Progress in health among regions of Ethiopia, 1990–2019: a subnational country analysis for the Global Burden of Disease Study 2019

Misganaw, Awoke; Naghavi, Mohsen; Walker, Ally; Mirkuzie, Alemnesh H.; Giref, Ababi Zergaw; Berheto, Tezera Moshago; Waktola, Ebba Abate; Kempen, John H.; Eticha, Getachew Tollera; Wolde, Tsigereda Kifle; Deguma, Dereje; Abate, Kalkidan Hassen; Abegaz, Kedir Hussein; Ahmed, Muktar Beshir; Akalu, Yonas; Aklilu, Addis; Alemu, Biresaw Wassihun; Asemahagn, Mulusew Andualem; Awedew, Atalel Fentahun; Balakrishnan, Senthilkumar; Bekuma, Tariku Tesfaye; Beyene, Addisu Shunu; Beyene, Misrak Getnet; Bezabih, Yihienew Mequanint; Birhanu, Biruk Tesfaye; Chichiabellu, Tesfaye Yitna; Dachew, Berihun Assefa; Dagnew, Amare Belachew; Demeke, Feleke Mekonnen; Demissie, Getu Debalkie; Molla, Meseret Derbew; Dereje, Nebiyu; Deribe, Kebede; Desta, Abebaw Alemayehu; Eshetu, Munir Kassa; Ferede, Tomas Y; Gebreyohannes, Eyob Alemayehu; Geremew, Abraham; Gesesew, Hailay Abrha; Getacher, Lemma; Glenn, Scott; Hafebo, Aregash Samuel; Hashi, Abdiwahab; Hassen, Hamid Yimam; Hay, Simon I; Hordofa, Diriba Fufa; Huluko, Dawit Hoyiso; Kasa, Ayele Semachew; Azene, Getinet Kassahun; Kebede, Ermiyas Mulu; Kebede, Hafte Kahsay; Kelkay, Bayew; Kidane, Samuel; Legesse, Samson Mideksa; Manamo, Wondimu Ayele; Melaku, Yohannes Adama; Mengesha, Endalkachew Worku; Mengesha, Sisay Derso; Merie, Hayimro Edemealem; Mersha, Abera; Mersha, Amanual Getnet; Mirutse, Mizan Kiros; Mohammed, Ammas Siraj; Mohammed, Hussen; Mohammed, Salahuddin; Netsere, Henok Biresaw; Nigatu, Dabere; Obsa, Mohammed Suleiman; Odo, Daniel Bogale; Omer, Muktar Omer; Regassa, Lemma Demissie; Sahiledengle, Biniyam; Shaka, Mohammed Feyisso; Shiferaw, Wondimeneh Shibabaw; Sidemo, Negussie Boti; Sinke, Abiy Hiruye; Sintayehu, Yitagesu; Sorrie, Muluken Bekele; Tadesse, Birkneh Tilahun; Tadesse, Eyayou Girma; Tamir, Zemenu; Tamiru, Animut Tagele; Tareke, Amare Abera; Tefera, Yonas Getaye; Tekalegn, Yohannes; Kassie, Ayenew; Tesema, Tefera Tadele; Tesfay, Fisaha Haile; Tessema, Zemenu Tadesse; Tilahun, Tadesse; Tsegaye, Gebiyaw Wudie; Tusa, Biruk Shalmeno; Weledesemayat, Geremew Tassew; Yazie, Taklo Simeneh; Yeshitila, Yordanos Gizachew; Yirdaw, Birhanu Wubale; Zegeye, Desalegn Tegabu; Murray, Christopher J L; Tadesse, Lia

doi:10.1016/s0140-6736(21)02868-3

Cited by 46 publications

(31 citation statements)

References 32 publications

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“…Moreover, the comorbidity of mental illness with physical illness is also common, which leads to worsening of the prognosis and increased treatment costs [ 23 ]. Mental illness, such as depression is also the leading cause of years lived with disability in Ethiopia [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Mental health service utilization in a low resource setting: A qualitative study on perspectives of health professionals in Northwest Ethiopia

et al. 2022

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Background Mental health services are advocated to move from specialized care to more integrated and accessible primary care settings. The integration of mental health into primary health services is expanding in Ethiopia. However, there is a lack of research on the perspectives of health professionals on mental health services in Ethiopia. This study aimed to explore the perspectives, views, and experiences of health professionals regarding mental health services and the help-seeking behavior of people with mental illness in Northwest Ethiopia. Methods This qualitative study included sixteen health professionals. The participants were interviewed using a semi-structured interview guide. Interviews were conducted in Amharic and translated into English. We analyzed the data using reflexive thematic analysis. Results Five key themes were generated from the interview data: (1) Avoidance of mental healthcare; (2) Low literacy about mental illness; (3) Stigma as a hindrance to accessing mental health services; (4) The role of culture and religion in mental health services; and (5) Lack of government concern about mental health services. Conclusion This study identified important factors related to mental health services in Northwest Ethiopia, from the perspectives of health professionals. Our findings highlighted that the government health agenda needs to prioritize mental health services. The role of religious and cultural healing places in the help-seeking pathway should be given due consideration to ensure success in mental health services provision and utilization.

