Evidence map›Paper›PMID 37798759›Full record

ArticleConflict and health2023

Child health services and armed conflict in Tigray, North Ethiopia: a community-based study.

Mache Tsadik, Hailay Gebretnsae, Asefa Ayalew, Akeza Awealom Asgedom, Aregawi Gebreyesus, Tigist Hagos, Marta Abrha, Kiros Weldegerima, Birikti Abrha, Gelawdiwos Gebre and 5 more

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In one paragraph

Article in Conflict and health, 2023. 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

15 authors.

Mache TsadikSchool of Public Health, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia.
Hailay GebretnsaeTigray Health Research Institute, Tigray, 07, Ethiopia.
Asefa AyalewSchool of Public Health, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia.
Akeza Awealom AsgedomSchool of Public Health, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia.
Aregawi GebreyesusSchool of Public Health, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia.
Tigist HagosSchool of Public Health, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia.
Marta AbrhaSchool of Medicine, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia.
Kiros WeldegerimaSchool of Medicine, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia.
Birikti AbrhaSchool of Midwifery, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia.
Gelawdiwos GebreSchool of Midwifery, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia.
Mulubrhan HagosSchool of Midwifery, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia.
Rie EsayasTigray Regional Health Bureau, Tigray, 07, Ethiopia.
Mezgebe GebregeorgisInstitute of population studies, Mekelle University, Tigray, 231, Ethiopia.
Hailay Abrha Gesesew *School of Public Health, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia. hailushepi@gmail.com.
Afework Mulugeta *School of Public Health, College of Health Sciences, Mekelle University, Tigray, 231, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to basic health services, notably child health services, is severely hampered by the armed conflict in Tigray, North Ethiopia. Little is known regarding the impacts of the armed conflict during the war in Tigray on access to child health services. The current study investigates the impact of the armed conflict on the utilization of child health services in Tigray.

methods4,381 caregivers from randomly recruited households (HHs) with at least one child younger than 1 year old participated in a community-based cross-sectional survey. We collected data on childhood immunizations and illness-related treatment seeking from August 4 to 20, 2021. We describe data using frequency and percentage and carry out an internal comparison among the study participants using chi-square tests.

results4,381 children under the age of one included in the study. In total, 39% of infants received no basic vaccines, 61.3% of the children under the age of one received at least one vaccine, and 20% received all the vaccinations recommended for their age. About 61% of children were affected by at least one childhood ailments where majority of them were from rural areas. Mothers who did not seek postnatal care (PNC) were responsible for more than 75% of reported childhood illnesses.

conclusionsA sizable portion of children were unvaccinated and had at least one childhood sickness while the war was in progress. Particularly, people who live in rural areas reported a higher percentage of children's illnesses but a lower use of child health services. To lower childhood morbidity and mortality in the besieged area, such as Tigray, local to global actors need to get coordinated and warrying parties should stop weaponization of vaccination healthcare services.

Indexed as

Armed-conflictChild healthChildhood illnessImmunizationTigrayVaccines

Identifiers

PMID37798759
PMCPMC10557173

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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.