirzaian A., Hamadeh R.R., Hamidi S., Handiso D.W., Haririan H., Hariyani N., Hasaballah A.I., Hasan M.M., Hasanpoor E., Hasanzadeh A., Hassankhani H., Hassen H.Y., Hegazy M.I., Heibati B., Heidari B., Hendrie D., Henry N.J., Herteliu C., Heydarpour F., Hidru H.D.D., Hird T.R., Hoang C.L., Homaie Rad E.H., Hoogar P., Hoseini M., Hossain N., Hosseini M., Hosseinzadeh M., Househ M., Hsairi M., Hu G., Hussen M.M., Ibitoye S.E., Igumbor E.U., Ilesanmi O.S., Ilic M.D., Imani-Nasab M.H., Iqbal U., Irvani S.S.N., Islam S.M.S., Iwu C.J., Izadi N., Jaca A., Jahanmehr N., Jakovljevic M., Jalali A., Jayatilleke A.U., Jha R.P., Jha V., Ji J.S., Jonas J.B., Jozwiak J.J., Kabir A., Kabir Z., Kahsay A., Kalani H., Kanchan T., Karami Matin B., Karch A., Karim M.A., Karimi-Sari Surendra Karki H., Kasaeian A., Kasahun G.G., Kasahun Y.C., Kasaye H.K., Kassa G.G., Kassa G.M., Kayode G.A., Kazemi Karyani A., Kebede M.M., Keiyoro P.N., Kelbore A.G., Kengne A.P., Ketema D.B., Khader Y.S., Khafaie M.A., Khalid N., Khalilov R., Khan E.A., Khan J., Khan M.N., Khan M.S., Khatab K., Khater A.M., Khater M.M., Khayamzadeh M., Khazaei M., Khazaei S., Khosravi M.H., Khubchandani J., Kiadaliri A., Kim Y.J., Kimokoti R.W., Kisa A., Kisa S., Kissoon N., Shivakumar K.M., Kochhar S., Kolola T., Komaki H., Kosen S., Koul P.A., Koyanagi A., Kraemer M.U.G., Krishan K., Kugbey N., Kumar G.A., Kumar M., Kumar P., Kumar V., Kusuma D., La Vecchia C., Lacey B., Lad S.D., Lal D.K., Lam F., Lami F.H., Lamichhane P., Lansingh V.C., Lasrado S., Laxmaiah A., Lee P.H., LeGrand K.E., Leili M., Lenjebo T.L., Leshargie C.T., Levine A.J., Li S., Linn S., Liu S., Lodha R., Longbottom J., Lopez J.C.F., Magdy Abd El Razek H., Magdy Abd El Razek M., Mahadeshwara Prasad DR., Mahasha P.W., Mahotra N.B., Majeed A., Malekzadeh R., Malta D.C., Mamun A.A., Manafi N., Manda A.L., Manohar N.D.D., Mansournia M.A., Mapoma C.C., Maravilla J.C., Martinez G., Martini S., Martins-Melo F.R., Masaka A., Massenburg B.B., Mathur M.R., Mayala B.K., Mazidi M., McAlinden C., Meharie B.G., Mehndiratta M.M., Mehta K.M., Mekonnen T.C., Meles G.G., Memiah P.T.N., Memish Z.A., Mendoza W., Menezes R.G., Mereta S.T., Meretoja T.J., Mestrovic T., Miazgowski B., Mihretie K.M., Miller T.R., Mini G.K., Mirrakhimov E.M., Moazen B., Mohajer B., Mohamadi-Bolbanabad A., Mohammad D.K., Mohammad K.A., Mohammad Y., Mohammad Gholi Mezerji N., Mohammadibakhsh R., Mohammadifard N., Mohammed J.A., Mohammed S., Mohebi F., Mokdad A.H., Molokhia M., Monasta L., Moodley Y., Moore C.E., Moradi G., Moradi M., Moradi-Joo M., Moradi-Lakeh M., Moraga P., Morales L., Moreno Velasquez I., Mosapour A., Mouodi S., Mousavi S.M., Mozaffor M., Muchie K.F., Mulaw G.F., Munro S.B., Muriithi M.K., Murray C.J., Murthy G.V.S., Musa K.I., Mustafa G., Muthupandian S., Nabhan A.F., Naderi M., Nagarajan A.J., Naidoo K.S., Naik G., Najafi F., Nangia V., Nansseu J.R., Nascimento B.R., Nazari J., Ndwandwe D.E., Negoi I., Netsere H.B., Ngunjiri J.W., Nguyen C.T., Nguyen H.L.T., Nguyen T.H., Nigatu D., Nigatu S.G., Ningrum D.N.A., Nnaji C.A., Nojomi M., Nong V.M., Norheim O.F., Noubiap J.J., Nouraei Motlagh S., Oancea B., Ogah O.S., Ogbo F.A., Oh I.-H., Olagunju A.T., Olagunju T.O., Olusanya B.O., Olusanya J.O., Onwujekwe O.E., Oren E., Ortega-Altamirano D.V., Osarenotor O., Osei F.B., Owolabi M.O., P A M., Padubidri J.R., Pakhale S., Patel S.K., Paternina-Caicedo A.J., Pathak A., Patton G.C., Paudel D., Paulos K., Pepito V.C.F., Pereira A., Perico N., Pervaiz A., Pescarini J.M., Piroozi B., Pirsaheb M., Postma M.J., Pourjafar H., Pourmalek F., Pourshams A., Poustchi H., Prada S.I., Prasad N., Preotescu L., Quintana H., Rabiee N., Radfar A., Rafiei A., Rahim F., Rahimi-Movaghar A., Rahimi-Movaghar V., Rahman M.H.U., Rahman M.A., Rahman S., Rajati F., Rana S.M., Ranabhat C.L., Rasella D., Rawaf D.L., Rawaf S., Rawal L., Rawasia W.F., Renjith V., Renzaho A.M.N., Resnikoff S., Reta M.A., Rezaei N., Rezai M.S., Riahi S.M., Ribeiro A.I., Rickard J., Rios-Blancas M., Roever L., Ronfani L., Roro E.M., Ross J.M., Rubagotti E., Rubino S., Saad A.M., Sabde Y.D., Sabour S., Sadeghi E., Safari Y., Safari-Faramani R., Sagar R., Sahebkar A., Sahraian M.A., Sajadi S.M., Salahshoor M.R., Salam N., Salamati P., Salem H., Salem M.R., Salimi Y., Salimzadeh H., Samy A.M., Sanabria J., Santric-Milicevic M.M., Sao Jose B.P., Saraswathy S.Y.I., Sarkar K., Sarker A.R., Sarrafzadegan N., Sartorius B., Sathian B., Sawhney M., Saxena S., Schwebel D.C., Senbeta A.M., Senthilkumaran S., Sepanlou S.G., Servan-Mori E., Shabaninejad H., Shafieesabet A., Shaikh M.A., Shalash A.S., Shallo S.A., Shams-Beyranvand M., Shamsi M.B., Shamsizadeh M., Shannawaz M., Sharafi K., Sharifi H., Shehata H.S., Sheikh A., Shetty B.S.K., Shibuya K., Shiferaw W.S., Shifti D.M., Shigematsu M., Shin J.I., Shiri R., Shirkoohi R., Siabani S., Siddiqi T.J., Silva D.A.S., Singh J.A., Singh N.P., Singh V., Sisay M.M., Skiadaresi E., Sobhiyeh M.R., Sokhan A., Soltani S., Somayaji R., Soofi M., Sorrie M.B., Soyiri I.N., Sreeramareddy C.T., Sudaryanto A., Sufiyan M.B., Suleria H.A.R., Sultana M., Sunguya B.F., Sykes B.L., Tabares-Seisdedos R., Tabuchi T., Tadesse D.B., Tarigan I.U., Tasew A.A., Tefera Y.M., Tekle M.G., Temsah M., Sathish T., Tesfay B.E., Tesfay F.H., Tessema B., Tessema Z.T., Thankappan K.R., Thomas N., Toma A., Topor-Madry R., Tovani-Palone M.R., Traini E., Tran B.X., Tran K.B., Ullah I., Unnikrishnan B., Usman M.S., Uzochukwu B.S.C., Valdez P.R., Varughese S., Violante F.S., Vollmer S., Whawariat F.G., Waheed Y., Wallin M.T., Wang Y., Wang Y.-P., Weaver M., Weji B.G., Weldesamuel G.T., Welgan C.A., Werdecker A., Westerman R., Wiangkham T., Wiysonge C.S., Wolde H.F., Wondafrash D.Z., Wonde T.E., Worku G.T., Wu A.-M., Xu G., Yadollahpour A., Yahyazadeh Jabbari S.H., Yamada T., Yatsuya H., Yeshaneh A., Yilgwan C.S., Yilma M.T., Yip P., Yisma E., Yonemoto N., Yoon S.-J., Younis M.Z., Yousefifard M., Yousof H.-A.S.A., Yu C., Yusefzadeh H., Zadey S., Zaidi Z., Zaman S.B., Zamani M., Zandian H., Zepro N.B., Zerfu T.A., Zhang Y., Zhao X.-J.G., Ziapour A., Zodpey S., Zuniga Y.M.H., Hay S.I., Reiner R.C., Singh A., Wiens K.E., Lindstedt P.A., Blacker B.F., Johnson K.B., Baumann M.M., Schaeffer L.E., Abbastabar H., Abd-Allah F., Abdelalim A., Abdollahpour I., Abegaz K.H., Abejie A.N., Abreu L.G., Abrigo M.R.M., Abualhasan A., Accrombessi M.M.K., Acharya D., Adabi M., Adamu A.A., Adebayo O.M., Adedoyin R.A., Adekanmbi V., Adetokunboh O.O., Adhena B.M., Afarideh M., Ahmad S., Ahmadi K., Ahmed A.E., Ahmed M.B., Ahmed R., Akalu T.Y., Alahdab F., Al-Aly Z., Alam N., Alam S., Alamene G.M., Alanzi T.M., Alcalde-Rabanal J.E., Ali B.A., Alijanzadeh M., Alipour V., Aljunid S.M., Almasi A., Almasi-Hashiani A., Al-Mekhlafi H.M., Altirkawi K.A., Alvis-Guzman N., Alvis-Zakzuk N.J., Amini S., Amit A.M.L., Andrei C.L., Anjomshoa M., Anoushiravani A., Ansari F., Antonio C.A.T., Antony B., Antriyandarti E., Arabloo J., Aref H.M.A., Aremu O., Armoon B., Arora A., Aryal K.K., Arzani A., Asadi-Aliabadi M., Atalay H.T., Athari S.S., Athari S.M., Atre S.R., Ausloos M., Awoke N., Ayala Quintanilla B.P., Ayano G., Ayanore M.A., Aynalem Y.A., Azari S., Azzopardi P.S., Babaee E., Babalola T.K., Badawi A., Bairwa M., Bakkannavar S.M., Balakrishnan S., Bali A.G., Banach M., Banoub J.A.M., Barac A., Barnighausen T.W., Basaleem H., Basu S., Bay V.D., Bayati M., Baye E., Bedi N., Beheshti M., Behzadifar M., Bekele B.B., Belayneh Y.M., Bell M.L., Bennett D.A., Berbada D.A., Bernstein R.S., Bhat A.G., Bhattacharyya K., Bhattarai S., Bhaumik S., Bhutta Z.A., Bijani A., Bikbov B., Birihane B.M., Biswas R.K., Bohlouli S., Bojia H.A., Boufous S., Brady O.J., Bragazzi N.L., Briko A.N., Briko N.I., Britton G.B., Burugina Nagaraja S., Busse R., Butt Z.A., Camera L.A., Campos-Nonato I.R., Cano J., Car J., Cardenas R., Carvalho F., Castaneda-Orjuela C.A., Castro F., Chanie W.F., Chatterjee P., Chattu V.K., Chichiabellu T.Y., Chin K.L., Christopher D.J., Chu D.-T., Cormier N.M., Costa V.M., Culquichicon C., Daba M.S., Damiani G., Dandona L., Dandona R., Dang A.K., Darwesh A.M., Darwish A.H., Daryani A., Das J.K., Das Gupta R.D., Dash A.P., Davey G., Davila-Cervantes C.A., Davis A.C., Davitoiu D.V., De la Hoz F.P., Demis A.B., Demissie D.B., Demissie G.D., Demoz G.T., Denova-Gutierrez E., Deribe K., Desalew A., Deshpande A., Dharmaratne S.D., Dhillon P., Dhimal M., Dhungana G.P., Diaz D., Dipeolu I.O., Djalalinia S., Doyle K.E., Dubljanin E., Duko B., Duraes A.R., Ebrahimi Kalan M., Edinur H.A., Effiong A., Eftekhari A., El Nahas N., El Sayed I., El Sayed Zaki M., El Tantawi M., Elema T.B., Elhabashy H.R., El-Jaafary S.I., Elkout H., Elsharkawy A., Elyazar I.R.F., Endalamaw A., Endalew D.A., Eskandarieh S., Esteghamati A., Esteghamati S., Etemadi A., Ezekannagha O., Fareed M., Faridnia R., Farzadfar F., Fazlzadeh M., Feigin V.L., Fereshtehnejad S.-M., Fernandes E., Filip I., Fischer F., Foigt N.A., Folayan M.O., Foroutan M., Franklin R.C., Fukumoto T., Gad M.M., Gayesa R.T., Gebre T., Gebremedhin K.B., Gebremeskel G.G., Gesesew H.A., Gezae K.E., Ghadiri K., Ghashghaee A., Ghimire P.R., Gill P.S., Gill T.K., Ginindza T.G., Gomes N.G., Gopalani S.V., Goulart A.C., Goulart B.N.G., Grada A., Gubari M.I.M., Gugnani H.C., Guido D., Guimaraes R.A., Guo Y., Gupta R., Hafezi-Nejad N., Haile D.H., Hailu G.B., Haj-Mirzaian A., Hamadeh R.R., Hamidi S., Handiso D.W., Haririan H., Hariyani N., Hasaballah A.I., Hasan M.M., Hasanpoor E., Hasanzadeh A., Hassankhani H., Hassen H.Y., Hegazy M.I., Heibati B., Heidari B., Hendrie D., Henry N.J., Herteliu C., Heydarpour F., Hidru H.D.D., Hird T.R., Hoang C.L., Homaie Rad E.H., Hoogar P., Hoseini M., Hossain N., Hosseini M., Hosseinzadeh M., Househ M., Hsairi M., Hu G., Hussen M.M., Ibitoye S.E., Igumbor E.U., Ilesanmi O.S., Ilic M.D., Imani-Nasab M.H., Iqbal U., Irvani S.S.N., Islam S.M.S., Iwu C.J., Izadi N., Jaca A., Jahanmehr N., Jakovljevic M., Jalali A., Jayatilleke A.U., Jha R.P., Jha V., Ji J.S., Jonas J.B., Jozwiak J.J., Kabir A., Kabir Z., Kahsay A., Kalani H., Kanchan T., Karami Matin B., Karch A., Karim M.A., Karimi-Sari Surendra Karki H., Kasaeian A., Kasahun G.G., Kasahun Y.C., Kasaye H.K., Kassa G.G., Kassa G.M., Kayode G.A., Kazemi Karyani A., Kebede M.M., Keiyoro P.N., Kelbore A.G., Kengne A.P., Ketema D.B., Khader Y.S., Khafaie M.A., Khalid N., Khalilov R., Khan E.A., Khan J., Khan M.N., Khan M.S., Khatab K., Khater A.M., Khater M.M., Khayamzadeh M., Khazaei M., Khazaei S., Khosravi M.H., Khubchandani J., Kiadaliri A., Kim Y.J., Kimokoti R.W., Kisa A., Kisa S., Kissoon N., Shivakumar K.M., Kochhar S., Kolola T., Komaki H., Kosen S., Koul P.A., Koyanagi A., Kraemer M.U.G., Krishan K., Kugbey N., Kumar G.A., Kumar M., Kumar P., Kumar V., Kusuma D., La Vecchia C., Lacey B., Lad S.D., Lal D.K., Lam F., Lami F.H., Lamichhane P., Lansingh V.C., Lasrado S., Laxmaiah A., Lee P.H., LeGrand K.E., Leili M., Lenjebo T.L., Leshargie C.T., Levine A.J., Li S., Linn S., Liu S., Lodha R., Longbottom J., Lopez J.C.F., Magdy Abd El Razek H., Magdy Abd El Razek M., Mahadeshwara Prasad DR., Mahasha P.W., Mahotra N.B., Majeed A., Malekzadeh R., Malta D.C., Mamun A.A., Manafi N., Manda A.L., Manohar N.D.D., Mansournia M.A., Mapoma C.C., Maravilla J.C., Martinez G., Martini S., Martins-Melo F.R., Masaka A., Massenburg B.B., Mathur M.R., Mayala B.K., Mazidi M., McAlinden C., Meharie B.G., Mehndiratta M.M., Mehta K.M., Mekonnen T.C., Meles G.G., Memiah P.T.N., Memish Z.A., Mendoza W., Menezes R.G., Mereta S.T., Meretoja T.J., Mestrovic T., Miazgowski B., Mihretie K.M., Miller T.R., Mini G.K., Mirrakhimov E.M., Moazen B., Mohajer B., Mohamadi-Bolbanabad A., Mohammad D.K., Mohammad K.A., Mohammad Y., Mohammad Gholi Mezerji N., Mohammadibakhsh R., Mohammadifard N., Mohammed J.A., Mohammed S., Mohebi F., Mokdad A.H., Molokhia M., Monasta L., Moodley Y., Moore C.E., Moradi G., Moradi M., Moradi-Joo M., Moradi-Lakeh M., Moraga P., Morales L., Moreno Velasquez I., Mosapour A., Mouodi S., Mousavi S.M., Mozaffor M., Muchie K.F., Mulaw G.F., Munro S.B., Muriithi M.K., Murray C.J., Murthy G.V.S., Musa K.I., Mustafa G., Muthupandian S., Nabhan A.F., Naderi M., Nagarajan A.J., Naidoo K.S., Naik G., Najafi F., Nangia V., Nansseu J.R., Nascimento B.R., Nazari J., Ndwandwe D.E., Negoi I., Netsere H.B., Ngunjiri J.W., Nguyen C.T., Nguyen H.L.T., Nguyen T.H., Nigatu D., Nigatu S.G., Ningrum D.N.A., Nnaji C.A., Nojomi M., Nong V.M., Norheim O.F., Noubiap J.J., Nouraei Motlagh S., Oancea B., Ogah O.S., Ogbo F.A., Oh I.-H., Olagunju A.T., Olagunju T.O., Olusanya B.O., Olusanya J.O., Onwujekwe O.E., Oren E., Ortega-Altamirano D.V., Osarenotor O., Osei F.B., Owolabi M.O., P A M., Padubidri J.R., Pakhale S., Patel S.K., Paternina-Caicedo A.J., Pathak A., Patton G.C., Paudel D., Paulos K., Pepito V.C.F., Pereira A., Perico N., Pervaiz A., Pescarini J.M., Piroozi B., Pirsaheb M., Postma M.J., Pourjafar H., Pourmalek F., Pourshams A., Poustchi H., Prada S.I., Prasad N., Preotescu L., Quintana H., Rabiee N., Radfar A., Rafiei A., Rahim F., Rahimi-Movaghar A., Rahimi-Movaghar V., Rahman M.H.U., Rahman M.A., Rahman S., Rajati F., Rana S.M., Ranabhat C.L., Rasella D., Rawaf D.L., Rawaf S., Rawal L., Rawasia W.F., Renjith V., Renzaho A.M.N., Resnikoff S., Reta M.A., Rezaei N., Rezai M.S., Riahi S.M., Ribeiro A.I., Rickard J., Rios-Blancas M., Roever L., Ronfani L., Roro E.M., Ross J.M., Rubagotti E., Rubino S., Saad A.M., Sabde Y.D., Sabour S., Sadeghi E., Safari Y., Safari-Faramani R., Sagar R., Sahebkar A., Sahraian M.A., Sajadi S.M., Salahshoor M.R., Salam N., Salamati P., Salem H., Salem M.R., Salimi Y., Salimzadeh H., Samy A.M., Sanabria J., Santric-Milicevic M.M., Sao Jose B.P., Saraswathy S.Y.I., Sarkar K., Sarker A.R., Sarrafzadegan N., Sartorius B., Sathian B., Sawhney M., Saxena S., Schwebel D.C., Senbeta A.M., Senthilkumaran S., Sepanlou S.G., Servan-Mori E., Shabaninejad H., Shafieesabet A., Shaikh M.A., Shalash A.S., Shallo S.A., Shams-Beyranvand M., Shamsi M.B., Shamsizadeh M., Shannawaz M., Sharafi K., Sharifi H., Shehata H.S., Sheikh A., Shetty B.S.K., Shibuya K., Shiferaw W.S., Shifti D.M., Shigematsu M., Shin J.I., Shiri R., Shirkoohi R., Siabani S., Siddiqi T.J., Silva D.A.S., Singh J.A., Singh N.P., Singh V., Sisay M.M., Skiadaresi E., Sobhiyeh M.R., Sokhan A., Soltani S., Somayaji R., Soofi M., Sorrie M.B., Soyiri I.N., Sreeramareddy C.T., Sudaryanto A., Sufiyan M.B., Suleria H.A.R., Sultana M., Sunguya B.F., Sykes B.L., Tabares-Seisdedos R., Tabuchi T., Tadesse D.B., Tarigan I.U., Tasew A.A., Tefera Y.M., Tekle M.G., and Temsah M.

