Evidence map›Paper›PMID 33942230›Full record

ArticleMaternal and child health journal2021

Could COVID-19 Reverse the Modest Gains Made in Newborn Health in Ethiopia?

Abiy Seifu Estifanos, Kescha Kazmi, Shaun K Morris

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Article in Maternal and child health journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

3 authors.

Abiy Seifu EstifanosDepartment of Reproductive, Family and Population Health, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Kescha KazmiDivision of Infectious Diseases, Department of Pediatrics, Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada. Kescha.kazmi@sickkids.ca.ORCID http://orcid.org/0000-0003-1564-5488
Shaun K MorrisDivision of Infectious Diseases, Department of Pediatrics, Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEthiopia has made remarkable progress in reducing childhood and neonatal mortality in the last two decades. However, with the spread of the COVID-19 pandemic in Ethiopia, disruptions in routine health care pose a significant risk in reversing the gains made in neonatal mortality reduction.

methodsUsing the World Health Organization's health systems building blocks framework we examined the mechanisms by which the pandemic may impact neonatal health.

resultsOur analysis suggests that the COVID-19 pandemic and measures taken by the government to control its spread could indirectly set back the gains made in neonatal mortality reduction in Ethiopia by weakening the health system building blocks. On the other hand, by exposing longstanding issues in the health system, the pandemic has pressed health sector stakeholders to urgently test innovative approaches to maintain delivery of essential health care.

conclusionsWe recommend that the Ministry of Health of Ethiopia strike a right balance between the control of the pandemic and ensuring provision of essential neonatal health services. As the pandemic continues to spread in the country, the government should avoid verticalization of pandemic response efforts and adopt a diagonal investment approach to effectively respond to the pandemic as well as build health system resilience to maintain the gains made in the neonatal health.

Indexed as

COVID-19Infant HealthDelivery of Health CareHealth Services AccessibilityHumansInfant, NewbornMaternal Health ServicesPandemicsPublic HealthSARS-CoV-2CoronavirusCOVID-19Maternal healthNewborn health

Identifiers

PMID33942230
PMCPMC8091985

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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.