Evidence map›Paper›PMID 28830454›Full record

ArticleInternational journal for equity in health2017

Examining changes in maternal and child health inequalities in Ethiopia.

Alemayehu A Ambel, Colin Andrews, Anne M Bakilana, Elizabeth M Foster, Qaiser Khan, Huihui Wang

Abstract read
In one paragraph

Article in International journal for equity in health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  5. Drivers of stunting reduction in Ethiopia: a country case study.The American journal of clinical nutrition · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alemayehu A AmbelThe World Bank, 1818 H Street, Washington, DC, 20046, USA. aambel@worldbank.org.ORCID 0000-0002-0990-4466
Colin AndrewsThe World Bank, 1818 H Street, Washington, DC, 20046, USA.
Anne M BakilanaThe World Bank, Addis Ababa, Ethiopia.
Elizabeth M FosterThe World Bank, 1818 H Street, Washington, DC, 20046, USA.
Qaiser KhanThe World Bank, 1818 H Street, Washington, DC, 20046, USA.
Huihui WangThe World Bank, 1818 H Street, Washington, DC, 20046, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEthiopia has made considerable progress in maternal, newborn, and child health in terms of health outcomes and health services coverage. This study examined how different groups have fared in the process. It also looked at possible factors behind the inequalities.

methodsThe study examined 11 maternal and child health outcomes and services: stunting, underweight, wasting, neonatal mortality, infant mortality, under-5 mortality, measles vaccination, full immunization, modern contraceptive use by currently married women, antenatal care visits, and skilled birth attendance. It explored trends in inequalities by household wealth status based on Demographic and Health Surveys conducted in 2000, 2005, 2011, and 2014. The study also investigated the dynamics of inequality, using concentration curves for different years. Decomposition analysis was used to identify the role of proximate determinants.

resultsThe study found substantial improvements in health outcomes and health services: Although there is still a considerable gap between the rich and the poor, inequalities in health services have been reduced. However, child nutrition outcomes have mainly improved for the rich. The changes observed in wealth-related inequality tend to reflect the changing direct effect of household wealth on child health and health service use.

conclusionsThe country's efforts to improve access to health services have shown some positive results, but attention should now turn to service quality and to identifying multisectoral interventions that can change outcomes for the poorest.

Indexed as

Health Status DisparitiesAdolescentAdultChild HealthChild, PreschoolDemographyEthiopiaFemaleHumansInfantInfant, NewbornMaleMaternal HealthMiddle AgedPatient Acceptance of Health CarePregnancyHealth care utilizationHealth inequalitiesMaternal and child health

Identifiers

PMID28830454
PMCPMC5568328

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.