ArticleJournal of global health2019
Factors associated with the decline in under five diarrhea mortality in Tanzania from 1980-2015.
Article in Journal of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Epidemiology of Rotavirus in Humans, Animals, and the Environment in Africa: A Systematic Review and Meta-analysis.The Journal of infectious diseases · 2024Pooled it
- The epidemiology of acute gastrointestinal illness in Ethiopia, Mozambique, Nigeria, and Tanzania: a population survey.Epidemiology and infection · 2025Article
- Knowledge and Behavioral Practice of Mothers About Childhood Diarrhea in Arar City, Saudi Arabia.Cureus · 2024Article
- Article
- Climate Change, Fragility, and Child Mortality; Understanding the Role of Water Access and Diarrheal Disease Amongst Children Under Five During the MDG Era.Journal of prevention (2022) · 2023Article
- Global burden and trends of rotavirus infection-associated deaths from 1990 to 2019: an observational trend study.Virology journal · 2022Observational
- The hospital environment versus carriage: transmission pathways for third-generation cephalosporin-resistant bacteria in blood in neonates in a low-resource country healthcare setting.Scientific reports · 2022Article
- Improved Water and Waste Management Practices Reduce Diarrhea Risk in Children under Age Five in Rural Tanzania: A Community-Based, Cross-Sectional Analysis.International journal of environmental research and public health · 2022Article
- Risk factors of stunting and wasting in Somali pre-school age children: results from the 2019 Somalia micronutrient survey.BMC public health · 2022Article
- Association between WASH-Related Behaviors and Knowledge with Childhood Diarrhea in Tanzania.International journal of environmental research and public health · 2021Article
- Adaptation of the small intestine to microbial enteropathogens in Zambian children with stunting.Nature microbiology · 2021Article
- Identifying Infants and Young Children at Risk of Unplanned Hospital Admissions and Clinic Visits in Dar es Salaam, Tanzania.The Pediatric infectious disease journal · 2020Article
- Access to oral rehydration solution and zinc supplementation for treatment of childhood diarrhoeal diseases in Sudan.BMC research notes · 2020Article
- Participatory Epidemiology: Principles, Practice, Utility, and Lessons Learnt.Frontiers in veterinary science · 2020Review
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11 authors.
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Abstract
backgroundTanzania has made great progress in reducing diarrhea mortality in under- five children. We examined factors associated with the decline and projected the impact of scaling up interventions or reducing risk factors on diarrhea deaths.
methodsWe reviewed economic, health, and diarrhea-related policies, reports and programs implemented during 1980 to 2015. We used the Lives Saved Tool to determine the percentage reduction in diarrhea-specific mortality attributable to changes in coverage of the interventions and risk factors, including direct diarrhea-related interventions, nutrition, and water, sanitation and hygiene (WASH). We projected the number of diarrhea deaths that could be prevented in 2030, assuming near universal coverage of different intervention packages.
resultsDiarrhea-specific mortality among under-five children in Tanzania declined by 89% from 35.3 deaths per 1000 live births in 1980 to 3.9 deaths per 1000 live births in 2015. Factors associated with diarrhea-specific under-five mortality reduction included oral rehydration solution (ORS) use, changes in stunting prevalence, vitamin A supplementation, rotavirus vaccine, change in wasting prevalence and change in age-appropriate breastfeeding practices. Universal coverage of direct diarrhea, nutrition and WASH interventions has the potential reduce the diarrhea-specific mortality rate by 90%.
conclusionsScaling up of a few key childhood interventions such as ORS and nutrition, and reducing the prevalence of stunting would address the remaining diarrhea-specific under-five mortality by 2030.
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