Evidence map›Paper›PMID 37179380›Full record

ArticleScientific reports2023

Unimproved water and sanitation contributes to childhood diarrhoea during the war in Tigray, Ethiopia: a community based assessment.

Akeza Awealom Asgedom, Birhanu Tewoldemedhin Abirha, Askual Girmay Tesfay, Kelali Kaleaye Gebreyowhannes, Hayelom Birhanu Abraha, Gessessew Bugssa Hailu, Mesele Bahre Abrha, Mache Tsadik, Tesfay Gebregziabher Gebrehiwet, Aregawi Gebreyesus and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 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

13 authors at 1 institution in 1 country.

Akeza Awealom AsgedomDepartment of Environmental Health and Behavioural Sciences, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia. awealomakeza@gmail.com.
Birhanu Tewoldemedhin AbirhaDepartment of Hygiene and Environmental Health, Tigray Health Bureau, Mekelle, Ethiopia.
Askual Girmay TesfayDepartment of Hygiene and Environmental Health, Tigray Health Bureau, Mekelle, Ethiopia.
Kelali Kaleaye GebreyowhannesDepartment of Parasitology, Tigray Health Research Institute, Mekelle, Ethiopia.
Hayelom Birhanu AbrahaDepartment of Hygiene and Environmental Health, Tigray Health Bureau, Mekelle, Ethiopia.
Gessessew Bugssa HailuDepartment of Medical Parasitology and Entomology, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Mesele Bahre AbrhaDepartment of Environmental Health and Behavioural Sciences, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Mache TsadikDepartment of Reproductive Health, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Tesfay Gebregziabher GebrehiwetDepartment of Health Systems, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Aregawi GebreyesusDepartment of Epidemiology, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Tilahun DesalewOXFAM Emergency Response - Tigray Field Office, Mekelle, Ethiopia.
Yibrah AlemayehuTigray Health Bureau, Mekelle, Ethiopia.
Afework MulugetaDepartment of Nutrition and Dietetics, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Mekelle University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Access to water, sanitation, and hygiene (WASH) is a global public health problem. The situation is worst in conflict areas, where people are displaced from their usual homes. Household supply of WASH and the incidence of diarrhoeal disease among children during the war in Tigray are not known or documented. The objective of this study was to investigate the sources of drinking water, sanitation and hygiene practices, and the incidence of diarrhoeal diseases among children during the war in Tigray, Ethiopia. A cross-sectional study was conducted to collect data on selected WASH indicators in six zones of Tigray from August 4-20, 2021. Data were collected from a total of 4381 sample households selected by lottery. Descriptive analysis was performed and the analysed data are presented in tables, figures and explanatory notes. Binary logistic regression was performed to examine the relationship between independent and dependent variables. A total of 4381 households from 52 woredas participated in the study. Approximately 67.7% of the study participants reported that they relied on an improved source of drinking water during the war. Coverage of sanitation, hand washing, and menstrual hygiene during the war was reported as 43.9%, 14.5%, and 22.1%, respectively. The prevalence of diarrhoeal diseases among children was 25.5% during the war. Water source, latrine type, solid waste disposal and health extension worker visits were the significant predictors of the likelihood of diarrhoea in children (p < 0.05). The results of the study show that a decrease in services from WASH is associated with a higher prevalence of diarrhoeal disease among children during the war in Tigray. To prevent the high prevalence of diarrhoeal disease among children in war-torn Tigray, Ethiopia, improved access to water and sanitation is recommended. In addition, collaborative efforts are needed to engage health extension workers to provide appropriate promotion and prevention services to war-affected communities in Tigray, Ethiopia. Further comprehensive surveys of households with children over one year of age are recommended to assess access to WASH and the burden of WASH associated diseases.

Indexed as

Drinking WaterChildCross-Sectional StudiesDiarrheaEthiopiaHumansHygieneMenstruationSanitationWater SupplyDrinking Water

Identifiers

PMID37179380
PMCPMC10182988
OpenAlexW4376642128

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.