Evidence map›Paper›PMID 34492085›Full record

ArticlePloS one2021

Under-five mortality and associated factors in southeastern Ethiopia.

Firaol Lemessa Kitila, Rahel Milkias Petros, Gebi Hussein Jima, Tewodros Desalegn, Abebe Sorsa, Isaac Yaw Massey, Chengcheng Zhang, Fei Yang

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% of its field
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Determinants of infant mortality in Oromia region, Ethiopia.Annals of medicine and surgery (2012) · 2023
    Article
  7. Article
  8. The factors associated with under-five mortality in Ethiopia.Annals of medicine and surgery (2012) · 2022
    Article
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

8 authors at 3 institutions in 2 countries.

Firaol Lemessa KitilaDepartment of Occupational and Environmental Health, Xiangya School of Public Health, Central South University, Changsha, Hunan Province, China.ORCID 0000-0002-9118-0929
Rahel Milkias PetrosDepartment of Pediatrics and Child Health, Asella Teaching and Referral Hospital, College of Health Sciences, Arsi University, Asella, Oromia, Ethiopia.
Gebi Hussein JimaDepartment of Public Health, College of Health Sciences, Arsi University, Asella, Oromia, Ethiopia.ORCID 0000-0003-4917-1292
Tewodros DesalegnDepartment of Public Health, College of Health Sciences, Arsi University, Asella, Oromia, Ethiopia.
Abebe SorsaDepartment of Pediatrics and Child Health, Asella Teaching and Referral Hospital, College of Health Sciences, Arsi University, Asella, Oromia, Ethiopia.
Isaac Yaw MasseyDepartment of Occupational and Environmental Health, Xiangya School of Public Health, Central South University, Changsha, Hunan Province, China.
Chengcheng ZhangDepartment of Occupational and Environmental Health, Xiangya School of Public Health, Central South University, Changsha, Hunan Province, China.
Fei YangDepartment of Occupational and Environmental Health, Xiangya School of Public Health, Central South University, Changsha, Hunan Province, China.
Central South University · CNArsi UniversityOromiyaa Regional Health Bureau · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the year 2019, around 5 million children under age five died and most of the deaths happened in developing countries. Though large numbers of deaths are reported in such countries, limited availability of data poses a substantial challenge on generating reliable estimates. Hence, this study aims to assess the prevalence and factors associated with under-five mortality in southeastern Ethiopia.

methodsA register based cross sectional study was conducted from 1st September 2014 to July 2019 in Asella teaching and referral hospital. A total of 4901 under-five age children registered on the admission and discharge book of pediatric ward with complete information were included for the analysis. Data entry and analysis were conducted using Epidata Version 7 and SPSS version 21, respectively. Descriptive statistics were used to explore the characteristics of the study participants and their condition at discharge. Adjusted Odds Ratio (AOR) with its 95% Confidence interval and P-value less than 5% was used to decide the statistically significant association.

resultsThe prevalence of under-five mortality among admitted children in Asella Teaching and Referral hospital was 8.7% (95% CI 7.91-9.50%). Post-Neonatal and Child mortality were found to be 9.1% and 8.18%, respectively. Moreover, large numbers of death (45.2%) were seen within the first 2 days of admission. Address (AOR:1.4(1.08-1.81)), HIV status (AOR:4.64 (2.19-9.8)), severe acute malnutrition (AOR:2.82 (2.03-3.91)), hypovolemic shock (AOR:4.32 (2.31-8.1)), type I diabetes with DKA (AOR:3.53(1.34-9.29) and length of stay in the hospital for ≤2 days (AOR: 4.28 (3.09-5.95)) as well as 3-4 days (AOR: 1.48 (1.02-2.15)) were among the identified predictors.

conclusionsThough childhood mortality is swiftly decreasing, and access and utilization of health care is improving in Ethiopia, our study found large prevalence of under-five mortality, 8.7% and higher number of deaths in early days of admission. Improving the quality of service has a paramount importance in reducing the mortality and managing associated factors contributing to under-five mortality among admitted children.

Indexed as

Child MortalityChild, PreschoolEthiopiaFemaleHospitalizationHumansInfantInfant, NewbornLength of StayMaleMultivariate AnalysisOdds RatioPatient Discharge

Identifiers

PMID34492085
PMCPMC8423275
OpenAlexW3197794720

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.