Abstract

Background: Oral rehydration solution (ORS) is a form of oral rehydration therapy (ORT) for diarrhoea that has the potential to drastically reduce child mortality; yet, according to UNICEF estimates, less than half of children younger than 5 years with diarrhoea in low-income and middle-income countries (LMICs) received ORS in 2016. A variety of recommended home fluids (RHF) exist as alternative forms of ORT; however, it is unclear whether RHF prevent child mortality. Previous studies have shown considerable variation between countries in ORS and RHF use, but subnational variation is unknown. This study aims to produce high-resolution geospatial estimates of relative and absolute coverage of ORS, RHF, and ORT (use of either ORS or RHF) in LMICs. Method(s): We used a Bayesian geostatistical model including 15 spatial covariates and data from 385 household surveys across 94 LMICs to estimate annual proportions of children younger than 5 years of age with diarrhoea who received ORS or RHF (or both) on continuous continent-wide surfaces in 2000-17, and aggregated results to policy-relevant administrative units. Additionally, we analysed geographical inequality in coverage across administrative units and estimated the number of diarrhoeal deaths averted by increased coverage over the study period. Uncertainty in the mean coverage estimates was calculated by taking 250 draws from the posterior joint distribution of the model and creating uncertainty intervals (UIs) with the 2.5th and 97.5th percentiles of those 250 draws. Finding(s): While ORS use among children with diarrhoea increased in some countries from 2000 to 2017, coverage remained below 50% in the majority (62.6%; 12 417 of 19 823) of second administrative-level units and an estimated 6 519 000 children (95% UI 5 254 000-7 733 000) with diarrhoea were not treated with any form of ORT in 2017. Increases in ORS use corresponded with declines in RHF in many locations, resulting in relatively constant overall ORT co

Published
2020

17. Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3

Author

Micah, A.E., Su, Y., Bachmeier, S.D, Chapin, A., Cogswell, I.E., Crosby, S.W., Cunningham, B., Harle, A.C., Maddison, E.R., Moitra, M., Sahu, M., Schneider, M.T., Simpson, K.E., Stutzman, H.N., Tsakalos, G., Zende, R.R., Zlavog, B.S., Abbafati, C., Abebo, Z.H., Abolhassani, H., Abrigo, M.R.M., Ahmed, M.B., Akinyemi, R.O., Alam, K., Ali, S., Alinia, C., Alipour, V., Aljunid, S.M., Almasi, A., Alvis-Guzman, N., Ancuceanu, R., Andrei, T., Andrei, C.L., Anjomshoa, M., Antonio, C.A.T., Arabloo, J., Arab-Zozani, M., Aremu, O., Atnafu, D.D., Ausloos, M., Avila-Burgos, L., Ayanore, M.A., Azari, S., Babalola, T.K., Bagherzadeh, M., Baig, A.A., Bakhtiari, A., Banach, M., Banerjee, S.K., Bärnighausen, T.W., Basu, S., Baune, B.T., Bayati, M., Berman, A.E., Bhageerathy, R., Bhardwaj, P., Bohluli, M., Busse, R., Cahuana-Hurtado, L., Cámera, L.L.A., Castañeda-Orjuela, C.A., Catalá-López, F., Cevik, M., Chattu, V.K., Dandona, L., Dandona, R., Dianatinasab, M., Do, H.T., Doshmangir, L., El Tantawi, M., Eskandarieh, S., Esmaeilzadeh, F., Faraj, A., Farzadfar, F., Fischer, F., Foigt, N.A., Fullman, N., Gad, M.M., Ghafourifard, M., Ghashghaee, A., Gholamian, A., Goharinezhad, S., Grada, A., Haghparast Bidgoli, H., Hamidi, S., Harb, H.L., Hasanpoor, E., Hay, S.I., Hendrie, D., Henry, N.J., Herteliu, C., Hole, M.K., Hosseinzadeh, M., Hostiuc, S., Huda, T.M., Humayun, A., Hwang, B-F, Ilesanmi, O.S., Iqbal, U., Irvani, S.S.N., Islam, S.M.S., Islam, M.M., Jahani, M.A., Jakovljevic, M., James, S.L., Javaheri, Z., Jonas, J.B., Joukar, F., Jozwiak, J.J., Jürisson, M., Kalhor, R., Karami Matin, B., Karimi, S.E., Kayode, G.A., Kazemi Karyani, A., Kinfu, Y., Kisa, A., Kohler, S., Komaki, H., Kosen, S., Kotlo, A., Koyanagi, A., Kumar, G.A., Kusuma, D., Lansingh, V.C., Larsson, A.O., Lasrado, S., Lee, S.W.H., Lim, L-L, Lozano, R., Magdy Abd El Razek, H., Mahdavi, M.M., Maleki, S., Malekzadeh, R., Mansour-Ghanaei, F., Mansournia, M.A., Mantovani, L.G., Martinez, G., Masoumi, S.Z., Massenburg, B.B., Menezes, R.G., Mengesha, E.W., Meretoja, T.J, Meretoja, A., Mestrovic, T., Milevska Kostova, N., Miller, T.R., Mirica, A., Mirrakhimov, E.M., Moghadaszadeh, M., Mohajer, B., Mohamadi, E., Mohammad Darwesh, A., Mohammadian-Hafshejani, A., Mohammadpourhodki, R., Mohammed, S., Mohebi, F., Mokdad, A.H., Morrison, S.D., Mosser, J.F., Mousavi, S.M., Muriithi, Moses K, Muthupandian, S., Myint, C-Y, Naderi, M., Nagarajan, A.J., Nguyen, C.T., Nguyen, H.L.T., Nonvignon, J., Noubiap, J.J., Oh, I-H, Olagunju, A.T., Olusanya, J.O., Olusanya, B.O., Omar Bali, A., Onwujekwe, O.E., Otstavnov, S.S., Otstavnov, N., Owolabi, M.O., Padubidri, J.R., Palladino, R., Panda-Jonas, S., Pandey, A., Postma, M.J., Prada, S.I., Pribadi, D.R.A., Rabiee, M., Rabiee, N., Rahim, F., Ranabhat, C.L., Rao, S.J., Rathi, P., Rawaf, S., Rawaf, D.L., Rawal, L., Rawassizadeh, R., Rezapour, A., Sabour, S., Sahraian, M.A., Salman, O.M., Salomon, J.A., Samy, A.M., Sanabria, J., Santos, J.V., Santric Milicevic, M.M., Sao Jose, B.P., Savic, M., Schwendicke, F., Senthilkumaran, S., Sepanlou, S.G., Serván-Mori, E., Setayesh, H., Shaikh, M.A., Sheikh, A., Shibuya, K., Shrime, M.G., Simonetti, B., Singh, J.A., Singh, P., Skryabin, V.Y., Soheili, A., Soltani, S., Ștefan, S.C., Tabarés-Seisdedos, R., Topor-Madry, R., Tovani-Palone, M.R., Tran, B.X., Travillian, R., Undurraga, E.A., Valdez, P.R., van Boven, J.F.M., Vasankari, T.J., Violante, F.S., Vlassov, V., Vos, T., Wolfe, C.D.A., Wu, J., Yaya, S., Yazdi-Feyzabadi, V., Yip, P., Yonemoto, N., Younis, M.Z., Yu, C., Zaidi, Z., Zaman, S.B., Zastrozhin, M.S., Zhang, Z-J, Zhao, Y., Murray, C.J.L., Dieleman, J.L., Micah, A.E., Su, Y., Bachmeier, S.D, Chapin, A., Cogswell, I.E., Crosby, S.W., Cunningham, B., Harle, A.C., Maddison, E.R., Moitra, M., Sahu, M., Schneider, M.T., Simpson, K.E., Stutzman, H.N., Tsakalos, G., Zende, R.R., Zlavog, B.S., Abbafati, C., Abebo, Z.H., Abolhassani, H., Abrigo, M.R.M., Ahmed, M.B., Akinyemi, R.O., Alam, K., Ali, S., Alinia, C., Alipour, V., Aljunid, S.M., Almasi, A., Alvis-Guzman, N., Ancuceanu, R., Andrei, T., Andrei, C.L., Anjomshoa, M., Antonio, C.A.T., Arabloo, J., Arab-Zozani, M., Aremu, O., Atnafu, D.D., Ausloos, M., Avila-Burgos, L., Ayanore, M.A., Azari, S., Babalola, T.K., Bagherzadeh, M., Baig, A.A., Bakhtiari, A., Banach, M., Banerjee, S.K., Bärnighausen, T.W., Basu, S., Baune, B.T., Bayati, M., Berman, A.E., Bhageerathy, R., Bhardwaj, P., Bohluli, M., Busse, R., Cahuana-Hurtado, L., Cámera, L.L.A., Castañeda-Orjuela, C.A., Catalá-López, F., Cevik, M., Chattu, V.K., Dandona, L., Dandona, R., Dianatinasab, M., Do, H.T., Doshmangir, L., El Tantawi, M., Eskandarieh, S., Esmaeilzadeh, F., Faraj, A., Farzadfar, F., Fischer, F., Foigt, N.A., Fullman, N., Gad, M.M., Ghafourifard, M., Ghashghaee, A., Gholamian, A., Goharinezhad, S., Grada, A., Haghparast Bidgoli, H., Hamidi, S., Harb, H.L., Hasanpoor, E., Hay, S.I., Hendrie, D., Henry, N.J., Herteliu, C., Hole, M.K., Hosseinzadeh, M., Hostiuc, S., Huda, T.M., Humayun, A., Hwang, B-F, Ilesanmi, O.S., Iqbal, U., Irvani, S.S.N., Islam, S.M.S., Islam, M.M., Jahani, M.A., Jakovljevic, M., James, S.L., Javaheri, Z., Jonas, J.B., Joukar, F., Jozwiak, J.J., Jürisson, M., Kalhor, R., Karami Matin, B., Karimi, S.E., Kayode, G.A., Kazemi Karyani, A., Kinfu, Y., Kisa, A., Kohler, S., Komaki, H., Kosen, S., Kotlo, A., Koyanagi, A., Kumar, G.A., Kusuma, D., Lansingh, V.C., Larsson, A.O., Lasrado, S., Lee, S.W.H., Lim, L-L, Lozano, R., Magdy Abd El Razek, H., Mahdavi, M.M., Maleki, S., Malekzadeh, R., Mansour-Ghanaei, F., Mansournia, M.A., Mantovani, L.G., Martinez, G., Masoumi, S.Z., Massenburg, B.B., Menezes, R.G., Mengesha, E.W., Meretoja, T.J, Meretoja, A., Mestrovic, T., Milevska Kostova, N., Miller, T.R., Mirica, A., Mirrakhimov, E.M., Moghadaszadeh, M., Mohajer, B., Mohamadi, E., Mohammad Darwesh, A., Mohammadian-Hafshejani, A., Mohammadpourhodki, R., Mohammed, S., Mohebi, F., Mokdad, A.H., Morrison, S.D., Mosser, J.F., Mousavi, S.M., Muriithi, Moses K, Muthupandian, S., Myint, C-Y, Naderi, M., Nagarajan, A.J., Nguyen, C.T., Nguyen, H.L.T., Nonvignon, J., Noubiap, J.J., Oh, I-H, Olagunju, A.T., Olusanya, J.O., Olusanya, B.O., Omar Bali, A., Onwujekwe, O.E., Otstavnov, S.S., Otstavnov, N., Owolabi, M.O., Padubidri, J.R., Palladino, R., Panda-Jonas, S., Pandey, A., Postma, M.J., Prada, S.I., Pribadi, D.R.A., Rabiee, M., Rabiee, N., Rahim, F., Ranabhat, C.L., Rao, S.J., Rathi, P., Rawaf, S., Rawaf, D.L., Rawal, L., Rawassizadeh, R., Rezapour, A., Sabour, S., Sahraian, M.A., Salman, O.M., Salomon, J.A., Samy, A.M., Sanabria, J., Santos, J.V., Santric Milicevic, M.M., Sao Jose, B.P., Savic, M., Schwendicke, F., Senthilkumaran, S., Sepanlou, S.G., Serván-Mori, E., Setayesh, H., Shaikh, M.A., Sheikh, A., Shibuya, K., Shrime, M.G., Simonetti, B., Singh, J.A., Singh, P., Skryabin, V.Y., Soheili, A., Soltani, S., Ștefan, S.C., Tabarés-Seisdedos, R., Topor-Madry, R., Tovani-Palone, M.R., Tran, B.X., Travillian, R., Undurraga, E.A., Valdez, P.R., van Boven, J.F.M., Vasankari, T.J., Violante, F.S., Vlassov, V., Vos, T., Wolfe, C.D.A., Wu, J., Yaya, S., Yazdi-Feyzabadi, V., Yip, P., Yonemoto, N., Younis, M.Z., Yu, C., Zaidi, Z., Zaman, S.B., Zastrozhin, M.S., Zhang, Z-J, Zhao, Y., Murray, C.J.L., and Dieleman, J.L.

