Evidence map›Paper›PMID 35487674›Full record

ArticleBMJ global health2022

Geographical distribution of the health crisis of war in the Tigray region of Ethiopia.

Mulugeta Gebregziabher, Fasika Amdeselassie, Reiye Esayas, Zerihun Abebe, Hannah Silvia, Abeba A Teklehaimanot, Jeffrey E Korte, John L Pearce, James J Cochran

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 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
12.8field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 54 citations in OpenAlex.

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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

9 authors at 3 institutions in 2 countries.

Mulugeta GebregziabherPublic Health Sciences, Medical University of Southern Carolina, Charleston, South Carolina, USA gebregz@musc.edu.
Fasika AmdeselassieCollege of Health Sciences, Ethiopia and Mekelle University, Mekelle, Tigray, Ethiopia.
Reiye EsayasCollege of Health Sciences, Ethiopia and Mekelle University, Mekelle, Tigray, Ethiopia.
Zerihun AbebeCollege of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Hannah SilviaDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Abeba A TeklehaimanotDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Jeffrey E KorteDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
John L PearceDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
James J CochranCulverhouse College of Business, The University of Alabama, Tuscaloosa, Alabama, USA.
Medical University of South Carolina · USMekelle University · ETUniversity of Alabama · US

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
NCATS NIH HHS UL1 TR001450
6 · The paper itself

Abstract

War destroys health facilities and displaces health workers. It has a devastating impact on population health, especially in vulnerable populations. We assess the geographical distribution of the impact of war on healthcare delivery by comparing the pre-November 2020 and the November to June 2021 status of health facilities in the Tigray region of Ethiopia. Data were collected from February 2021 to June 2021, during an active civil war and an imposed communication blackout in Tigray. Primary data were collected and verified by multiple sources. Data include information on health facility type, geocoding and health facility status (fully functional (FF), partially functional (PF), not functional, no communication). Only 3.6% of all health facilities (n=1007), 13.5% of all hospitals and health centres (n=266), and none of the health posts (n=741), are functional. Destruction varies by geographic location; only 3.3% in Western, 3.3% in South Eastern, 6.5% in North Western, 8% in Central, 14.6% in Southern, 16% in Eastern and 78.6% in Mekelle are FF. Only 9.7% of health centres, 43.8% of general hospitals and 21.7% of primary hospitals are FF. None of the health facilities are operating at prewar level even when classified as FF or PF due to lack of power and water or essential devices looted or destroyed, while they still continue operating. The war in Tigray has clearly had a direct and devastating impact on healthcare delivery. Restoration of the destroyed health facilities needs to be a priority agenda of the international community.

Indexed as

Delivery of Health CareHealth PersonnelEthiopiaHumansArmed conflictEthiopiahealthcarehealth crisissocial determinants of healthTigraywar

Identifiers

PMID35487674
PMCPMC9058686
OpenAlexW4225117870

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.