Evidence map›Paper›PMID 41348829›Full record

ArticlePloS one2025

Availability and readiness of health facilities for non-communicable disease services in Ethiopia: Evidence from the nationally representative health facility survey 2022.

Andualem Yalew Aschalew, Jenberu Mekurianew Kelkay, Getachew Teshale, Kaleb Assegid Demissie, Nebebe Demis Baykemagn, Azmeraw Tadele, Misganaw Guadie Tiruneh, Tesfahun Zemene Tafere, Asebe Hagos, Melak Jejaw

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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. Article
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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

10 authors.

Andualem Yalew AschalewDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.ORCID https://orcid.org/0000-0001-9652-0315
Jenberu Mekurianew KelkayDepartment of Public Health, College of Health Science, Debark University, Debark, Ethiopia.ORCID https://orcid.org/0009-0004-5526-3454
Getachew TeshaleDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Kaleb Assegid DemissieDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Nebebe Demis BaykemagnDepartment of Health Informatics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Azmeraw TadeleDepartment of Medical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Misganaw Guadie TirunehDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Tesfahun Zemene TafereDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Asebe HagosDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Melak JejawDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn response to the escalating non-communicable disease (NCD) challenge, effective management of NCDs requires sustained investments in infrastructure, trained health workforce, and the consistent availability of guidelines. Therefore, this study assessed both the availability and readiness of health facilities (HFs) to provide NCD-related services, while also examining how facility characteristics and health system factors are associated with service readiness.

methodsWe analysed data from the nationally representative Ethiopia Service Provision Assessment (ESPA) survey 2021-22 to determine the availability and readiness of HFs for cardiovascular diseases (CVDs), diabetes, chronic respiratory diseases (CRDs) and mental, neurological and substance (MNS) use disorders-related services using the WHO Service Availability and Readiness Assessment manual. Readiness score was measured as the average availability of tracer items in percent, and HFs were considered 'ready' for NCDs management if they scored ≥70 (out of 100). We performed weighted multivariable logistic regression to identify factors affecting NCD service readiness.

resultsApproximately 93% reported offering services for diabetes, CVDs, and CRDs, while only 26% provided MH services. Overall service readiness remains critically low when applying the 70% readiness threshold. Only 15.68% of facilities were deemed ready for diabetes, 10.64% for CVDs, 3.14% for CRDs, and 11.52% for MNS use disorders-related services. Public facilities demonstrated significantly higher preparedness than private facilities. A number of factors have been associated with better service readiness, including the location of the facility, the level of the facility, having a quality control unit, conducting regular administrative meetings and receiving external supervision.

conclusionsThis study reveals that overall service readiness for NCDs remains significantly low across HFs in Ethiopia. Public facilities and facilities located in urban settings demonstrated significantly higher levels of service readiness, highlighting substantial disparities in resource availability, integration with national health programs, and access to support systems. These findings underscore the need for Ethiopia's health system to move beyond service availability and focus on enhancing the preparedness of care delivery, with particular emphasis on equity and integration.

Indexed as

Health FacilitiesHealth Services AccessibilityNoncommunicable DiseasesDiabetes MellitusEthiopiaHumans

Identifiers

PMID41348829
PMCPMC12680257

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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.