Evidence map›Paper›PMID 39232694›Full record

ArticleBMC health services research2024

Readiness for non-communicable disease service delivery in Ethiopia: an empirical analysis.

Azeb Gebresilassie Tesema, Rohina Joshi, Seye Abimbola, Alemnesh H Mirkuzie, Daria Berlina, Tea Collins, David Peiris

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Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
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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

7 authors.

Azeb Gebresilassie TesemaSchool of Population Health, University of New South Wales, Sydney, Australia. a.tesema@unsw.edu.au.ORCID http://orcid.org/0000-0003-0618-4499
Rohina JoshiSchool of Population Health, University of New South Wales, Sydney, Australia.
Seye AbimbolaThe George Institute for Global Health, University of New South Wales (UNSW), Sydney, Sydney, Australia.
Alemnesh H MirkuzieEthiopia Public Health Institute, Addis Ababa, Ethiopia.
Daria BerlinaGlobal Noncommunicable Diseases Platform, World Health Organization, Geneva, Switzerland.
Tea CollinsGlobal Noncommunicable Diseases Platform, World Health Organization, Geneva, Switzerland.
David PeirisThe George Institute for Global Health, University of New South Wales (UNSW), Sydney, Sydney, Australia.

Funding

World Health Organization 001World Health Organization 2022/1249356
6 · The paper itself

Abstract

backgroundEthiopia's health system is overwhelmed by the growing burden of non-communicable diseases (NCDs). In this study, we assessed the availability of and readiness for NCD services and the interaction of NCD services with other essential and non-NCD services.

methodsThe analysis focused on four main NCD services: diabetes mellitus, cardiovascular diseases, chronic respiratory diseases, and cancer screening. We used data from the 2018 Ethiopian Service Availability and Readiness Assessment (SARA) survey. As defined by the World Health Organization, readiness, both general and service-specific, was measured based on the mean percentage availability of the tracer indicators, such as trained staff and guidelines, equipment, diagnostic capacity, and essential medicines and commodities needed for delivering essential health services and NCD-specific services, respectively. The survey comprised 632 nationally representative healthcare facilities, and we applied mixed-effects linear and ordered logit models to identify factors affecting NCD service availability and readiness.

resultsOnly 8% of facilities provided all four NCD services. Availability varied for specific services, with cervical cancer screening being the least available service in the country: less than 10% of facilities, primarily higher-level hospitals, provided cervical cancer screening. General service readiness was a strong predictor of NCD service availability. Differences in NCD service availability and readiness between regions and facility types were significant. Increased readiness for specific NCD services was significantly associated with increased readiness for communicable disease services and interacted with the readiness for other NCD services.

conclusionNCD service availability has considerable regional variation and is positively associated with general and communicable disease services readiness. Readiness for specific NCD services interacted with one another. The findings suggest an integrated approach to service delivery, focussing holistically on all disease services, is needed. There also needs to be increased attention to reducing resource allocation variation between facility types and locations.

Indexed as

Health Services AccessibilityNoncommunicable DiseasesCardiovascular DiseasesDelivery of Health CareDiabetes MellitusEarly Detection of CancerEthiopiaFemaleHealth FacilitiesHumansRespiratory Tract DiseasesEthiopiaHealth service readinessNon-communicable diseases

Identifiers

PMID39232694
PMCPMC11375874

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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.