Abstract

Background: Sustainable Development Goal (SDG) 3 aims to “ensure healthy lives and promote well-being for all at all ages”. While a substantial effort has been made to quantify progress towards SDG3, less research has focused on tracking spending towards this goal. We used spending estimates to measure progress in financing the priority areas of SDG3, examine the association between outcomes and financing, and identify where resource gains are most needed to achieve the SDG3 indicators for which data are available. Methods: We estimated domestic health spending, disaggregated by source (government, out-of-pocket, and prepaid private) from 1995 to 2017 for 195 countries and territories. For disease-specific health spending, we estimated spending for HIV/AIDS and tuberculosis for 135 low-income and middle-income countries, and malaria in 106 malaria-endemic countries, from 2000 to 2017. We also estimated development assistance for health (DAH) from 1990 to 2019, by source, disbursing development agency, recipient, and health focus area, including DAH for pandemic preparedness. Finally, we estimated future health spending for 195 countries and territories from 2018 until 2030. We report all spending estimates in inflation-adjusted 2019 US$, unless otherwise stated. Findings: Since the development and implementation of the SDGs in 2015, global health spending has increased, reaching $7·9 trillion (95% uncertainty interval 7·8–8·0) in 2017 and is expected to increase to $11·0 trillion (10·7–11·2) by 2030. In 2017, in low-income and middle-income countries spending on HIV/AIDS was $20·2 billion (17·0–25·0) and on tuberculosis it was $10·9 billion (10·3–11·8), and in malaria-endemic countries spending on malaria was $5·1 billion (4·9–5·4). Development assistance for health was $40·6 billion in 2019 and HIV/AIDS has been the health focus area to receive the highest contribution since 2004. In 2019, $374 million of DAH was provided for pandemic preparedness, less than 1% of

Published
2020

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

Author

Bhattacharjee, NV, Schaeffer, LE, Hay, SI, Lu, D, Schipp, MF, Lazzar-Atwood, A, Donkers, KM, Abady, GG, Abd-Allah, F, Abdelalim, A, Abebo, ZH, Abejie, AN, Abosetugn, AE, Abreu, LG, Abrigo, MRM, Abu-Gharbieh, E, Abushouk, AI, Adamu, AL, Adedeji, IA, Adegbosin, AE, Adekanmbi, V, Adetokunboh, OO, Agudelo-Botero, M, Aji, B, Akinyemi, OO, Alamneh, AA, Alanezi, FM, Alanzi, TM, Albright, J, Alcalde-Rabanal, JE, Alemu, BW, Alhassan, RK, Ali, BA, Ali, S, Alinia, C, Alipour, V, Amit, AML, Amugsi, DA, Anbesu, EW, Ancuceanu, R, Anjomshoa, M, Ansari, F, Antonio, CAT, Anvari, D, Arabloo, J, Arora, A, Artanti, KD, Asemahagn, MA, Asmare, WN, Atout, MMW, Ausloos, M, Awoke, N, Quintanilla, BPA, Ayanore, MA, Aynalem, YA, Ayza, MA, Azene, ZN, Darshan, BB, Badiye, AD, Baig, AA, Bakkannavar, SM, Banach, M, Banik, PC, Bärnighausen, TW, Basaleem, H, Bayati, M, Baye, BA, Bedi, N, Belay, SA, Bhagavathula, AS, Bhandari, D, Bhardwaj, N, Bhardwaj, P, Bhutta, ZA, Bijani, A, Birhan, TA, Birihane, BM, Bitew, ZW, Bohlouli, S, Bohluli, M, Bojia, HA, Boloor, A, Brady, OJ, Bragazzi, NL, Brunoni, AR, Budhathoki, SS, Nagaraja, SB, Butt, ZA, Cárdenas, R, Castaldelli-Maia, JM, Castro, F, Cernigliaro, A, Charan, J, Chatterjee, P, Chatterjee, S, Chattu, VK, Chaturvedi, S, Chowdhury, MAK, Chu, D-T, Collison, ML, Cook, AJ, Cork, MA, Couto, RAS, Dagnew, B, Dai, H, Dandona, L, Dandona, R, Daneshpajouhnejad, P, Darwesh, AM, Darwish, AH, Daryani, A, Das, JK, Gupta, RD, Dávila-Cervantes, CA, Davis, AC, Weaver, ND, Denova-Gutiérrez, E, Deribe, K, Desalew, A, Deshpande, A, Dessie, A, Deuba, K, Dharmaratne, SD, Dhimal, M, Dhungana, GP, Diaz, D, Didarloo, A, Dipeolu, IO, Doan, LP, Duko, B, Duraes, AR, Dwyer-Lindgren, L, Earl, L, Zaki, MES, Tantawi, ME, Elema, TB, Elhabashy, HR, El-Jaafary, SI, Faris, PS, Faro, A, Farzadfar, F, Feigin, VL, Feleke, BE, Ferede, TY, Fischer, F, Foigt, NA, Folayan, MO, Franklin, RC, Gad, MM, Gaidhane, S, Gardner, WM, Geberemariyam, BS, Gebregiorgis, BG, Gebremedhin, KB, Gebremichael, B, Ghaffarpasand, F, Gilani, SA, Ginindza, TG, Glagn, M, Golechha, M, Gonfa, KB, Goulart, BNG, Gudi, N, Guido, D, Guled, RA, Guo, Y, Hamidi, S, Handiso, DW, Hasaballah, AI, Hassan, A, Hayat, K, Hegazy, MI, Heidari, B, Henry, NJ, Herteliu, C, de, Hidru, HD, Ho, HC, Hoang, CL, Holla, R, Hon, J, Hosseini, M, Hosseinzadeh, M, Househ, M, Hsairi, M, Hu, G, Huda, TM, Hwang, B-F, Ibitoye, SE, Ilesanmi, OS, Ilic, IM, Ilic, MD, Inbaraj, LR, Iqbal, U, Irvani, SSN, Islam, MM, Iwu, CCD, Iwu, CJ, Jain, A, Janodia, MD, Javaheri, T, John-Akinola, YO, Johnson, KB, Joukar, F, Jozwiak, JJ, Kabir, A, Kalankesh, LR, Kalhor, R, Kamath, A, Kamyari, N, Kanchan, OT, Kapoor, N, Matin, BK, Karimi, SE, Kasaye, HK, Kassahun, G, Kassebaum, NJ, Kayode, GA, Karyani, AK, Keiyoro, PN, Kelkay, B, Khalid, N, Khan, MN, Khatab, K, Khater, AM, Khater, MM, Khatib, MN, Kim, YJ, Kimokoti, RW, Kinyoki, DK, Kisa, A, Kisa, S, Kosen, S, Krishan, K, Kulkarni, V, Kumar, GA, Kumar, M, Kumar, N, Kumar, P, Kurmi, OP, Kusuma, D, Vecchia, CL, Lad, SD, Lami, FH, Landires, I, Lansingh, VC, Lasrado, S, Lee, PH, LeGrand, KE, Letourneau, ID, Lewycka, S, Li, B, Li, M-C, Li, S, Liu, X, Lodha, R, Lopez, JCF, Louie, C, Machado, DB, Maled, V, Maleki, S, Malta, DC, Mamun, AA, Manafi, N, Mansournia, MA, Mapoma, CC, Marczak, LB, Martins-Melo, FR, Mehndiratta, MM, Mejia-Rodriguez, F, Mekonnen, TC, Mendoza, W, Menezes, RG, Mengesha, EW, Mersha, AM, Miller, TR, Mini, GK, Mirrakhimov, EM, Misra, S, Moghadaszadeh, M, Mohammad, DK, Mohammadian-Hafshejani, A, Mohammed, JA, Mohammed, S, Mokdad, AH, Montero-Zamora, PA, Moradi, M, Moradzadeh, R, Moraga, P, Mosser, JF, Mousavi, SM, Khaneghah, AM, Munro, SB, Muriithi, MK, Mustafa, G, Muthupandian, S, Nagarajan, AJ, Naik, G, Naimzada, MD, Nangia, V, Nascimento, BR, Nayak, VC, Ndejjo, R, Ndwandwe, DE, Negoi, I, Nguefack-Tsague, G, Ngunjiri, JW, Nguyen, CT, Nguyen, DN, Nguyen, HLT, Nigussie, SN, Nigussie, TTN, Nikbakhsh, R, Nnaji, CA, Nunez-Samudio, V, Oancea, B, Oghenetega, OB, Olagunju, AT, Olusanya, BO, Olusanya, JO, Omer, MO, Onwujekwe, OE, Ortega-Altamirano, DV, Osgood-Zimmerman, AE, Otstavnov, N, Otstavnov, SS, Owolabi, MO, Mahesh, PA, Padubidri, JR, Pana, A, Pandey, A, Pandi-Perumal, SR, Pangaribuan, HU, Parsekar, SS, Pasupula, DK, Patel, UK, Pathak, A, Pathak, M, Pattanshetty, SM, Patton, GC, Paulos, K, Pepito, VCF, Pickering, BV, Pinheiro, M, Piwoz, EG, Pokhrel, KN, Pourjafar, H, Prada, SI, Pribadi, DRA, Syed, ZQ, Rabiee, M, Rabiee, N, Rahim, F, Rahimzadeh, S, Rahman, A, Rahman, MHU, Rahmani, AM, Rai, RK, Ranabhat, CL, Rao, SJ, Rastogi, P, Rathi, P, Rawaf, DL, Rawaf, S, Rawassizadeh, R, Rawat, R, Regassa, LD, Rego, MAS, Reiner, RC, Reshmi, B, Rezapour, A, Ribeiro, AI, Rickard, J, Roever, L, Rumisha, SF, Rwegerera, GM, Sagar, R, Sajadi, SM, Salem, MR, Samy, AM, Santric-Milicevic, MM, Saraswathy, SYI, Sarker, AR, Sartorius, B, Sathian, B, Saxena, D, Sbarra, AN, Sengupta, D, Senthilkumaran, S, Sha, F, Shafaat, O, Shaheen, AA, Shaikh, MA, Shalash, AS, Shannawaz, M, Sheikh, A, Shetty, BSK, Shetty, RS, Shibuya, K, Shiferaw, WS, Shin, JI, Silva, DAS, Singh, NP, Singh, P, Singh, S, Sintayehu, Y, Skryabin, VY, Skryabina, AA, Soheili, A, Soltani, S, Sorrie, MB, Spurlock, EE, Steuben, KM, Sudaryanto, A, Sufiyan, MB, Swartz, SJ, Tadesse, EG, Tamiru, AT, Tapak, L, Tareque, MI, Tarigan, IU, Tesema, GA, Tesfay, FH, Teshome, A, Tessema, ZT, Thankappan, KR, Thapar, R, Thomas, N, Topor-Madry, R, Tovani-Palone, MR, Traini, E, Tran, BX, Truong, PN, Tsegaye, BTBT, Ullah, I, Umeokonkwo, CD, Unnikrishnan, B, Upadhyay, E, Uzochukwu, BSC, VanderHeide, JD, Violante, FS, Vo, B, Wado, YD, Waheed, Y, Wamai, RG, Wang, F, Wang, Y, Wang, Y-P, Wickramasinghe, ND, Wiens, KE, Wiysonge, CS, Woyczynski, L, Wu, A-M, Wu, C, Yamada, T, Yaya, S, Yeshaneh, A, Yeshaw, Y, Yeshitila, YG, Yilma, MT, Yip, P, Yonemoto, N, Yosef, T, Younis, MZ, Yousuf, AY, Yu, C, Yu, Y, Yuce, D, Zafar, S, Zaidi, SS, Zaki, L, Zakzuk, J, Zamanian, M, Zar, HJ, Zastrozhin, MS, Zastrozhina, A, Zelellw, DA, 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

24. Global, regional, and national mortality among young people aged 10–24 years, 1950–2019: a systematic analysis for the Global Burden of Disease Study 2019

