Evidence map›Paper›PMID 41775465›Full record

ArticleBMJ open2026

Hepatitis B virus infection and its determinants among pregnant women in Ethiopia: protocol for umbrella review of systematic review and meta-analysis 2025.

Merkin Bekele, Woldetsadik Oshine Oche, Teketel Ermias Geltore, Eden Sileshi, Tesfahun Simon Hadaro, Bereket Akako Alano, Workineh Abera

Abstract read
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Merkin BekeleDepartment of Midwifery, Wachemo University, Hosaena, Ethiopia merkinbekele@gmail.com.ORCID http://orcid.org/0000-0001-7797-5760
Woldetsadik Oshine OcheNursing, Wachemo University, Durame, Ethiopia.ORCID http://orcid.org/0009-0002-0636-3411
Teketel Ermias GeltoreDepartment of Midwifery, Wachemo University, Hosaena, Ethiopia.ORCID http://orcid.org/0000-0002-4737-9607
Eden SileshiDepartment of Midwifery, Wachemo University, Hosaena, Ethiopia.
Tesfahun Simon HadaroMidwifery, Arba Minch University, arbaminch, Ethiopia.ORCID http://orcid.org/0009-0006-5983-9830
Bereket Akako AlanoSurgery, Addis Ababa University, Addis Ababa, Addis Ababa, Ethiopia.
Workineh AberaNursing, Wachemo University, Hossana, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAmong the five hepatitis viruses, the hepatitis B virus (HBV) is a major cause of serious acute and chronic liver infections worldwide. The major public health impact of HBV infection arises from chronic liver disease, including cirrhosis and hepatocellular carcinoma, which predominantly affects young and middle-aged adults of both sexes. Therefore, preventive interventions focusing on mothers and infants are critical due to vertical and early childhood transmission dynamics.HBV prevalence largely varies among pregnant women in Ethiopia because of multiple interrelated factors. This umbrella review will consolidate all existing systematic reviews and create a more reliable picture of HBV infection and its determinants among pregnant women in Ethiopia. METHODS AND ANALYSIS: This umbrella review will be conducted according to Preferred Reporting Items for Systematic reviews and Meta-Analyses reporting standards. The review will focus on identifying and integrating evidence from eligible systematic reviews and meta-analyses, with methodological quality appraised using the MeaSurement Tool to Assess systematic Reviews instrument. A comprehensive literature search strategy will be developed using relevant Medical Subject Headings alongside free-text keywords. Electronic searches will be conducted in PubMed/MEDLINE, African Journals Online, Web of Science, Scopus and Google Scholar. Statistical heterogeneity among the included reviews will be quantified using the I² statistic. Data management and meta-analytic procedures will be performed using STATA version 17, and effect estimates will be presented with corresponding 95% CIs to determine statistical precision. ETHICS AND DISSEMINATION: This review uses only published or publicly available data, so ethics approval is not required. Findings will be disseminated via peer-reviewed publications, conference presentations and shared with policymakers, healthcare partners, clinicians and patients to inform policy, enhance education and guide future research. PROSPERO REGISTRATION NUMBER: PROSPERO (CRD420251118982).

Indexed as

Hepatitis BPregnancy Complications, InfectiousEthiopiaFemaleHepatitis B virusHumansInfectious Disease Transmission, VerticalMeta-Analysis as TopicPregnancyPrevalenceResearch DesignSystematic Reviews as Topicand meta- analysisethiopiahepatitis Bpregnant womenprevalencesero prevalencesystematic review

Identifiers

PMID41775465
PMCPMC12958971

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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.