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Section: Discussionmentioning

confidence: 99%

Mental health service utilization in a low resource setting: A qualitative study on perspectives of health professionals in Northwest Ethiopia

et al. 2022

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“…Another example is the network of 158 collaborators in Brazil from a wide variety of government and university institutions that has recently published a series of papers on subnational public health issues of concern 35 . A third example is the 1,005 collaborators in Ethiopia, including the Minister of Health, who recently published their first subnational assessment of burden in Ethiopia 36 . As GBD matures, so do the various working models of our collaborative endeavors, striving always for ever-increasing autonomy at the national level.…”

Section: Gbd Collaborationmentioning

confidence: 99%

The Global Burden of Disease Study at 30 years

Murray

2022

Nat Med

254

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“…Since Ethiopia has notable progress in expanding healthcare facilities at all levels, access to healthcare services for the rural communities is rapidly increasing over the past decades. This results in an increase in the use of healthcare services 26,27 . Moreover, there is credible community health promotion and public involvement through the health extension program 28,29 .…”

Section: Discussionmentioning

confidence: 99%

Enteric infections and management practices among communities in a rural setting of northwest Ethiopia

Gizaw

Demissie

Gebrehiwot

et al. 2023

Sci Rep

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Infections with enteric pathogens have a high mortality and morbidity burden, as well as significant social and economic costs. Poor water, sanitation, and hygiene (WASH) conditions are the leading risk factors for enteric infections, and prevention in low-income countries is still primarily focused on initiatives to improve access to improved WASH facilities. Rural communities in developing countries, on the other hand, have limited access to improved WASH services, which may result in a high burden of enteric infections. Limited information also exists about the prevalence of enteric infections and management practices among rural communities. Accordingly, this study was conducted to assess enteric infections and management practices among communities in a rural setting of northwest Ethiopia. A community-based cross-sectional study was conducted among 1190 randomly selected households in a rural setting of northwest Ethiopia. Data were collected using structured and pretested interviewers-administered questionnaire and spot-check observations. We used self-reports and medication history audit to assess the occurrence of enteric infections among one or more of the family members in the rural households. Multivariable binary logistic regression model was used to identify factors associated with enteric infections. Statistically significant association was declared on the basis of adjusted odds ratio with 95% confidence interval and p value < 0.05. Out of a total of 1190 households, 17.4% (95% CI: 15.1, 19.7%) of the households reported that one or more of the family members acquired one or more enteric infections in 12 months period prior to the survey and 470 of 6089 (7.7%) surveyed individuals had one or more enteric infections. The common enteric infections reported at household-level were diarrhea (8.2%), amoebiasis (4.1%), and ascariasis (3.9%). Visiting healthcare facilities (71.7%), taking medications without prescriptions (21.1%), and herbal medicine (4.5%) are the common disease management practices among rural households in the studied region. The occurrence of one or more enteric infections among one or more of the family members in rural households in 12 months period prior to the survey was statistically associated with presence of livestock (AOR: 2.24, 95% CI:1.06, 4.75) and households headed by uneducated mothers (AOR: 1.62, 95% CI: (1.18, 2.23). About one-fifth of the rural households in the studied region reported that one or more of the family members had one or more enteric infections. Households in the study area might acquire enteric infections from different risk factors, mainly poor WASH conditions and insufficient separation of animals including their feces from human domestic environments. It is therefore important to implement community-level interventions such as utilization of improved latrine, protecting water sources from contamination, source-based water treatment, containment of domestic animals including their waste, community-driven sanitation, and community health champion.

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Progress in health among regions of Ethiopia, 1990–2019: a subnational country analysis for the Global Burden of Disease Study 2019

Cited by 46 publications

References 32 publications

Mental health service utilization in a low resource setting: A qualitative study on perspectives of health professionals in Northwest Ethiopia

Mental health service utilization in a low resource setting: A qualitative study on perspectives of health professionals in Northwest Ethiopia

The Global Burden of Disease Study at 30 years

Enteric infections and management practices among communities in a rural setting of northwest Ethiopia

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