Author

Collaborators, GAM, Ward, JL, Azzopardi, PS, Francis, KL, Santelli, JS, Skirbekk, V, Sawyer, SM, Kassebaum, NJ, Mokdad, AH, Hay, SI, Abd-Allah, F, Abdoli, A, Abdollahi, M, Abedi, A, Abolhassani, H, Abreu, LG, Abrigo, MRM, Abu-Gharbieh, E, Abushouk, AI, Adebayo, OM, Adekanmbi, V, Adham, D, Advani, SM, Afshari, K, Agrawal, A, Ahmad, T, Ahmadi, K, Ahmed, AE, Aji, B, Akombi-Inyang, B, Alahdab, F, Al-Aly, Z, Alam, K, Alanezi, FM, Alanzi, TM, Alcalde-Rabanal, JE, Alemu, BW, Al-Hajj, S, Alhassan, RK, Ali, S, Alicandro, G, Alijanzadeh, M, Aljunid, SM, Almasi-Hashiani, A, Almasri, NA, Al-Mekhlafi, HM, Alonso, J, Al-Raddadi, RM, Altirkawi, KA, Alvis-Guzman, N, Amare, AT, Amini, S, Aminorroaya, A, Amit, AML, Amugsi, DA, Ancuceanu, R, Anderlini, D, Andrei, CL, Androudi, S, Ansari, F, Ansari, I, Antonio, CAT, Anvari, D, Anwer, R, Appiah, SCY, Arabloo, J, Arab-Zozani, M, Ärnlöv, J, Asaad, M, Asadi-Aliabadi, M, Asadi-Pooya, AA, Atout, MMW, Ausloos, M, Avenyo, EK, Avila-Burgos, L, Quintanilla, BPA, Ayano, G, Aynalem, YA, Azari, S, Azene, ZN, Bakhshaei, MH, Bakkannavar, SM, Banach, M, Banik, PC, Barboza, MA, Barker-Collo, SL, Bärnighausen, TW, Basu, S, Baune, BT, Bayati, M, Bedi, N, Beghi, E, Bekuma, TT, Bell, AW, Bell, ML, Benjet, C, Bensenor, IM, Berhe, AK, Berhe, K, Berman, AE, Bhagavathula, AS, Bhardwaj, N, Bhardwaj, P, Bhattacharyya, K, Bhattarai, S, Bhutta, ZA, Bijani, A, Bikbov, B, Biondi, A, Birhanu, TTM, Biswas, RK, Bohlouli, S, Bolla, SR, Boloor, A, Borschmann, R, Boufous, S, Bragazzi, NL, Braithwaite, D, Breitborde, NJK, Brenner, H, Britton, GB, Burns, RA, Nagaraja, SB, Butt, ZA, dos Santos, FLC, Cámera, LA, Campos-Nonato, IR, Rincon, JCC, Cárdenas, R, Carreras, G, Carrero, JJ, Carvalho, F, Castaldelli-Maia, JM, Castañeda-Orjuela, CA, Castelpietra, G, Catalá-López, F, Cerin, E, Chandan, JS, Chang, H-Y, Chang, J-C, Charan, J, Chattu, VK, Chaturvedi, S, Choi, J-YJ, Chowdhury, MAK, Christopher, DJ, Chu, D-T, Chung, MT, Chung, S-C, Cicuttini, FM, Constantin, TV, Costa, VM, Dahlawi, SMA, Dai, H, Dai, X, Damiani, G, Dandona, L, Dandona, R, Daneshpajouhnejad, P, Darwesh, AM, Dávila-Cervantes, CA, Davletov, K, De la Hoz, FP, De Leo, D, Dervenis, N, Desai, R, Desalew, A, Deuba, K, Dharmaratne, SD, Dhungana, GP, Dianatinasab, M, da Silva, DD, Diaz, D, Didarloo, A, Djalalinia, S, Dorostkar, F, Doshi, CP, Doshmangir, L, Doyle, KE, Duraes, AR, Kalan, ME, Ebtehaj, S, Edvardsson, D, Tantawi, ME, Elgendy, IY, El-Jaafary, SI, Elsharkawy, A, Eshrati, B, Eskandarieh, S, Esmaeilnejad, S, Esmaeilzadeh, F, Esteghamati, S, Faro, A, Farzadfar, F, Fattahi, N, Feigin, VL, Ferede, TY, Fereshtehnejad, S-M, Fernandes, E, Ferrara, P, Filip, I, Fischer, F, Fisher, JL, Foigt, NA, Folayan, MO, Fomenkov, AA, Foroutan, M, Fukumoto, T, Gad, MM, Gaidhane, AM, Gallus, S, Gebre, T, Gebremedhin, KB, Gebremeskel, GG, Gebremeskel, L, Gebreslassie, AA, Gesesew, HA, Ghadiri, K, Ghafourifard, M, Ghamari, F, Ghashghaee, A, Gilani, SA, Gnedovskaya, EV, Godinho, MA, Golechha, M, Goli, S, Gona, PN, Gopalani, SV, Gorini, G, Grivna, M, Gubari, MIM, Gugnani, HC, Guimarães, RA, Guo, Y, Gupta, R, Haagsma, JA, Hafezi-Nejad, N, Haile, TG, Haj-Mirzaian, A, Hall, BJ, Hamadeh, RR, Abdullah, KH, Hamidi, S, Handiso, DW, Hanif, A, Hankey, GJ, Haririan, H, Haro, JM, Hasaballah, AI, Hashi, A, Hassan, A, Hassanipour, S, Hassankhani, H, Hayat, K, Heidari-Soureshjani, R, Herteliu, C, Heydarpour, F, Ho, HC, Hole, MK, Holla, R, Hoogar, P, Hosseini, M, Hosseinzadeh, M, Hostiuc, M, Hostiuc, S, Househ, M, Hsairi, M, Huda, TM, Humayun, A, Hussain, R, Hwang, B-F, Iavicoli, I, Ibitoye, SE, Ilesanmi, OS, Ilic, IM, Ilic, MD, Inbaraj, LR, Intarut, N, Iqbal, U, Irvani, SSN, Islam, MM, Islam, MS, Iso, H, Ivers, RQ, Jahani, MA, Jakovljevic, M, Jalali, A, Janodia, MD, Javaheri, T, Jeemon, P, Jenabi, E, Jha, RP, Jha, V, Ji, JS, Jonas, JB, Jones, KM, Joukar, F, Jozwiak, JJ, Juliusson, PB, Jürisson, M, Kabir, A, Kabir, Z, Kalankesh, LR, Kalhor, R, Kamyari, N, Kanchan, T, Karch, A, Karimi, SE, Kaur, S, Kayode, GA, Keiyoro, PN, Khalid, N, Khammarnia, M, Khan, M, Khan, N, Khatab, K, Khater, MM, Khatib, MN, Khayamzadeh, M, Khazaie, H, Khoja, AT, Kieling, C, Kim, Y-E, Kim, YJ, Kimokoti, RW, Kisa, A, Kisa, S, Kivimäki, M, Koolivand, A, Kosen, S, Koyanagi, A, Krishan, K, Kugbey, N, Kumar, GA, Kumar, M, Kumar, N, Kurmi, OP, Kusuma, D, La Vecchia, C, Lacey, B, Lal, DK, Lalloo, R, Lan, Q, Landires, I, Van Charles Lansingh, Larsson, AO, Lasrado, S, Lassi, ZS, Lauriola, P, Lee, PH, Lee, SWH, Leigh, J, Leonardi, M, Leung, J, Levi, M, Lewycka, S, Li, B, Li, M-C, Li, S, Lim, L-L, Lim, SS, Liu, X, Lorkowski, S, Lotufo, PA, Lunevicius, R, Maddison, R, Mahasha, PW, Mahdavi, MM, Mahmoudi, M, Majeed, A, Maleki, A, Malekzadeh, R, Malta, DC, Mamun, AA, Mansouri, B, Mansournia, MA, Martinez, G, Martinez-Raga, J, Martins-Melo, FR, Mason-Jones, AJ, Masoumi, SZ, Mathur, MR, Maulik, PK, McGrath, JJ, Mehndiratta, MM, Mehri, F, Memiah, PTN, Mendoza, W, Menezes, RG, Mengesha, EW, Meretoja, A, Meretoja, TJ, Mestrovic, T, Miazgowski, B, Miazgowski, T, Michalek, IM, Miller, TR, Mini, G, Mirica, A, Mirrakhimov, EM, Mirzaei, H, Mirzaei, M, Moazen, B, Mohammad, DK, Mohammadi, S, Mohammadian-Hafshejani, A, Mohammadifard, N, Mohammadpourhodki, R, Mohammed, S, Monasta, L, Moradi, G, Moradi-Lakeh, M, Moradzadeh, R, Moraga, P, Morrison, SD, Mosapour, A, Khaneghah, AM, Mueller, UO, Muriithi, MK, Murray, CJL, Muthupandian, S, Naderi, M, Nagarajan, AJ, Naghavi, M, Naimzada, MD, Nangia, V, Nayak, VC, Nazari, J, Ndejjo, R, Negoi, I, Negoi, RI, Netsere, HB, Nguefack-Tsague, G, Nguyen, DN, Nguyen, HLT, Nie, J, Ningrum, DNA, Nnaji, CA, Nomura, S, Noubiap, JJ, Nowak, C, Nuñez-Samudio, V, Ogbo, FA, Oghenetega, OB, Oh, I-H, Oladnabi, M, Olagunju, AT, Olusanya, BO, Olusanya, JO, Bali, AO, Omer, MO, Onwujekwe, OE, Ortiz, A, Otoiu, A, Otstavnov, N, Otstavnov, SS, Øverland, S, Owolabi, MO, Mahesh, PA, Padubidri, JR, Pakshir, K, Palladino, R, Pana, A, Panda-Jonas, S, Pandey, A, Panelo, CIA, Park, E-K, Patten, SB, Peden, AE, Pepito, VCF, Peprah, EK, Pereira, J, Pesudovs, K, Pham, HQ, Phillips, MR, Piradov, MA, Pirsaheb, M, Postma, MJ, Pottoo, FH, Pourjafar, H, Pourshams, A, Prada, SI, Pupillo, E, Syed, ZQ, Rabiee, MH, Rabiee, N, Radfar, A, Rafiee, A, Raggi, A, Rahim, F, Rahimi-Movaghar, V, Rahman, MHU, Rahman, MA, Ramezanzadeh, K, Ranabhat, CL, Rao, SJ, Rashedi, V, Rastogi, P, Rathi, P, Rawaf, DL, Rawaf, S, Rawal, L, Rawassizadeh, R, Renzaho, AMN, Rezaei, N, Rezai, MS, Riahi, SM, Rickard, J, Roever, L, Ronfani, L, Roth, GA, Rubagotti, E, Rumisha, SF, Rwegerera, GM, Sabour, S, Sachdev, PS, Saddik, B, Sadeghi, E, Moghaddam, SS, Sagar, R, Sahebkar, A, Sahraian, MA, Sajadi, SM, Salem, MR, Salimzadeh, H, Samy, AM, Sanabria, J, Santric-Milicevic, MM, Saraswathy, SYI, Sarrafzadegan, N, Sarveazad, A, Sathish, T, Sattin, D, Saxena, D, Saxena, S, Schiavolin, S, Schwebel, DC, Schwendicke, F, Senthilkumaran, S, Sepanlou, SG, Sha, F, Shafaat, O, Shahabi, S, Shaheen, AA, Shaikh, MA, Shakiba, S, Shamsi, M, Shannawaz, M, Sharafi, K, Sheikh, A, Sheikhbahaei, S, Shetty, BSK, Shi, P, Shigematsu, M, Shin, JI, Shiri, R, Shuval, K, Siabani, S, Sigfusdottir, ID, Sigurvinsdottir, R, Silva, DAS, Silva, JP, Simonetti, B, Singh, JA, Singh, V, Sinke, AH, Skryabin, VY, Slater, H, Smith, EUR, Sobhiyeh, MR, Sobngwi, E, Soheili, A, Somefun, OD, Sorrie, MB, Soyiri, IN, Sreeramareddy, CT, Stein, DJ, Stokes, MA, Sudaryanto, A, Sultan, I, Tabarés-Seisdedos, R, Tabuchi, T, Tadakamadla, SK, Taherkhani, A, Tamiru, AT, Tareque, I, Thankappan, KR, Thapar, R, Thomas, N, Titova, MV, Tonelli, M, Tovani-Palone, MR, Tran, BX, Travillian, RS, Tsai, AC, Tsatsakis, A, Car, LT, Uddin, R, Unim, B, Unnikrishnan, B, Upadhyay, E, Vacante, M, Tahbaz, SV, Valdez, PR, Varughese, S, Vasankari, TJ, Venketasubramanian, N, Villeneuve, PJ, Violante, FS, Vlassov, V, Vos, T, Vu, GT, Waheed, Y, Wamai, RG, Wang, Y, Wang, Y-P, Westerman, R, Wickramasinghe, ND, Wu, A-M, Wu, C, Jabbari, SHY, Yamagishi, K, Yano, Y, Yaya, S, Yazdi-Feyzabadi, V, Yeshitila, YG, Yip, P, Yonemoto, N, Yoon, S-J, Younis, MZ, Yousefinezhadi, T, Yu, C, Yu, Y, Yuce, D, Zaidi, SS, Bin Zaman, S, Zamani, M, Zamanian, M, Zarafshan, H, Zarei, A, Zastrozhin, MS, Zhang, Y, Zhang, Z-J, Zhao, X-JG, Zhu, C, Patton, GC, Viner, RM, Collaborators, GBD 2019 Adolescent Mortality, Ward, J. L., Azzopardi, P. S., Francis, K. L., Santelli, J. S., Skirbekk, V., Sawyer, S. M., Kassebaum, N. J., Mokdad, A. H., Hay, S. I., Abd-Allah, F., Abdoli, A., Abdollahi, M., Abedi, A., Abolhassani, H., Abreu, L. G., Abrigo, M. R. M., Abu-Gharbieh, E., Abushouk, A. I., Adebayo, O. M., Adekanmbi, V., Adham, D., Advani, S. M., Afshari, K., Agrawal, A., Ahmad, T., Ahmadi, K., Ahmed, A. E., Aji, B., Akombi-Inyang, B., Alahdab, F., Al-Aly, Z., Alam, K., Alanezi, F. M., Alanzi, T. M., Alcalde-Rabanal, J. E., Alemu, B. W., Al-Hajj, S., Alhassan, R. K., Ali, S., Alicandro, G., Alijanzadeh, M., Aljunid, S. M., Almasi-Hashiani, A., Almasri, N. A., Al-Mekhlafi, H. M., Alonso, J., Al-Raddadi, R. M., Altirkawi, K. A., Alvis-Guzman, N., Amare, A. T., Amini, S., Aminorroaya, A., Amit, A. M. L., Amugsi, D. A., Ancuceanu, R., Anderlini, D., Andrei, C. L., Androudi, S., Ansari, F., Ansari, I., Antonio, C. A. T., Anvari, D., Anwer, R., Appiah, S. C. Y., Arabloo, J., Arab-Zozani, M., Arnlov, J., Asaad, M., Asadi-Aliabadi, M., Asadi-Pooya, A. A., Atout, M. M. W., Ausloos, M., Avenyo, E. K., Avila-Burgos, L., Ayala Quintanilla, B. P., Ayano, G., Aynalem, Y. A., Azari, S., Azene, Z. N., Bakhshaei, M. H., Bakkannavar, S. M., Banach, M., Banik, P. C., Barboza, M. A., Barker-Collo, S. L., Barnighausen, T. W., Basu, S., Baune, B. T., Bayati, M., Bedi, N., Beghi, E., Bekuma, T. T., Bell, A. W., Bell, M. L., Benjet, C., Bensenor, I. M., Berhe, A. K., Berhe, K., Berman, A. E., Bhagavathula, A. S., Bhardwaj, N., Bhardwaj, P., Bhattacharyya, K., Bhattarai, S., Bhutta, Z. A., Bijani, A., Bikbov, B., Biondi, A., Birhanu, T. T. M., Biswas, R. K., Bohlouli, S., Bolla, S. R., Boloor, A., Borschmann, R., Boufous, S., Bragazzi, N. L., Braithwaite, D., Breitborde, N. J. K., Brenner, H., Britton, G. B., Burns, R. A., Burugina Nagaraja, S., Butt, Z. A., Caetano dos Santos, F. L., Camera, L. A., Campos-Nonato, I. R., Campuzano Rincon, J. C., Cardenas, R., Carreras, G., Carrero, J. J., Carvalho, F., Castaldelli-Maia, J. M., Castaneda-Orjuela, C. A., Castelpietra, G., Catala-Lopez, F., Cerin, E., Chandan, J. S., Chang, H. -Y., Chang, J. -C., Charan, J., Chattu, V. K., Chaturvedi, S., Choi, J. -Y. J., Chowdhury, M. A. K., Christopher, D. J., Chu, D. -T., Chung, M. T., Chung, S. -C., Cicuttini, F. M., Constantin, T. V., Costa, V. M., Dahlawi, S. M. A., Dai, H., Dai, X., Damiani, G., Dandona, L., Dandona, R., Daneshpajouhnejad, P., Darwesh, A. M., Davila-Cervantes, C. A., Davletov, K., De la Hoz, F. P., De Leo, D., Dervenis, N., Desai, R., Desalew, A., Deuba, K., Dharmaratne, S. D., Dhungana, G. P., Dianatinasab, M., Dias da Silva, D., Diaz, D., Didarloo, A., Djalalinia, S., Dorostkar, F., Doshi, C. P., Doshmangir, L., Doyle, K. E., Duraes, A. R., Ebrahimi Kalan, M., Ebtehaj, S., Edvardsson, D., El Tantawi, M., Elgendy, I. Y., El-Jaafary, S. I., Elsharkawy, A., Eshrati, B., Eskandarieh, S., Esmaeilnejad, S., Esmaeilzadeh, F., Esteghamati, S., Faro, A., Farzadfar, F., Fattahi, N., Feigin, V. L., Ferede, T. Y., Fereshtehnejad, S. -M., Fernandes, E., Ferrara, P., Filip, I., Fischer, F., Fisher, J. L., Foigt, N. A., Folayan, M. O., Fomenkov, A. A., Foroutan, M., Fukumoto, T., Gad, M. M., Gaidhane, A. M., Gallus, S., Gebre, T., Gebremedhin, K. B., Gebremeskel, G. G., Gebremeskel, L., Gebreslassie, A. A., Gesesew, H. A., Ghadiri, K., Ghafourifard, M., Ghamari, F., Ghashghaee, A., Gilani, S. A., Gnedovskaya, E. V., Godinho, M. A., Golechha, M., Goli, S., Gona, P. N., Gopalani, S. V., Gorini, G., Grivna, M., Gubari, M. I. M., Gugnani, H. C., Guimaraes, R. A., Guo, Y., Gupta, R., Haagsma, J. A., Hafezi-Nejad, N., Haile, T. G., Haj-Mirzaian, A., Hall, B. J., Hamadeh, R. R., Hamagharib Abdullah, K., Hamidi, S., Handiso, D. W., Hanif, A., Hankey, G. J., Haririan, H., Haro, J. M., Hasaballah, A. I., Hashi, A., Hassan, A., Hassanipour, S., Hassankhani, H., Hayat, K., Heidari-Soureshjani, R., Herteliu, C., Heydarpour, F., Ho, H. C., Hole, M. K., Holla, R., Hoogar, P., Hosseini, M., Hosseinzadeh, M., Hostiuc, M., Hostiuc, S., Househ, M., Hsairi, M., Huda, T. M., Humayun, A., Hussain, R., Hwang, B. -F., Iavicoli, I., Ibitoye, S. E., Ilesanmi, O. S., Ilic, I. M., Ilic, M. D., Inbaraj, L. R., Intarut, N., Iqbal, U., Irvani, S. S. N., Islam, M. M., Islam, S. M. S., Iso, H., Ivers, R. Q., Jahani, M. A., Jakovljevic, M., Jalali, A., Janodia, M. D., Javaheri, T., Jeemon, P., Jenabi, E., Jha, R. P., Jha, V., Ji, J. S., Jonas, J. B., Jones, K. M., Joukar, F., Jozwiak, J. J., Juliusson, P. B., Jurisson, M., Kabir, A., Kabir, Z., Kalankesh, L. R., Kalhor, R., Kamyari, N., Kanchan, T., Karch, A., Karimi, S. E., Kaur, S., Kayode, G. A., Keiyoro, P. N., Khalid, N., Khammarnia, M., Khan, M., Khan, M. N., Khatab, K., Khater, M. M., Khatib, M. N., Khayamzadeh, M., Khazaie, H., Khoja, A. T., Kieling, C., Kim, Y. -E., Kim, Y. J., Kimokoti, R. W., Kisa, A., Kisa, S., Kivimaki, M., Koolivand, A., Kosen, S., Koyanagi, A., Krishan, K., Kugbey, N., Kumar, G. A., Kumar, M., Kumar, N., Kurmi, O. P., Kusuma, D., La Vecchia, C., Lacey, B., Lal, D. K., Lalloo, R., Lan, Q., Landires, I., Lansingh, V. C., Larsson, A. O., Lasrado, S., Lassi, Z. S., Lauriola, P., Lee, P. H., Lee, S. W. H., Leigh, J., Leonardi, M., Leung, J., Levi, M., Lewycka, S., Li, B., Li, M. -C., Li, S., Lim, L. -L., Lim, S. S., Liu, X., Lorkowski, S., Lotufo, P. A., Lunevicius, R., Maddison, R., Mahasha, P. W., Mahdavi, M. M., Mahmoudi, M., Majeed, A., Maleki, A., Malekzadeh, R., Malta, D. C., Mamun, A. A., Mansouri, B., Mansournia, M. A., Martinez, G., Martinez-Raga, J., Martins-Melo, F. R., Mason-Jones, A. J., Masoumi, S. Z., Mathur, M. R., Maulik, P. K., Mcgrath, J. J., Mehndiratta, M. M., Mehri, F., Memiah, P. T. N., Mendoza, W., Menezes, R. G., Mengesha, E. W., Meretoja, A., Meretoja, T. J., Mestrovic, T., Miazgowski, B., Miazgowski, T., Michalek, I. M., Miller, T. R., Mini, G. K., Mirica, A., Mirrakhimov, E. M., Mirzaei, H., Mirzaei, M., Moazen, B., Mohammad, D. K., Mohammadi, S., Mohammadian-Hafshejani, A., Mohammadifard, N., Mohammadpourhodki, R., Mohammed, S., Monasta, L., Moradi, G., Moradi-Lakeh, M., Moradzadeh, R., Moraga, P., Morrison, S. D., Mosapour, A., Mousavi Khaneghah, A., Mueller, U. O., Muriithi, M. K., Murray, C. J. L., Muthupandian, S., Naderi, M., Nagarajan, A. J., Naghavi, M., Naimzada, M. D., Nangia, V., Nayak, V. C., Nazari, J., Ndejjo, R., Negoi, I., Negoi, R. I., Netsere, H. B., Nguefack-Tsague, G., Nguyen, D. N., Nguyen, H. L. T., Nie, J., Ningrum, D. N. A., Nnaji, C. A., Nomura, S., Noubiap, J. J., Nowak, C., Nunez-Samudio, V., Ogbo, F. A., Oghenetega, O. B., Oh, I. -H., Oladnabi, M., Olagunju, A. T., Olusanya, B. O., Olusanya, J. O., Omar Bali, A., Omer, M. O., Onwujekwe, O. E., Ortiz, A., Otoiu, A., Otstavnov, N., Otstavnov, S. S., Overland, S., Owolabi, M. O., P A, M., Padubidri, J. R., Pakshir, K., Palladino, R., Pana, A., Panda-Jonas, S., Pandey, A., Panelo, C. I. A., Park, E. -K., Patten, S. B., Peden, A. E., Pepito, V. C. F., Peprah, E. K., Pereira, J., Pesudovs, K., Pham, H. Q., Phillips, M. R., Piradov, M. A., Pirsaheb, M., Postma, M. J., Pottoo, F. H., Pourjafar, H., Pourshams, A., Prada, S. I., Pupillo, E., Quazi Syed, Z., Rabiee, M. H., Rabiee, N., Radfar, A., Rafiee, A., Raggi, A., Rahim, F., Rahimi-Movaghar, V., Rahman, M. H. U., Rahman, M. A., Ramezanzadeh, K., Ranabhat, C. L., Rao, S. J., Rashedi, V., Rastogi, P., Rathi, P., Rawaf, D. L., Rawaf, S., Rawal, L., Rawassizadeh, R., Renzaho, A. M. N., Rezaei, N., Rezai, M. S., Riahi, S. M., Rickard, J., Roever, L., Ronfani, L., Roth, G. A., Rubagotti, E., Rumisha, S. F., Rwegerera, G. M., Sabour, S., Sachdev, P. S., Saddik, B., Sadeghi, E., Saeedi Moghaddam, S., Sagar, R., Sahebkar, A., Sahraian, M. A., Sajadi, S. M., Salem, M. R., Salimzadeh, H., Samy, A. M., Sanabria, J., Santric-Milicevic, M. M., Saraswathy, S. Y. I., Sarrafzadegan, N., Sarveazad, A., Sathish, T., Sattin, D., Saxena, D., Saxena, S., Schiavolin, S., Schwebel, D. C., Schwendicke, F., Senthilkumaran, S., Sepanlou, S. G., Sha, F., Shafaat, O., Shahabi, S., Shaheen, A. A., Shaikh, M. A., Shakiba, S., Shamsi, M., Shannawaz, M., Sharafi, K., Sheikh, A., Sheikhbahaei, S., Shetty, B. S. K., Shi, P., Shigematsu, M., Shin, J. I., Shiri, R., Shuval, K., Siabani, S., Sigfusdottir, I. D., Sigurvinsdottir, R., Silva, D. A. S., Silva, J. P., Simonetti, B., Singh, J. A., Singh, V., Sinke, A. H., Skryabin, V. Y., Slater, H., Smith, E. U. R., Sobhiyeh, M. R., Sobngwi, E., Soheili, A., Somefun, O. D., Sorrie, M. B., Soyiri, I. N., Sreeramareddy, C. T., Stein, D. J., Stokes, M. A., Sudaryanto, A., Sultan, I., Tabares-Seisdedos, R., Tabuchi, T., Tadakamadla, S. K., Taherkhani, A., Tamiru, A. T., Tareque, M. I., Thankappan, K. 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M., Value, Affordability and Sustainability (VALUE), Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET), Microbes in Health and Disease (MHD), Bill & Melinda Gates Foundation, Ward J.L., Azzopardi P.S., Francis K.L., Santelli J.S., Skirbekk V., Sawyer S.M., Kassebaum N.J., Mokdad A.H., Hay S.I., Abd-Allah F., Abdoli A., Abdollahi M., Abedi A., Abolhassani H., Abreu L.G., Abrigo M.R.M., Abu-Gharbieh E., Abushouk A.I., Adebayo O.M., Adekanmbi V., Adham D., Advani S.M., Afshari K., Agrawal A., Ahmad T., Ahmadi K., Ahmed A.E., Aji B., Akombi-Inyang B., Alahdab F., Al-Aly Z., Alam K., Alanezi F.M., Alanzi T.M., Alcalde-Rabanal J.E., Alemu B.W., Al-Hajj S., Alhassan R.K., Ali S., Alicandro G., Alijanzadeh M., Aljunid S.M., Almasi-Hashiani A., Almasri N.A., Al-Mekhlafi H.M., Alonso J., Al-Raddadi R.M., Altirkawi K.A., Alvis-Guzman N., Amare A.T., Amini S., Aminorroaya A., Amit A.M.L., Amugsi D.A., Ancuceanu R., Anderlini D., Andrei C.L., Androudi S., Ansari 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F., Castaldelli-Maia J.M., Castaneda-Orjuela C.A., Castelpietra G., Catala-Lopez F., Cerin E., Chandan J.S., Chang H.-Y., Chang J.-C., Charan J., Chattu V.K., Chaturvedi S., Choi J.-Y.J., Chowdhury M.A.K., Christopher D.J., Chu D.-T., Chung M.T., Chung S.-C., Cicuttini F.M., Constantin T.V., Costa V.M., Dahlawi S.M.A., Dai H., Dai X., Damiani G., Dandona L., Dandona R., Daneshpajouhnejad P., Darwesh A.M., Davila-Cervantes C.A., Davletov K., De la Hoz F.P., De Leo D., Dervenis N., Desai R., Desalew A., Deuba K., Dharmaratne S.D., Dhungana G.P., Dianatinasab M., Dias da Silva D., Diaz D., Didarloo A., Djalalinia S., Dorostkar F., Doshi C.P., Doshmangir L., Doyle K.E., Duraes A.R., Ebrahimi Kalan M., Ebtehaj S., Edvardsson D., El Tantawi M., Elgendy I.Y., El-Jaafary S.I., Elsharkawy A., Eshrati B., Eskandarieh S., Esmaeilnejad S., Esmaeilzadeh F., Esteghamati S., Faro A., Farzadfar F., Fattahi N., Feigin V.L., Ferede T.Y., Fereshtehnejad S.-M., Fernandes E., Ferrara P., Filip I., Fischer F., Fisher J.L., Foigt N.A., Folayan M.O., Fomenkov A.A., Foroutan M., Fukumoto T., Gad M.M., Gaidhane A.M., Gallus S., Gebre T., Gebremedhin K.B., Gebremeskel G.G., Gebremeskel L., Gebreslassie A.A., Gesesew H.A., Ghadiri K., Ghafourifard M., Ghamari F., Ghashghaee A., Gilani S.A., Gnedovskaya E.V., Godinho M.A., Golechha M., Goli S., Gona P.N., Gopalani S.V., Gorini G., Grivna M., Gubari M.I.M., Gugnani H.C., Guimaraes R.A., Guo Y., Gupta R., Haagsma J.A., Hafezi-Nejad N., Haile T.G., Haj-Mirzaian A., Hall B.J., Hamadeh R.R., Hamagharib Abdullah K., Hamidi S., Handiso D.W., Hanif A., Hankey G.J., Haririan H., Haro J.M., Hasaballah A.I., Hashi A., Hassan A., Hassanipour S., Hassankhani H., Hayat K., Heidari-Soureshjani R., Herteliu C., Heydarpour F., Ho H.C., Hole M.K., Holla R., Hoogar P., Hosseini M., Hosseinzadeh M., Hostiuc M., Hostiuc S., Househ M., Hsairi M., Huda T.M., Humayun A., Hussain R., Hwang B.-F., Iavicoli I., Ibitoye S.E., Ilesanmi O.S., Ilic I.M., Ilic M.D., Inbaraj 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Lorkowski S., Lotufo P.A., Lunevicius R., Maddison R., Mahasha P.W., Mahdavi M.M., Mahmoudi M., Majeed A., Maleki A., Malekzadeh R., Malta D.C., Mamun A.A., Mansouri B., Mansournia M.A., Martinez G., Martinez-Raga J., Martins-Melo F.R., Mason-Jones A.J., Masoumi S.Z., Mathur M.R., Maulik P.K., McGrath J.J., Mehndiratta M.M., Mehri F., Memiah P.T.N., Mendoza W., Menezes R.G., Mengesha E.W., Meretoja A., Meretoja T.J., Mestrovic T., Miazgowski B., Miazgowski T., Michalek I.M., Miller T.R., Mini G.K., Mirica A., Mirrakhimov E.M., Mirzaei H., Mirzaei M., Moazen B., Mohammad D.K., Mohammadi S., Mohammadian-Hafshejani A., Mohammadifard N., Mohammadpourhodki R., Mohammed S., Monasta L., Moradi G., Moradi-Lakeh M., Moradzadeh R., Moraga P., Morrison S.D., Mosapour A., Mousavi Khaneghah A., Mueller U.O., Muriithi M.K., Murray C.J.L., Muthupandian S., Naderi M., Nagarajan A.J., Naghavi M., Naimzada M.D., Nangia V., Nayak V.C., Nazari J., Ndejjo R., Negoi I., Negoi R.I., Netsere H.B., 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V, Rastogi, P, Rathi, P, Rawaf, D, Rawaf, S, Rawal, L, Rawassizadeh, R, Renzaho, A, Rezaei, N, Rezai, M, Riahi, S, Rickard, J, Roever, L, Ronfani, L, Roth, G, Rubagotti, E, Rumisha, S, Rwegerera, G, Sabour, S, Sachdev, P, Saddik, B, Sadeghi, E, Saeedi Moghaddam, S, Sagar, R, Sahebkar, A, Sahraian, M, Sajadi, S, Salem, M, Salimzadeh, H, Samy, A, Sanabria, J, Santric-Milicevic, M, Saraswathy, S, Sarrafzadegan, N, Sarveazad, A, Sathish, T, Sattin, D, Saxena, D, Saxena, S, Schiavolin, S, Schwebel, D, Schwendicke, F, Senthilkumaran, S, Sepanlou, S, Sha, F, Shafaat, O, Shahabi, S, Shaheen, A, Shaikh, M, Shakiba, S, Shamsi, M, Shannawaz, M, Sharafi, K, Sheikh, A, Sheikhbahaei, S, Shetty, B, Shi, P, Shigematsu, M, Shin, J, Shiri, R, Shuval, K, Siabani, S, Sigfusdottir, I, Sigurvinsdottir, R, Silva, D, Silva, J, Simonetti, B, Singh, J, Singh, V, Sinke, A, Skryabin, V, Slater, H, Smith, E, Sobhiyeh, M, Sobngwi, E, Soheili, A, Somefun, O, Sorrie, M, Soyiri, I, Sreeramareddy, C, Stein, D, Stokes, 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Subjects
Male, Joves -- Mortalitat, ADOLESCENT HEALTH, CHILDREN, Socioeconomic Factor, Global Burden of Disease, RA0421, Cause of Death, Medicine, Young adult, Child, 11 Medical and Health Sciences, Cause of death, education.field_of_study, Adolescent, Age Distribution, Female, Humans, Mortality, Sex Distribution, Socioeconomic Factors, Young Adult, Mortality rate, Public Health, Global Health, Social Medicine and Epidemiology, General Medicine, Articles, Hälsovetenskaper, MIDDLE-INCOME, MENTAL-HEALTH, Adolescent health, INTERVENTIONS, Human, SUICIDE, Total fertility rate, Population, Adolescent Health, Adolescents -- Mortalitat, General & Internal Medicine, Health Sciences, QUALITY, Medicine [Science], Social determinants of health, INCOME COUNTRIES, education, business.industry, TRENDS, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Years of potential life lost, INJURIES, business, Demography
Abstract

