ArticleBMJ global health2024
Learning from Ethiopia's success in reducing maternal and neonatal mortality through a health systems lens.
Article in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Severe maternal outcomes and their underlying causes in Ethiopia. Systematic review and meta-analysis.Women's health (London, England)Pooled it
- Effectiveness of the electronic Community Health Information System on maternal continuum of care completion in rural East Shewa Zone, Eastern Ethiopia: A prospective controlled quasi-experimental study.PLOS digital health · 2026Article
- Reducing unnecessary antibiotic exposure among neonates evaluated for suspected early-onset sepsis through an adapted risk-stratification and antimicrobial stewardship pathway in northwest Ethiopia: a prospective quality improvement study.BMJ paediatrics open · 2026Article
- Regional inequalities and temporal trends in maternal disorders across sub-Saharan Africa, 1990-2023: a systematic analysis of the global burden of disease 2023 data.Archives of public health = Archives belges de sante publique · 2026Article
- Barriers and facilitators of parental healthcare-seeking for sick young infants with possible serious bacterial infection in Ethiopia: a qualitative study using a socio ecological model.BMC health services research · 2026Article
- Modeling and forecasting neonatal mortality in Ethiopia: a comparative study using statistical, machine learning, and deep learning approaches.Archives of public health = Archives belges de sante publique · 2026Article
- Quality of Medication Abortion Services From Pharmacies and Drugstores in Ethiopia: A Two-Stage Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- The lived experience, perceptions, and barriers of continuum of maternal health care services utilization: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Decision-to-delivery interval and associated factors among women undergoing emergency caesarean section in public hospitals of West and North Gojjam Zones, Northwest Ethiopia: A cross-sectional study, 2024.SAGE open medicine · 2026Article
- Fifty years of maternal mortality research in sub-Saharan Africa: a bibliometric analysis of trends, gaps, and opportunities for health equity.Frontiers in global women's health · 2026Review
- Article
- Urban-rural disparities in receipt of treatment for obstetric complications in Ethiopia: A multivariate decomposition analysis.PloS one · 2026Article
- Women's Satisfaction with Midwifery-Led Continuity of Care: Insights from Antenatal, Intrapartum, and Postnatal Experiences in the Sidama Region, Ethiopia. A Non-Randomized Control Trial.Health services insights · 2026Article
- Social mechanisms of maternal health service use among pregnant women facing intersecting vulnerabilities in Ethiopia: a cross-sectional study.BMJ public health · 2026Article
- Regional Disparities and Emerging Topics in Human Milk Research Across Africa: A Scoping Review.Food science & nutrition · 2025Article
- Assessment of healthcare facilities' readiness to provide antenatal care in Ethiopia: facility based study using service provision assessment data.Archives of public health = Archives belges de sante publique · 2025Article
- The effect of midwifery-led continuum of care to improve maternal and newborn outcomes in the Sidama region, Ethiopia: A non-randomized control trial study.SAGE open medicine · 2025Article
- The Involvement of Religious Leaders in Supporting Institutional Childbirth in Rural Jimma Zone, Oromia, Southwest Ethiopia: An exploratory Qualitative Study.Journal of religion and health · 2024Article
- Intimate Partner Violence and its associated factors among pregnant women receiving antenatal care. A Bayesian analysis approach.PloS one · 2024Article
- Knowledge, attitude, practice and associated factors about voluntary blood donation among regular undergraduate students of Wachemo University, Southcentral Ethiopia: a cross-sectional study.Frontiers in public health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
25 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to enhance insights into the key characteristics of maternal and neonatal mortality declines in Ethiopia, conducted as part of a seven-country study on Maternal and Newborn Health (MNH) Exemplars.
methodsWe synthesised key indicators for 2000, 2010 and 2020 and contextualised those with typical country values in a global five-phase model for a maternal, stillbirth and neonatal mortality transition. We reviewed health system changes relevant to MNH over the period 2000-2020, focusing on governance, financing, workforce and infrastructure, and assessed trends in mortality, service coverage and systems by region. We analysed data from five national surveys, health facility assessments, global estimates and government databases and reports on health policies, infrastructure and workforce.
resultsEthiopia progressed from the highest mortality phase to the third phase, accompanied by typical changes in terms of fertility decline and health system strengthening, especially health infrastructure and workforce. For health coverage and financing indicators, Ethiopia progressed but remained lower than typical in the transition model. Maternal and neonatal mortality declines and intervention coverage increases were greater after 2010 than during 2000-2010. Similar patterns were observed in most regions of Ethiopia, though regional gaps persisted for many indicators. Ethiopia's progress is characterised by a well-coordinated and government-led system prioritising first maternal and later neonatal health, resulting major increases in access to services by improving infrastructure and workforce from 2008, combined with widespread community actions to generate service demand.
conclusionEthiopia has achieved one of the fastest declines in mortality in sub-Saharan Africa, with major intervention coverage increases, especially from 2010. Starting from a weak health infrastructure and low coverage, Ethiopia's comprehensive approach provides valuable lessons for other low-income countries. Major increases towards universal coverage of interventions, including emergency care, are critical to further reduce mortality and advance the mortality transition.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.