Evidence map›Paper›PMID 38478508›Full record

ArticlePloS one2024

Causes of death among women of reproductive age during the war in Tigray, Ethiopia.

Hiluf Ebuy Abraha, Hale Teka, Awol Yemane Legesse, Mohamedawel Mohamedniguss Ebrahim, Mache Tsadik, Girmatsion Fisseha, Bereket Berhe, Brhane Ayele, Gebrehaweria Gebrekurstos, Tesfit Gebremeskel and 8 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 95% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Review
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

18 authors at 2 institutions in 2 countries.

Hiluf Ebuy AbrahaCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.ORCID 0000-0001-8685-184X
Hale TekaCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.ORCID 0000-0002-0968-4627
Awol Yemane LegesseCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.ORCID 0000-0001-8271-2447
Mohamedawel Mohamedniguss EbrahimCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Mache TsadikCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Girmatsion FissehaCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Bereket BerheCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Brhane AyeleTigray Health Research Institute, Mekelle, Tigray, Ethiopia.ORCID 0000-0003-4749-4629
Gebrehaweria GebrekurstosTigray Regional Health Buruea, Mekelle, Tigray, Ethiopia.
Tesfit GebremeskelCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Tsega GebremariamCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Martha Yemane HadushCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Tigist HagosCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Abraha GebreegziabherCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Kibrom MuezCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Haile TesfayTigray Regional Health Buruea, Mekelle, Tigray, Ethiopia.
Hagos GodefayTigray Regional Health Buruea, Mekelle, Tigray, Ethiopia.
Afework MulugetaCollege of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Mekelle University · ETUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn resource-limited countries with weak healthcare systems, women of reproductive age are particularly vulnerable during times of conflict. In Tigray, Ethiopia, where a war broke out on 04 November 2020, there is a lack of information on causes of death (CoD) among women of reproductive age. This study aims to determine the underlying CoD among women of reproductive age during the armed conflict in Tigray.

methodsThis community-based survey was carried out in six Tigray zones, excluding the western zone for security reasons. We used a multistage stratified cluster sampling method to select the smallest administrative unit known as Tabiya. Data were collected using a standardized 2022 WHO Verbal Autopsy (VA) tool. The collected data were analyzed using the InterVA model using R analytic software. The study reported both group-based and cause-specific mortality fractions.

resultsA total of 189,087 households were screened and 832 deaths were identified among women of reproductive age. The Global Burden of Disease classification showed that infectious and maternal disorders were the leading CoD, accounting for 42.9% of all deaths. External causes contributed to 26.4% of fatalities, where assault accounted for 13.2% of the deaths. Maternal deaths made up 30.0% of the overall mortality rate. HIV/AIDS was the primary CoD, responsible for 13.2% of all deaths and 54.0% of infectious causes. Other significant causes included obstetric hemorrhage (11.7%) and other and unspecified cardiac disease (6.6%).

conclusionsThe high proportion of infectious diseases related CoD, including HIV/AIDS, as well as the occurrence of uncommon external CoD among women, such as assault, and a high proportion of maternal deaths are likely the result of the impact of war in the region. This highlights the urgent need for targeted interventions to address these issues and prioritize sexual and reproductive health as well as maternal health in Tigray.

Indexed as

Acquired Immunodeficiency SyndromeCommunicable DiseasesMaternal DeathCause of DeathEthiopiaFemaleHumansPregnancySurveys and Questionnaires

Identifiers

PMID38478508
PMCPMC10936770
OpenAlexW4392763108

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.