Background Documentation of patterns and long-term trends in mortality in young people, which reflect huge changes in demographic and social determinants of adolescent health, enables identification of global investment priorities for this age group. We aimed to analyse data on the number of deaths, years of life lost, and mortality rates by sex and age group in people aged 10–24 years in 204 countries and territories from 1950 to 2019 by use of estimates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019. Methods We report trends in estimated total numbers of deaths and mortality rate per 100 000 population in young people aged 10–24 years by age group (10–14 years, 15–19 years, and 20–24 years) and sex in 204 countries and territories between 1950 and 2019 for all causes, and between 1980 and 2019 by cause of death. We analyse variation in outcomes by region, age group, and sex, and compare annual rate of change in mortality in young people aged 10–24 years with that in children aged 0–9 years from 1990 to 2019. We then analyse the association between mortality in people aged 10–24 years and socioeconomic development using the GBD Socio-demographic Index (SDI), a composite measure based on average national educational attainment in people older than 15 years, total fertility rate in people younger than 25 years, and income per capita. We assess the association between SDI and all-cause mortality in 2019, and analyse the ratio of observed to expected mortality by SDI using the most recent available data release (2017). Findings In 2019 there were 1·49 million deaths (95% uncertainty interval 1·39–1·59) worldwide in people aged 10–24 years, of which 61% occurred in males. 32·7% of all adolescent deaths were due to transport injuries, unintentional injuries, or interpersonal violence and conflict; 32·1% were due to communicable, nutritional, or maternal causes; 27·0% were due to non-communicable diseases; and 8·2% were due to self-harm. Since 1950, deaths in this age group decreased by 30·0% in females and 15·3% in males, and sex-based differences in mortality rate have widened in most regions of the world. Geographical variation has also increased, particularly in people aged 10–14 years. Since 1980, communicable and maternal causes of death have decreased sharply as a proportion of total deaths in most GBD super-regions, but remain some of the most common causes in sub-Saharan Africa and south Asia, where more than half of all adolescent deaths occur. Annual percentage decrease in all-cause mortality rate since 1990 in adolescents aged 15–19 years was 1·3% in males and 1·6% in females, almost half that of males aged 1–4 years (2·4%), and around a third less than in females aged 1–4 years (2·5%). The proportion of global deaths in people aged 0–24 years that occurred in people aged 10–24 years more than doubled between 1950 and 2019, from 9·5% to 21·6%. Interpretation Variation in adolescent mortality between countries and by sex is widening, driven by poor progress in reducing deaths in males and older adolescents. Improving global adolescent mortality will require action to address the specific vulnerabilities of this age group, which are being overlooked. Furthermore, indirect effects of the COVID-19 pandemic are likely to jeopardise efforts to improve health outcomes including mortality in young people aged 10–24 years. There is an urgent need to respond to the changing global burden of adolescent mortality, address inequities where they occur, and improve the availability and quality of primary mortality data in this age group. Funding Bill & Melinda Gates Foundation.

