Evidence map›Paper›PMID 35217531›Full record

ArticleBMJ global health2022

Spatial codistribution of HIV, tuberculosis and malaria in Ethiopia.

Kefyalew Addis Alene, Ahmed Elagali, Dylan D Barth, Susan F Rumisha, Punam Amratia, Daniel J Weiss, Kendalem Asmare Atalell, Andargachew Kumsa Erena, Peter W Gething, Archie C A Clements

Open access · goldAbstract read
In one paragraph

Article in BMJ global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
5.1field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 38 citations in OpenAlex.

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  20. Geospatial Overlap of Undernutrition and Tuberculosis in Ethiopia.International journal of environmental research and public health · 2023
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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

10 authors at 3 institutions in 3 countries.

Kefyalew Addis AleneGeospatial Health and Development, Telethon Kids Institute, Nedlands, Western Australia, Australia KEFYALEW.ALENE@curtin.edu.au.
Ahmed ElagaliGeospatial Health and Development, Telethon Kids Institute, Nedlands, Western Australia, Australia.
Dylan D BarthUniversity of Western Australia, Perth, Western Australia, Australia.
Susan F RumishaGeospatial Health and Development, Telethon Kids Institute, Nedlands, Western Australia, Australia.
Punam AmratiaGeospatial Health and Development, Telethon Kids Institute, Nedlands, Western Australia, Australia.
Daniel J WeissGeospatial Health and Development, Telethon Kids Institute, Nedlands, Western Australia, Australia.
Kendalem Asmare AtalellSchool of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Andargachew Kumsa ErenaNational TB Control Program, Ministry of Health, Addis Ababa, Ethiopia.ORCID 0000-0003-1245-7676
Peter W GethingGeospatial Health and Development, Telethon Kids Institute, Nedlands, Western Australia, Australia.
Archie C A ClementsFaculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
The Kids Research Institute Australia · AUCurtin University · AUUniversity of Gondar · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHIV, tuberculosis (TB) and malaria are the three most important infectious diseases in Ethiopia, and sub-Saharan Africa. Understanding the spatial codistribution of these diseases is critical for designing geographically targeted and integrated disease control programmes. This study investigated the spatial overlap and drivers of HIV, TB and malaria prevalence in Ethiopia.

methodsHIV, TB and malaria data were obtained from different nationwide prevalence surveys, and geospatial covariates were obtained from publicly available sources. A Bayesian model-based geostatistical framework was applied to each survey leveraging the strength of high-resolution spatial covariates to predict continuous disease-specific prevalence surfaces and their codistribution.

resultsThe national prevalence was 1.54% (95% CI 1.40 to 1.70) for HIV, 0.39% (95% CI 0.34 to 0.45) for TB and 1.1% (95%CI 0.95 to 1.32) for malaria. Substantial subnational variation was predicted with the highest HIV prevalence estimated in Gambela (4.52%), Addis Ababa (3.52%) and Dire Dawa (2.67%) regions. TB prevalence was highest in Dire Dawa (0.96%) and Gambela (0.88%), while malaria was highest in Gambela (6.1%) and Benishangul-Gumuz (3.8%). Spatial overlap of their prevalence was observed in some parts of the country, mainly Gambela region. Spatial distribution of the diseases was significantly associated with healthcare access, demographic, and climatic factors.

conclusionsThe national distribution of HIV, TB and malaria was highly focal in Ethiopia, with substantial variation at subnational and local levels. Spatial distribution of the diseases was significantly associated with healthcare access, demographic and climatic factors. Spatial overlap of HIV, TB and malaria prevalence was observed in some parts of the country. Integrated control programmes for these diseases should be targeted to these areas with high levels of co-endemicity.

Indexed as

HIV InfectionsMalariaTuberculosisBayes TheoremEthiopiaHumansHIVmalariatuberculosis

Identifiers

PMID35217531
PMCPMC8867247
OpenAlexW4214619092

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.