ArticlePLOS global public health2025
Exploring barriers and associated factors in the preparedness for cholera outbreak response in Public Health Centres of Addis Ababa, Ethiopia.
Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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
2 citing papers in PubMed.
- Role of communities in preparedness, response and resilience to cholera epidemics: a systematic review protocol.BMJ public health · 2026Article
- Building systems for preparedness: Global scoping studies on institutional governance and National Public Health Agencies.PLOS global public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cholera remains a significant public health threat in Ethiopia, where recurrent outbreaks disproportionately affect urban populations. Despite the critical role of primary healthcare centers in outbreak response, their level of preparedness (long-term planning, including protocols, training, and resource allocation) and readiness (immediate operational capacity for response) in Addis Ababa is not well understood. An Institutional-based, cross-sectional mixed-methods study was conducted from August to September 2024 across all 101 public health centers in Addis Ababa. Quantitative data were collected using a standardized 14-point WHO checklist (adapted from the Ethiopian national cholera preparedness guideline), which assessed preparedness and readiness and analyzed using binary logistic regression in SPSS version 25. Qualitative data from five key informant interviews and two focus group discussions with health administrators and providers were analyzed thematically to explore barriers.. A total of 101 health centers data found in Addis Ababa were analyzed. Preparedness was measured as meeting ≥75% of indicators (11/14), combining both structural preparedness and operational readiness components. From the total 101 health centers 56 (55.4%) with 95% CI (45.2-65.3) of them were prepared for cholera outbreak response. Having emergency preparedness response plan had significant association with cholera outbreak response preparedness in multivariable analysis at 95% CI (p < 0.05). (AOR = 6.88, 95% CI= (1.39-9.89)). The main themes that emerged were financial barriers, lack of cooperation and multi sectorial involvement, and lack of motivation from the health care workers. Cholera outbreak preparedness in health centers of Addis Ababa was found to be 56.7%. Having emergency preparedness response plan in health centers had significant association with cholera outbreak response preparedness. Lack of multi sectorial involvement, financial barrier and lack of motivation from healthcare providers were the main identified barriers towards cholera outbreak response preparedness. The government should develop and implement a comprehensive emergency preparedness response plan specifically addressing cholera outbreaks.
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.