Published
2021

25. Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life Years for 29 Cancer Groups From 2010 to 2019:A Systematic Analysis for the Global Burden of Disease Study 2019

Author

Global Burden of Disease 2019 Cancer Collaboration, Kocarnik, JM, Compton, K, Dean, FE, Fu, W, Gaw, BL, Harvey, JD, Henrikson, HJ, Lu, D, Pennini, A, Xu, R, Ababneh, E, Abbasi-Kangevari, M, Abbastabar, H, Abd-Elsalam, SM, Abdoli, A, Abedi, A, Abidi, H, Abolhassani, H, Adedeji, IA, Adnani, QES, Advani, SM, Afzal, MS, Aghaali, M, Ahinkorah, BO, Ahmad, S, Ahmad, T, Ahmadi, A, Ahmadi, S, Ahmed Rashid, T, Ahmed Salih, Y, Akalu, GT, Aklilu, A, Akram, T, Akunna, CJ, Al Hamad, H, Alahdab, F, Al-Aly, Z, Ali, S, Alimohamadi, Y, Alipour, V, Aljunid, SM, Alkhayyat, M, Almasi-Hashiani, A, Almasri, NA, Al-Maweri, SAA, Almustanyir, S, Alonso, N, Alvis-Guzman, N, Amu, H, Anbesu, EW, Ancuceanu, R, Ansari, F, Ansari-Moghaddam, A, Antwi, MH, Anvari, D, Anyasodor, AE, Aqeel, M, Arabloo, J, Arab-Zozani, M, Aremu, O, Ariffin, H, Aripov, T, Arshad, M, Artaman, A, Arulappan, J, Asemi, Z, Asghari Jafarabadi, M, Ashraf, T, Atorkey, P, Aujayeb, A, Ausloos, M, Awedew, AF, Ayala Quintanilla, BP, Ayenew, T, Azab, MA, Azadnajafabad, S, Azari Jafari, A, Azarian, G, Azzam, AY, Badiye, AD, Bahadory, S, Baig, AA, Baker, JL, Balakrishnan, S, Banach, M, Bärnighausen, TW, Barone-Adesi, F, Barra, F, Barrow, A, Behzadifar, M, Belgaumi, UI, Bezabhe, WMM, Bezabih, YM, Bhagat, DS, Bhagavathula, AS, Bhardwaj, N, Bhardwaj, P, Bhaskar, S, Bhattacharyya, K, Bhojaraja, VS, Bibi, S, Bijani, A, Biondi, A, Bisignano, C, Bjørge, T, Bleyer, A, Blyuss, O, Bolarinwa, OA, Bolla, SR, Braithwaite, D, Brar, A, Brenner, H, Bustamante-Teixeira, MT, Butt, NS, Butt, ZA, Caetano Dos Santos, FL, Cao, Y, Carreras, G, Catalá-López, F, Cembranel, F, Cerin, E, Cernigliaro, A, Chakinala, RC, Chattu, SK, Chattu, VK, Chaturvedi, P, Chimed-Ochir, O, Cho, DY, Christopher, DJ, Chu, D-T, Chung, MT, Conde, J, Cortés, S, Cortesi, PA, Costa, VM, Cunha, AR, Dadras, O, Dagnew, AB, Dahlawi, SMA, Dai, X, Dandona, L, Dandona, R, Darwesh, AM, Das Neves, J, De la Hoz, FP, Demis, AB, Denova-Gutiérrez, E, Dhamnetiya, D, Dhimal, ML, Dhimal, M, Dianatinasab, M, Diaz, D, Djalalinia, S, Do, HP, Doaei, S, Dorostkar, F, Dos Santos Figueiredo, FW, Driscoll, TR, Ebrahimi, H, Eftekharzadeh, S, El Tantawi, M, El-Abid, H, Elbarazi, I, Elhabashy, HR, Elhadi, M, El-Jaafary, SI, Eshrati, B, Eskandarieh, S, Esmaeilzadeh, F, Etemadi, A, Ezzikouri, S, Faisaluddin, M, Faraon, EJA, Fares, J, Farzadfar, F, Feroze, AH, Ferrero, S, Ferro Desideri, L, Filip, I, Fischer, F, Fisher, JL, Foroutan, M, Fukumoto, T, Gaal, PA, Gad, MM, Gadanya, MA, Gallus, S, Gaspar Fonseca, M, Getachew Obsa, A, Ghafourifard, M, Ghashghaee, A, Ghith, N, Gholamalizadeh, M, Gilani, SA, Ginindza, TG, Gizaw, ATT, Glasbey, JC, Golechha, M, Goleij, P, Gomez, RS, Gopalani, SV, Gorini, G, Goudarzi, H, Grosso, G, Gubari, MIM, Guerra, MR, Guha, A, Gunasekera, DS, Gupta, B, Gupta, VB, Gupta, VK, Gutiérrez, RA, Hafezi-Nejad, N, Haider, MR, Haj-Mirzaian, A, Halwani, R, Hamadeh, RR, Hameed, S, Hamidi, S, Hanif, A, Haque, S, Harlianto, NI, Haro, JM, Hasaballah, AI, Hassanipour, S, Hay, RJ, Hay, SI, Hayat, K, Heidari, G, Heidari, M, Herrera-Serna, BY, Herteliu, C, Hezam, K, Holla, R, Hossain, MM, Hossain, MBH, Hosseini, M-S, Hosseini, M, Hosseinzadeh, M, Hostiuc, M, Hostiuc, S, Househ, M, Hsairi, M, Huang, J, Hugo, FN, Hussain, R, Hussein, NR, Hwang, B-F, Iavicoli, I, Ibitoye, SE, Ida, F, Ikuta, KS, Ilesanmi, OS, Ilic, IM, Ilic, MD, Irham, LM, Islam, JY, Islam, RM, Islam, SMS, Ismail, NE, Isola, G, Iwagami, M, Jacob, L, Jain, V, Jakovljevic, MB, Javaheri, T, Jayaram, S, Jazayeri, SB, Jha, RP, Jonas, JB, Joo, T, Joseph, N, Joukar, F, Jürisson, M, Kabir, A, Kahrizi, D, Kalankesh, LR, Kalhor, R, Kaliyadan, F, Kalkonde, Y, Kamath, A, Kameran Al-Salihi, N, Kandel, H, Kapoor, N, Karch, A, Kasa, AS, Katikireddi, SV, Kauppila, JH, Kavetskyy, T, Kebede, SA, Keshavarz, P, Keykhaei, M, Khader, YS, Khalilov, R, Khan, G, Khan, M, Khan, MN, Khan, MAB, Khang, Y-H, Khater, AM, Khayamzadeh, M, Kim, GR, Kim, YJ, Kisa, A, Kisa, S, Kissimova-Skarbek, K, Kopec, JA, Koteeswaran, R, 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Y., Mohammadi M., Mohammadi S.M., Mohammadian-Hafshejani A., Mohammed S., Moka N., Mokdad A.H., Molokhia M., Monasta L., Moni M.A., Moosavi M.A., Moradi Y., Moraga P., Morgado-Da-Costa J., Morrison S.D., Mosapour A., Mubarik S., Mwanri L., Nagarajan A.J., Nagaraju S.P., Nagata C., Naimzada M.D., Nangia V., Naqvi A.A., Narasimha Swamy S., Ndejjo R., Nduaguba S.O., Negoi I., Negru S.M., Neupane Kandel S., Nguyen C.T., Nguyen H.L.T., Niazi R.K., Nnaji C.A., Noor N.M., Nunez-Samudio V., Nzoputam C.I., Oancea B., Ochir C., Odukoya O.O., Ogbo F.A., Olagunju A.T., Olakunde B.O., Omar E., Omar Bali A.O., Omonisi A.E.E., Ong S., Onwujekwe O.E., Orru H., Ortega-Altamirano D.V., Otstavnov N., Otstavnov S.S., Owolabi M.O., P A M., Padubidri J.R., Pakshir K., Pana A., Panagiotakos D., Panda-Jonas S., Pardhan S., Park E.-C., Park E.-K., Pashazadeh Kan F., Patel H.K., Patel J.R., Pati S., Pattanshetty S.M., Paudel U., Pereira D.M., Pereira R.B., Perianayagam A., Pillay J.D., Pirouzpanah S., Pishgar F., Podder I., Postma M.J., Pourjafar H., Prashant A., Preotescu L., Rabiee M., Rabiee N., Radfar A., Radhakrishnan R.A., Radhakrishnan V., Rafiee A., Rahim F., Rahimzadeh S., Rahman M., Rahman M.A., Rahmani A.M., Rajai N., Rajesh A., Rakovac I., Ram P., Ramezanzadeh K., Ranabhat K., Ranasinghe P., Rao C.R., Rao S.J., Rawassizadeh R., Razeghinia M.S., Renzaho A.M.N., Rezaei N., Rezapour A., Roberts T.J., Rodriguez J.A.B., Rohloff P., Romoli M., Ronfani L., Roshandel G., Rwegerera G.M., Manjula S., Sabour S., Saddik B., Saeed U., Sahebkar A., Sahoo H., Salehi S., Salem M.R., Salimzadeh H., Samaei M., Samy A.M., Sanabria J., Sankararaman S., Santric-Milicevic M.M., Sardiwalla Y., Sarveazad A., Sathian B., Sawhney M., Saylan M., Schneider I.J.J., Sekerija M., Seylani A., Shafaat O., Shaghaghi Z., Shaikh M.A., Shamsoddin E., Shannawaz M., Sharma R., Sheikh A., Sheikhbahaei S., Shetty A., Shetty J.K., Shetty P.H., Shibuya K., Shirkoohi R., Shivakumar K.M., Shivarov V., Siabani S., Siddappa Malleshappa S.K., Silva D.A.S., Singh J.A., Sintayehu Y., Skryabin V.Y., Skryabina A.A., Soeberg M.J., Sofi-Mahmudi A., Sotoudeh H., Steiropoulos P., Straif K., Subedi R., Sufiyan M.B., Sultan I., Sultana S., Sur D., Szerencses V., Szocska M., Tabares-Seisdedos R., Tabuchi T., Tadbiri H., Taherkhani A., Takahashi K., Talaat I.M., Tan K.-K., Tat V.Y., Tedla B.A.A., Tefera Y.G., Tehrani-Banihashemi A., Temsah M., Tesfay F.H., Tessema G.A., Thapar R., Thavamani A., Thoguluva Chandrasekar V., Thomas N., Tohidinik H.R., Touvier M., Tovani-Palone M.R., Traini E., Tran B.X., Tran K.B., Tran M.T.N., Tripathy J.P., Tusa B.S., Ullah I., Ullah S., Umapathi K.K., Unnikrishnan B., Upadhyay E., Vacante M., Vaezi M., Valadan Tahbaz S., Velazquez D.Z., Veroux M., Violante F.S., Vlassov V., Vo B., Volovici V., Vu G.T., Waheed Y., Wamai R.G., Ward P., Wen Y.F., Westerman R., Winkler A.S., Yadav L., Yahyazadeh Jabbari S.H., Yang L., Yaya S., Yazie T.S.Y., Yeshaw Y., Yonemoto N., Younis M.Z., Yousefi Z., Yu C., Yuce D., Yunusa I., Zadnik V., Zare F., Zastrozhin M.S., Zastrozhina A., Zhang J., Zhong C., Zhou L., Zhu C., Ziapour A., Zimmermann I.R., Fitzmaurice C., Murray C.J.L., Force L.M., Bill & Melinda Gates Foundation, American Lebanese Syrian Associated Charities, Kuwait University (Kuwait), National University of Malaysia (Malasia), Alexander von Humboldt Foundation, Federal Ministry of Education & Research (Alemania), NIH - National Cancer Institute (NCI) (Estados Unidos), Unión Europea. Comisión Europea. European Research Council (ERC), Unión Europea. Comisión Europea. H2020, Novo Nordisk Foundation, National Health and Medical Research Council (Australia), Jazan University (Arabia Saudí), Romanian National Authority for Scientific Research and Innovation, Ministry of Education (Brasil), National Heart Foundation of Australia, Ministry of Education, Science and Technological Development (Serbia), NHS - Research Scotland (Reino Unido), Medical Research Council (Reino Unido), Scottish Government (Reino Unido), Jatiya Kabi Kazi Nazrul Islam University (Bangladesh), Xiamen University (Malasia), Manipal Academy of Higher Education (India), Sistema Nacional de Investigación (Panamá), Secretaría Nacional de Ciencia, Tecnología e Innovación (Panamá), King College London, National Health Service (Reino Unido), Government of the Russian Federation, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Brasil), National Council for Scientific and Technological Development (Brasil), Cancer Prevention and Research Institute of Texas (Estados Unidos), Fundação para a Ciência e Tecnologia (Portugal), Neurosurgery, Kocarnik, J. 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Subjects
Cancer Research, GBD, 195 COUNTRIES, Global Health, 1117 Public Health and Health Services, Global Burden of Disease, SDG 3 - Good Health and Well-being, WORLDWIDE, Risk Factors, Neoplasms, SURVEILLANCE, SUPPORT, Global Burden of Disease 2019 Cancer Collaboration, Prevalence, Online First, cancer, Humans, 1112 Oncology and Carcinogenesis, public health, cancer, burden of diseases, PROGRESS, Original Investigation, Global burden, Science & Technology, CHALLENGES, Research, Incidence, Medisinske Fag: 700::Klinisk medisinske fag: 750::Onkologi: 762 [VDP], COVID-19, 1112 Oncology and Carcinogenesis, 1117 Public Health and Health Services, Disability-Adjusted Life Years, mortality, STATISTICS, Oncology, Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life Years for 29 Cancer Groups From 2010 to 2019 A Systematic Analysis for the Global Burden of Disease Study 2019, HEALTH-CARE, TERRITORIES, Quality-Adjusted Life Years, Life Sciences & Biomedicine, Comments
Abstract

