Evidence map›Paper›PMID 39080691›Full record

SynthesisItalian journal of pediatrics2024

Utilization of integrated community-based case management of childhood illness and associated factors in Ethiopia: a systematic review and meta-analysis.

Maru Mekie, Yismaw Yimam Belachew, Setegn Muche Fenta, Wassie Yazie Ferede, Enyew Dagnew Yehuala, Wubet Taklual, Demewoz Kefale Mekonen, Dagne Addisu

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Italian journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

8 authors.

Maru MekieCollege of Health Sciences, Department of Midwifery, Debre Tabor University, PO.BOX: 272, Debre Tabor, Ethiopia. maru.mekie1@gmail.com.ORCID http://orcid.org/0000-0001-6022-4717
Yismaw Yimam BelachewCollege of Health Sciences, School of Medicine, Department of Gynecology and Obstetrics, Debre Tabor University, Debre Tabor, Ethiopia.
Setegn Muche FentaCollege of Natural and Computational Sciences, Department of Statistics, Debre Tabor University, Debre Tabor, Ethiopia.
Wassie Yazie FeredeCollege of Health Sciences, Department of Midwifery, Debre Tabor University, PO.BOX: 272, Debre Tabor, Ethiopia.
Enyew Dagnew YehualaCollege of Health Sciences, Department of Midwifery, Debre Tabor University, PO.BOX: 272, Debre Tabor, Ethiopia.
Wubet TaklualCollege of Health Sciences, School of Public Health, Debre Tabor University, Debre Tabor, Ethiopia.
Demewoz Kefale MekonenCollege of Health Sciences, Department of Pediatrics and Child Health Nursing, Debre Tabor University, Debre Tabor, Ethiopia.
Dagne AddisuCollege of Health Sciences, Department of Midwifery, Debre Tabor University, PO.BOX: 272, Debre Tabor, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite significant progress being made in reducing under-five mortality, three-fourths of under-five deaths are still caused by preventable conditions such as pneumonia, diarrhea, malaria, and newborn issues. Integrated community case management of childhood illnesses (ICCM) could serve as a means to reduce preventable child mortality in Low- and Middle-Income countries. Our aim was to assess the overall level of ICCM utilization and its associated factors in Ethiopia.

methodsCandidate studies for inclusion in this review were identified through searches across various databases, including PubMed, EMBASE, Google Scholar, and university repositories online databases, spanning from February 1, 2024, to March 18, 2024. The quality assessment of the studies included in this systematic review and meta-analysis was conducted using the Newcastle-Ottawa Quality Assessment Scale (NOS). Data extraction and analysis were carried out using Microsoft Excel and Stata 17 software, respectively. Heterogeneity among the studies was assessed using Cochran's Q test and I

resultsIn this study, the pooled level of ICCM utilization was found to be 42.73 (95%, CI 27.65%, 57.80%) based on the evidence obtained from ten primary studies. In this review, parents' awareness about illness (OR = 2.77, 95%, CI 2.06, 3.74), awareness about ICCM service (OR = 3.64, 95%, CI 2.16, 6.14), perceived severity of the disease (OR = 3.14, 95%, CI 2.33, 4.23), secondary/above level of education (OR = 2.57, 95%, CI 1.39, 4.77), and live within 30 min distance to the health post (OR = 3.93, 95%, CI 2.30, 6.74) were variables significantly associated with utilization of ICCM in Ethiopia.

conclusionThe utilization of ICCM was found to be low in Ethiopia. Factors such as parents' awareness about the illness, knowledge of ICCM services, perceived severity of the disease, attending a secondary or more level of education, and living within 30 min distance to the health post were significantly associated with the utilization of ICCM. Therefore, it is crucial to focus on creating awareness and improving access to high-quality ICCM services to reduce child morbidity and mortality from preventable causes.

Indexed as

Case ManagementChildChild MortalityChild, PreschoolCommunity Health ServicesEthiopiaHumansInfantAssociated factorsChild mortalityEthiopiaICCMUtilization

Identifiers

PMID39080691
PMCPMC11389298

What OpenQuestion holds

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Registered trials

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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.