Key Points Question What was the burden of cancer globally and across Sociodemographic Index (SDI) groupings in 2019, and how has incidence, morbidity, and mortality changed since 2010? Findings In this systematic analysis, there were 23.6 million new global cancer cases in 2019 (17.2 million when excluding those with nonmelanoma skin cancer), 10.0 million cancer deaths, and an estimated 250 million disability-adjusted life years estimated to be due to cancer; since 2010, these represent increases of 26.3%, 20.9%, and 16.0%, respectively. Absolute cancer burden increased in all SDI quintiles since 2010, but the largest percentage increases occurred in the low and low-middle SDI quintiles. Meanings The study results suggest that increased cancer prevention and control efforts are needed to equitably address the evolving and increasing burden of cancer across the SDI spectrum., Importance The Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) provided systematic estimates of incidence, morbidity, and mortality to inform local and international efforts toward reducing cancer burden. Objective To estimate cancer burden and trends globally for 204 countries and territories and by Sociodemographic Index (SDI) quintiles from 2010 to 2019. Evidence Review The GBD 2019 estimation methods were used to describe cancer incidence, mortality, years lived with disability, years of life lost, and disability-adjusted life years (DALYs) in 2019 and over the past decade. Estimates are also provided by quintiles of the SDI, a composite measure of educational attainment, income per capita, and total fertility rate for those younger than 25 years. Estimates include 95% uncertainty intervals (UIs). Findings In 2019, there were an estimated 23.6 million (95% UI, 22.2-24.9 million) new cancer cases (17.2 million when excluding nonmelanoma skin cancer) and 10.0 million (95% UI, 9.36-10.6 million) cancer deaths globally, with an estimated 250 million (235-264 million) DALYs due to cancer. Since 2010, these represented a 26.3% (95% UI, 20.3%-32.3%) increase in new cases, a 20.9% (95% UI, 14.2%-27.6%) increase in deaths, and a 16.0% (95% UI, 9.3%-22.8%) increase in DALYs. Among 22 groups of diseases and injuries in the GBD 2019 study, cancer was second only to cardiovascular diseases for the number of deaths, years of life lost, and DALYs globally in 2019. Cancer burden differed across SDI quintiles. The proportion of years lived with disability that contributed to DALYs increased with SDI, ranging from 1.4% (1.1%-1.8%) in the low SDI quintile to 5.7% (4.2%-7.1%) in the high SDI quintile. While the high SDI quintile had the highest number of new cases in 2019, the middle SDI quintile had the highest number of cancer deaths and DALYs. From 2010 to 2019, the largest percentage increase in the numbers of cases and deaths occurred in the low and low-middle SDI quintiles. Conclusions and Relevance The results of this systematic analysis suggest that the global burden of cancer is substantial and growing, with burden differing by SDI. These results provide comprehensive and comparable estimates that can potentially inform efforts toward equitable cancer control around the world., The Global Burden of Diseases, Injuries, and Risk Factors Study 2019 examines cancer burden and trends globally for 204 countries and territories and by Socio-demographic Index quintiles from 2010 to 2019.

Published
2022

26. The global burden of adolescent and young adult cancer in 2019: a systematic analysis for the Global Burden of Disease Study 2019

Author

Elysia M Alvarez, Lisa M Force, Rixing Xu, Kelly Compton, Dan Lu, Hannah Jacqueline Henrikson, Jonathan M Kocarnik, James D Harvey, Alyssa Pennini, Frances E Dean, Weijia Fu, Martina T Vargas, Theresa H M Keegan, Hany Ariffin, Ronald D Barr, Yana Arturovna Erdomaeva, D Sanjeeva Gunasekera, Yetunde O John-Akinola, Tyler G Ketterl, Tezer Kutluk, Marcio Henrique Malogolowkin, Prashant Mathur, Venkatraman Radhakrishnan, Lynn Ann Gloeckler Ries, Carlos Rodriguez-Galindo, Garik Barisovich Sagoyan, Iyad Sultan, Behzad Abbasi, Mohsen Abbasi-Kangevari, Zeinab Abbasi-Kangevari, Hedayat Abbastabar, Michael Abdelmasseh, Sherief Abd-Elsalam, Amir Abdoli, Haimanot Abebe, Aidin Abedi, Hassan Abidi, Hassan Abolhassani, Hiwa Abubaker Ali, Eman Abu-Gharbieh, Basavaprabhu Achappa, Juan Manuel Acuna, Isaac Akinkunmi Adedeji, Oyelola A Adegboye, Qorinah Estiningtyas Sakilah Adnani, Shailesh M Advani, Muhammad Sohail Afzal, Mohamad Aghaie Meybodi, Bahman Ahadinezhad, Bright Opoku Ahinkorah, Sajjad Ahmad, Sepideh Ahmadi, Muktar Beshir Ahmed, Tarik Ahmed Rashid, Yusra Ahmed Salih, Wajeeha Aiman, Gizachew Taddesse Akalu, Hanadi Al Hamad, Fares Alahdab, Abdulhadi A AlAmodi, Fahad Mashhour Alanezi, Turki M Alanzi, Adugnaw Zeleke Alem, Dejene Tsegaye Alem, Yosef Alemayehu, Fadwa Naji Alhalaiqa, Robert Kaba Alhassan, Saqib Ali, Gianfranco Alicandro, Vahid Alipour, Syed Mohamed Aljunid, Motasem Alkhayyat, Sunitha Alluri, Nihad A Almasri, Sadeq Ali Al-Maweri, Sami Almustanyir, Rajaa M Al-Raddadi, Nelson Alvis-Guzman, Edward Kwabena Ameyaw, Saeed Amini, Hubert Amu, Robert Ancuceanu, Catalina Liliana Andrei, Tudorel Andrei, Fereshteh Ansari, Alireza Ansari-Moghaddam, Davood Anvari, Anayochukwu Edward Anyasodor, Jalal Arabloo, Morteza Arab-Zozani, Ayele Mamo Argaw, Muhammad Arshad, Judie Arulappan, Armin Aryannejad, Zatollah Asemi, Mohammad Asghari Jafarabadi, Mohammad Reza Atashzar, Prince Atorkey, Alok Atreya, Sameh Attia, Avinash Aujayeb, Marcel Ausloos, Leticia Avila-Burgos, Atalel Fentahun Awedew, Beatriz Paulina Ayala Quintanilla, Alemu Degu Ayele, Solomon Shitu Ayen, Mohammed A Azab, Sina Azadnajafabad, Hiva Azami, Mohammadreza Azangou-Khyavy, Amirhossein Azari Jafari, Ghasem Azarian, Ahmed Y Azzam, Saeed Bahadory, Jianjun Bai, Atif Amin Baig, Jennifer L Baker, Maciej Banach, Till Winfried Bärnighausen, Francesco Barone-Adesi, Fabio Barra, Amadou Barrow, Huda Basaleem, Abdul-Monim Mohammad Batiha, Masoud Behzadifar, Niguss Cherie Bekele, Rebuma Belete, Uzma Iqbal Belgaumi, Arielle Wilder Bell, Alemshet Yirga Berhie, Devidas S Bhagat, Akshaya Srikanth Bhagavathula, Nikha Bhardwaj, Pankaj Bhardwaj, Sonu Bhaskar, Krittika Bhattacharyya, Vijayalakshmi S Bhojaraja, Sadia Bibi, Ali Bijani, Antonio Biondi, Setognal Birara, Tone Bjørge, Obasanjo Afolabi Bolarinwa, Srinivasa Rao Bolla, Archith Boloor, Dejana Braithwaite, Hermann Brenner, Norma B Bulamu, Katrin Burkart, Maria Teresa Bustamante-Teixeira, Nadeem Shafique Butt, Zahid A Butt, Florentino Luciano Caetano dos Santos, Chao Cao, Yin Cao, Giulia Carreras, Ferrán Catalá-López, Francieli Cembranel, Ester Cerin, Raja Chandra Chakinala, Promit Ananyo Chakraborty, Vijay Kumar Chattu, Pankaj Chaturvedi, Akhilanand Chaurasia, Prachi P Chavan, Odgerel Chimed-Ochir, Jee-Young Jasmine Choi, Devasahayam J Christopher, Dinh-Toi Chu, Michael T Chung, Joao Conde, Vera Marisa Costa, Omar B Da'ar, Omid Dadras, Saad M A Dahlawi, Xiaochen Dai, Giovanni Damiani, Emanuele D'Amico, Lalit Dandona, Rakhi Dandona, Parnaz Daneshpajouhnejad, Amira Hamed Darwish, Ahmad Daryani, Fernando Pio De la Hoz, Sisay Abebe Debela, Takele Gezahegn G Demie, Getu Debalkie Demissie, Zeleke Geto Demissie, Edgar Denova-Gutiérrez, Meseret Derbew Molla, Rupak Desai, Abebaw Alemayehu Desta, Deepak Dhamnetiya, Samath Dhamminda Dharmaratne, Mandira Lamichhane Dhimal, Meghnath Dhimal, Mostafa Dianatinasab, Mojtaba Didehdar, Mengistie Diress, Shirin Djalalinia, Huyen Phuc Do, Saeid Doaei, Fariba Dorostkar, Wendel Mombaque dos Santos, Thomas M Drake, Michael Ekholuenetale, Iman El Sayed, Maysaa El Sayed Zaki, Maha El Tantawi, Hassan El-Abid, Mostafa Ahmed Elbahnasawy, Iffat Elbarazi, Hala Rashad Elhabashy, Muhammed Elhadi, Shaimaa I El-Jaafary, Daniel Berhanie Enyew, Ryenchindorj Erkhembayar, Babak Eshrati, Sharareh Eskandarieh, Mohammed Faisaluddin, Jawad Fares, Umar Farooque, Abidemi Omolara Fasanmi, Wafa Fatima, José Miguel P Ferreira de Oliveira, Simone Ferrero, Lorenzo Ferro Desideri, Getahun Fetensa, Irina Filip, Florian Fischer, James L Fisher, Masoud Foroutan, Takeshi Fukumoto, Peter Andras Gaal, Mohamed M Gad, Piyada Gaewkhiew, Silvano Gallus, Tushar Garg, Teferi Gebru Gebremeskel, Belete Negese Belete Gemeda, Tamiru Getachew, Mansour Ghafourifard, Seyyed-Hadi Ghamari, Ahmad Ghashghaee, Fariba Ghassemi, Nermin Ghith, Ali Gholami, Jamshid Gholizadeh Navashenaq, Syed Amir Gilani, Themba G Ginindza, Abraham Tamirat Gizaw, James C Glasbey, Amit Goel, Mahaveer Golechha, Pouya Goleij, Davide Golinelli, Sameer Vali Gopalani, Giuseppe Gorini, Houman Goudarzi, Bárbara Niegia Garcia Goulart, Ayman Grada, Mohammed Ibrahim Mohialdeen Gubari, Maximiliano Ribeiro Guerra, Avirup Guha, Bhawna Gupta, Sapna Gupta, Veer Bala Gupta, Vivek Kumar Gupta, Rasool Haddadi, Nima Hafezi-Nejad, Alemayehu Hailu, Arvin Haj-Mirzaian, Rabih Halwani, Randah R Hamadeh, Mitiku Teshome Hambisa, Sajid Hameed, Samer Hamidi, Shafiul Haque, Sanam Hariri, Josep Maria Haro, Ahmed I Hasaballah, S M Mahmudul Hasan, Seyedeh Melika Hashemi, Treska S Hassan, Soheil Hassanipour, Simon I Hay, Khezar Hayat, Sultan H Hebo, Golnaz Heidari, Mohammad Heidari, Brenda Yuliana Herrera-Serna, Claudiu Herteliu, Demisu Zenbaba Heyi, Kamal Hezam, Michael K Hole, Ramesh Holla, Nobuyuki Horita, Md Mahbub Hossain, Mohammad Bellal Hossain, Mohammad-Salar Hosseini, Mostafa Hosseini, Ali Hosseinzadeh, Mehdi Hosseinzadeh, Mihaela Hostiuc, Sorin Hostiuc, Mowafa Househ, Mohamed Hsairi, Junjie Huang, Nawfal R Hussein, Bing-Fang Hwang, Segun Emmanuel Ibitoye, Olayinka Stephen Ilesanmi, Irena M Ilic, Milena D Ilic, Kaire Innos, Lalu Muhammad Irham, Rakibul M Islam, Sheikh Mohammed Shariful Islam, Nahlah Elkudssiah Ismail, Gaetano Isola, Masao Iwagami, Louis Jacob, Farhad Jadidi-Niaragh, Vardhmaan Jain, Mihajlo Jakovljevic, Roksana Janghorban, Amirreza Javadi Mamaghani, Shubha Jayaram, Ranil Jayawardena, Seyed Behzad Jazayeri, Rime Jebai, Ravi Prakash Jha, Tamas Joo, Nitin Joseph, Farahnaz Joukar, Mikk Jürisson, Billingsley Kaambwa, Ali Kabir, Leila R Kalankesh, Feroze Kaliyadan, Zul Kamal, Ashwin Kamath, Himal Kandel, Sitanshu Sekhar Kar, Ibraheem M Karaye, Amirali Karimi, Bekalu Getnet Kassa, Joonas H Kauppila, Phillip M Kemp Bohan, Andre Pascal Kengne, Amene Abebe Kerbo, Mohammad Keykhaei, Yousef Saleh Khader, Himanshu Khajuria, Nastaran Khalili, Neda Khalili, Ejaz Ahmad Khan, Gulfaraz Khan, Maseer Khan, Md Nuruzzaman Khan, Moien AB Khan, Javad Khanali, Maryam Khayamzadeh, Omid Khosravizadeh, Jagdish Khubchandani, Roba Khundkar, Min Seo Kim, Yun 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Mpundu-Kaambwa C., Mubarik S., Mwanri L., Nabhan A.F., Nagaraju S.P., Nagata C., Naghavi M., Naimzada M.D., Naldi L., Nangia V., Naqvi A.A., Narasimha Swamy S., Narayana A.I., Nayak B.P., Nayak V.C., Nazari J., Nduaguba S.O., Negoi I., Negru S.M., Nejadghaderi S.A., Nepal S., Neupane Kandel S., Nggada H.A., Nguyen C.T., Nnaji C.A., Nosrati H., Nouraei H., Nowroozi A., Nunez-Samudio V., Nwatah V.E., Nzoputam C.I., Oancea B., Odukoya O.O., Oguntade A.S., Oh I.-H., Olagunju A.T., Olagunju T.O., Olakunde B.O., Oluwasanu M.M., Omar E., Omar Bali A., Ong S., Onwujekwe O.E., Ortega-Altamirano D.V., Otstavnov N., Otstavnov S.S., Oumer B., Owolabi M.O., P A M., Padron-Monedero A., Padubidri J.R., Pakshir K., Pana A., Pandey A., Pardhan S., Pashazadeh Kan F., Pasovic M., Patel J.R., Pati S., Pattanshetty S.M., Paudel U., Pereira R.B., Peres M.F.P., Perianayagam A., Postma M.J., Pourjafar H., Pourshams A., Prashant A., Pulakunta T., Qadir M.M.F.F., Rabiee M., Rabiee N., Radfar A., Radhakrishnan R.A., Rafiee A., Rafiei A., Rafiei S., Rahim F., Rahimzadeh S., Rahman M., Rahman M.A., Rahmani A.M., Rajesh A., Ramezani-Doroh V., Ranabhat K., Ranasinghe P., Rao C.R., Rao S.J., Rashedi S., Rashidi M., Rashidi M.-M., Rath G.K., Rawaf D.L., Rawaf S., Rawal L., Rawassizadeh R., Razeghinia M.S., Regasa M.T., Renzaho A.M.N., Rezaei M., Rezaei N., Rezaeian M., Rezapour A., Rezazadeh-Khadem S., Riad A., Rios Lopez L.E., Rodriguez J.A.B., Ronfani L., Roshandel G., Rwegerera G.M., Saber-Ayad M.M., Sabour S., Saddik B., Sadeghi E., Sadeghian S., Saeed U., Sahebkar A., Saif-Ur-Rahman K.M., Sajadi S.M., Salahi S., Salehi S., Salem M.R., Salimzadeh H., Samy A.M., Sanabria J., Sanmarchi F., Sarveazad A., Sathian B., Sawhney M., Sawyer S.M., Saylan M., Schneider I.J.C., Seidu A.-A., Sekerija M., Sendo E.G., Sepanlou S.G., Seylani A., Seyoum K., Sha F., Shafaat O., Shaikh M.A., Shamsoddin E., Shannawaz M., Sharma R., Sheikhbahaei S., Shetty A., Shetty B.S.K., Shetty P.H., Shin J.I., Shirkoohi R., 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Valadan Tahbaz S., Varthya S.B., Veroux M., Villeneuve P.J., Violante F.S., Vlassov V., Vu G.T., Waheed Y., Wang N., Ward P., Weldesenbet A.B., Wen Y.F., Westerman R., Winkler A.S., Wubishet B.L., Xu S., Yahyazadeh Jabbari S.H., Yang L., Yaya S., Yazdi-Feyzabadi V., Yazie T.S., Yehualashet S.S., Yeshaneh A., Yeshaw Y., Yirdaw B.W., Yonemoto N., Younis M.Z., Yousefi Z., Yu C., Yunusa I., Zadnik V., Zahir M., Zahirian Moghadam T., Zamani M., Zamanian M., Zandian H., Zare F., Zastrozhin M.S., Zastrozhina A., Zhang J., Zhang Z.-J., Ziapour A., Zoladl M., Murray C.J.L., Fitzmaurice C., Bleyer A., Bhakta N., Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET), Value, Affordability and Sustainability (VALUE), Microbes in Health and Disease (MHD), NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM), HUS Comprehensive Cancer Center, University of Helsinki, Bill & Melinda Gates Foundation, American Lebanese Syrian Associated Charities, St. Baldrick's Foundation, NIH - National Cancer Institute (NCI) (Estados Unidos), Epidemiologie, and RS: NUTRIM - R3 - Respiratory & Age-related Health

Subjects
adolescent cancer, global burden of disease, epidemiology, Adult, Male, Adolescent, 3122 Cancers, UNITED-STATES, Disability-Adjusted Life Year, Adolescents, Socioeconomic Factor, Global Health, Global Burden of Disease, Young Adult, Life Expectancy, SDG 3 - Good Health and Well-being, Risk Factors, WORLDWIDE, Neoplasms, Cause of Death, Prevalence, Humans, 1112 Oncology and Carcinogenesis, Oncology & Carcinogenesis, Mortality, Cancer burden analyses, Cancer, ACUTE LYMPHOBLASTIC-LEUKEMIA, disease, Global burden, OUTCOMES, CHILDHOOD-CANCER, Incidence, Risk Factor, the GBD 2019 methodology, Disability-Adjusted Life Years, GBD 2019 Adolescent Young Adult Cancer Collaborators, CARE, Cancer control efforts, Socioeconomic Factors, Oncology, Neoplasm, Female, Young adults, Human
Abstract

Funding: J A Loureiro acknowledges support from Base Funding UIDB/00511/2020 of the LEPABE funded by national funds through the FCT/MCTES (PIDDAC) and Scientific Employment Stimulus (FCT) [CEECINST/00049/2018]. Background: In estimating the global burden of cancer, adolescents and young adults with cancer are often overlooked, despite being a distinct subgroup with unique epidemiology, clinical care needs, and societal impact. Comprehensive estimates of the global cancer burden in adolescents and young adults (aged 15–39 years) are lacking. To address this gap, we analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, with a focus on the outcome of disability-adjusted life-years (DALYs), to inform global cancer control measures in adolescents and young adults. Methods: Using the GBD 2019 methodology, international mortality data were collected from vital registration systems, verbal autopsies, and population-based cancer registry inputs modelled with mortality-to-incidence ratios (MIRs). Incidence was computed with mortality estimates and corresponding MIRs. Prevalence estimates were calculated using modelled survival and multiplied by disability weights to obtain years lived with disability (YLDs). Years of life lost (YLLs) were calculated as age-specific cancer deaths multiplied by the standard life expectancy at the age of death. The main outcome was DALYs (the sum of YLLs and YLDs). Estimates were presented globally and by Socio-demographic Index (SDI) quintiles (countries ranked and divided into five equal SDI groups), and all estimates were presented with corresponding 95% uncertainty intervals (UIs). For this analysis, we used the age range of 15–39 years to define adolescents and young adults. Findings: There were 1·19 million (95% UI 1·11–1·28) incident cancer cases and 396 000 (370 000–425 000) deaths due to cancer among people aged 15–39 years worldwide in 2019. The highest age-standardised incidence rates occurred in high SDI (59·6 [54·5–65·7] per 100 000 person-years) and high-middle SDI countries (53·2 [48·8–57·9] per 100 000 person-years), while the highest age-standardised mortality rates were in low-middle SDI (14·2 [12·9–15·6] per 100 000 person-years) and middle SDI (13·6 [12·6–14·8] per 100 000 person-years) countries. In 2019, adolescent and young adult cancers contributed 23·5 million (21·9–25·2) DALYs to the global burden of disease, of which 2·7% (1·9–3·6) came from YLDs and 97·3% (96·4–98·1) from YLLs. Cancer was the fourth leading cause of death and tenth leading cause of DALYs in adolescents and young adults globally. Interpretation: Adolescent and young adult cancers contributed substantially to the overall adolescent and young adult disease burden globally in 2019. These results provide new insights into the distribution and magnitude of the adolescent and young adult cancer burden around the world. With notable differences observed across SDI settings, these estimates can inform global and country-level cancer control efforts. Funding: Bill & Melinda Gates Foundation, American Lebanese Syrian Associated Charities, St Baldrick's Foundation, and the National Cancer Institute. publishersversion published

Published
2022

27. 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

28. Global, regional, and national progress towards Sustainable Development Goal 3.2 for neonatal and child health: all-cause and cause-specific mortality findings from the Global Burden of Disease Study 2019

Author

Paulson, K. R., Kamath, A. M., Alam, T., Bienhoff, K., Abady, G. G., Abbas, J., Abbasi-Kangevari, M., Abbastabar, H., Abd-Allah, F., Abd-Elsalam, S. M., Abdoli, A., Abedi, A., Abolhassani, H., Abreu, L. G., Abu-Gharbieh, E., Abu-Rmeileh, N. M. E., Abushouk, A. I., Adamu, A. L., Adebayo, O. M., Adegbosin, A. E., Adekanmbi, V., Adetokunboh, O. O., Adeyinka, D. A., Adsuar, J. C., Afshari, K., Aghaali, M., Agudelo-Botero, M., Ahinkorah, B. O., Ahmad, T., Ahmadi, K., Ahmed, M. B., Aji, B., Akalu, Y., Akinyemi, O. O., Aklilu, A., Al-Aly, Z., Alam, K., Alanezi, F. M., Alanzi, T. M., Alcalde-Rabanal, J. E., Al-Eyadhy, A., Ali, T., Alicandro, G., Alif, S. M., Alipour, V., Alizade, H., Aljunid, S. M., Almasi-Hashiani, A., Almasri, N. A., Al-Mekhlafi, H. M., Alonso, J., Al-Raddadi, R. M., Altirkawi, K. A., Alumran, A. K., Alvis-Guzman, N., Alvis-Zakzuk, N. J., Ameyaw, E. K., Amini, S., Amini-Rarani, M., Amit, A. M. L., Amugsi, D. A., Ancuceanu, R., Anderlini, D., Andrei, C. L., Ansari, F., Ansari-Moghaddam, A., Antonio, C. A. T., Antriyandarti, E., Anvari, D., Anwer, R., Aqeel, M., Arabloo, J., Arab-Zozani, M., Aripov, T., Arnlov, J., Artanti, K. D., Arzani, A., Asaad, M., Asadi-Aliabadi, M., Asadi-Pooya, Ali A, Jafarabadi, M. A., Athari, S. S., Athari, S. M., Atnafu, D. D., Atreya, A., Atteraya, M. S., Ausloos, M., Awan, A. T., Quintanilla, B. P. A., Ayano, G., Ayanore, M. A., Aynalem, Y. A., Azari, S., Azarian, G., Azene, Z. N., Darshan, BB, Babaee, E., Badiye, A. D., Baig, A. A., Banach, M., Banik, P. C., Barker-Collo, S. L., Barqawi, H. J., Bassat, Q., Basu, S., Baune, B.T., Bayati, M., Bedi, N., Beghi, E., Beghi, M., Bell, M. L., Bendak, S., Bennett, D. A., Bensenor, I. M., Berhe, K., Berman, A. E., Bezabih, Y. M., Bhagavathula, A. S., Bhandari, D., Bhardwaj, N., Bhardwaj, P., Bhattacharyya, K., Bhattarai, S., Bhutta, Z. A., Bikbov, B., Biondi, A., Birihane, B. M., Biswas, R. K., Bohlouli, S., Bragazzi, N. L., Breusov, A. V., Brunoni, A. R., Burkart, K., Nagaraja, S. B., Busse, R., Butt, Z. A., dos Santos, F. L. C., Cahuana-Hurtado, L., Camargos, P., Camera, L. A., Cardenas, R., Carreras, G., Carrero, J. J., Carvalho, F., Castaldelli-Maia, J. M., Castaneda-Orjuela, C. A., Castelpietra, G., Cerin, E., Chang, J-C., Chanie, W. F., Charan, J., Chatterjee, S., Chattu, S. K., Chattu, V. K., Chaturvedi, S., Chen, S., Cho, D. Y., Choi, J-Y. J., Chu, D-T., Ciobanu, L. G., Cirillo, M., Conde, J., Costa, V. M., Couto, R. A. S., Dachew, B. A., Dahlawi, S. M. A., Dai, H., Dai, X., Dandona, L., Dandona, R., Daneshpajouhnejad, P., Darmstadt, G. L., Das, J. K., Davila-Cervantes, C. A., Davis, A. C., Davletov, K., De la Hoz, F. P., De Leo, D., Deeba, F., Denova-Gutierrez, E., Dervenis, N., Desalew, A., Deuba, K., Dey, S., Dharmaratne, S. D., Dhingra, S., Dhungana, G. P., da Silva, D. D., Diaz, D., Dorostkar, F., Doshmangir, L., Dubljanin, E., Duraes, A. R., Eagan, A. W., Edinur, H. 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Subjects
Male, Perinatal care, Newborn care, STILLBIRTHS, RJ101, UNDER-5 MORTALITY, Psychological intervention, 010501 environmental sciences, Infant mortality, Global Health, 01 natural sciences, 0302 clinical medicine, RA0421, Cause of Death, Infant Mortality, Global health, Life Tables, Healthcare improvements, 030212 general & internal medicine, 610 Medicine & health, Child, COVID-19, Humans, Infant, SARS-CoV-2, Sustainable Development, 11 Medical and Health Sciences, Cause of death, Life Table, Mortality rate, 1. No poverty, Public Health, Global Health, Social Medicine and Epidemiology, General Medicine, Articles, Hälsovetenskaper, Mortality analyses, 3. Good health, Child, Preschool, SDG 1 - No Poverty, Child Mortality, Female, Life Sciences & Biomedicine, Human, Child mortality, COUNTRIES, DEATHS, Infants -- Mortalitat, GBD, 03 medical and health sciences, Medicine, General & Internal, SDG 3 - Good Health and Well-being, Life tables, under-5 mortality rate, General & Internal Medicine, Health Sciences, Neonatal deaths, medicine, SYSTEMATIC ANALYSIS, Medicine [Science], Infants -- Salut, Preschool, 0105 earth and related environmental sciences, Science & Technology, Infants nadons -- Salut, business.industry, Infants nadons -- Mortalitat, INFORM, Infant, Newborn, Neonatal and child health, Sustainable Development Goal 3.2, GBD 2019 Under-5 Mortality Collaborators, medicine.disease, Newborn, TRENDS, Sustainable Development Goal, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Deaths, 3121 General medicine, internal medicine and other clinical medicine, RG, business, Systematic Analysis, Malaria, Demography
Abstract

Background: Sustainable Development Goal 3.2 has targeted elimination of preventable child mortality, reduction of neonatal death to less than 12 per 1000 livebirths, and reduction of death of children younger than 5 years to less than 25 per 1000 livebirths, for each country by 2030. To understand current rates, recent trends, and potential trajectories of child mortality for the next decade, we present the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 findings for all-cause mortality and cause-specific mortality in children younger than 5 years of age, with multiple scenarios for child mortality in 2030 that include the consideration of potential effects of COVID-19, and a novel framework for quantifying optimal child survival. Methods: We completed all-cause mortality and cause-specific mortality analyses from 204 countries and territories for detailed age groups separately, with aggregated mortality probabilities per 1000 livebirths computed for neonatal mortality rate (NMR) and under-5 mortality rate (U5MR). Scenarios for 2030 represent different potential trajectories, notably including potential effects of the COVID-19 pandemic and the potential impact of improvements preferentially targeting neonatal survival. Optimal child survival metrics were developed by age, sex, and cause of death across all GBD location-years. The first metric is a global optimum and is based on the lowest observed mortality, and the second is a survival potential frontier that is based on stochastic frontier analysis of observed mortality and Healthcare Access and Quality Index. Findings: Global U5MR decreased from 71·2 deaths per 1000 livebirths (95% uncertainty interval [UI] 68·3-74·0) in 2000 to 37·1 (33·2-41·7) in 2019 while global NMR correspondingly declined more slowly from 28·0 deaths per 1000 live births (26·8-29·5) in 2000 to 17·9 (16·3-19·8) in 2019. In 2019, 136 (67%) of 204 countries had a U5MR at or below the SDG 3.2 threshold and 133 (65%) had an NMR at or below the SDG 3.2 threshold, and the reference scenario suggests that by 2030, 154 (75%) of all countries could meet the U5MR targets, and 139 (68%) could meet the NMR targets. Deaths of children younger than 5 years totalled 9·65 million (95% UI 9·05-10·30) in 2000 and 5·05 million (4·27-6·02) in 2019, with the neonatal fraction of these deaths increasing from 39% (3·76 million [95% UI 3·53-4·02]) in 2000 to 48% (2·42 million; 2·06-2·86) in 2019. NMR and U5MR were generally higher in males than in females, although there was no statistically significant difference at the global level. Neonatal disorders remained the leading cause of death in children younger than 5 years in 2019, followed by lower respiratory infections, diarrhoeal diseases, congenital birth defects, and malaria. The global optimum analysis suggests NMR could be reduced to as low as 0·80 (95% UI 0·71-0·86) deaths per 1000 livebirths and U5MR to 1·44 (95% UI 1·27-1·58) deaths per 1000 livebirths, and in 2019, there were as many as 1·87 million (95% UI 1·35-2·58; 37% [95% UI 32-43]) of 5·05 million more deaths of children younger than 5 years than the survival potential frontier. Interpretation: Global child mortality declined by almost half between 2000 and 2019, but progress remains slower in neonates and 65 (32%) of 204 countries, mostly in sub-Saharan Africa and south Asia, are not on track to meet either SDG 3.2 target by 2030. Focused improvements in perinatal and newborn care, continued and expanded delivery of essential interventions such as vaccination and infection prevention, an enhanced focus on equity, continued focus on poverty reduction and education, and investment in strengthening health systems across the development spectrum have the potential to substantially improve U5MR. Given the widespread effects of COVID-19, considerable effort will be required to maintain and accelerate progress. This article was supported by the European Research Council, ERC 848325. Alberto Ortiz was supported by FIS/Fondos FEDER (PI18/01366, PI19/00588, PI19/00815, DTS18/00032, ERA-PerMed-JTC2018 (KIDNEY ATTACK AC18/00064 and PERSTIGAN AC18/00071, ISCIII-RETIC REDinREN RD016/0009). Daniela Ribeiro acknowledges the financial support from the European Union [FEDER funds through COMPETE, POCI-01-0145-FEDER-029253). Joan B Soriano acknowledges support from the Centro de Investigación en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Funding: Bill & Melinda Gates Foundation

Published
2021

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