Evidence map›Paper›PMID 41877280›Full record

ArticleTropical medicine and health2026

Trends and inequalities in acute respiratory tract infections in Indonesia: an application of the World Health Organization's Health Equity Assessment Toolkit.

Qorinah Estiningtyas Sakilah Adnani, Khadijat Adeleye, Bibek Giri, Augustus Osborne, Richard Gyan Aboagye, Bright Opoku Ahinkorah

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

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Qorinah Estiningtyas Sakilah AdnaniDepartment of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Khadijat AdeleyeElaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, MA, USA.
Bibek GiriResearch Institute for Collaborative Development, Kathmandu, Nepal.
Augustus OsborneDepartment of Biological Sciences, School of Basic Sciences, Njala University, Njala, Sierra Leone.
Richard Gyan AboagyeDepartment of Family and Community Health, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Volta Region, Ghana. aboagyegyan94@gmail.com.
Bright Opoku AhinkorahCollege of Health, Adelaide University, Adelaide, SA, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute respiratory tract infections in children present a substantial public health burden. Understanding the trends and determinants in Indonesia is essential for designing and implementing interventions to lower incidence, especially among children under five. Therefore, we examined trends and disparities related to acute respiratory tract infections in Indonesia.

methodsWe conducted a cross-sectional analysis of data from the Indonesia Demographic Health Survey (2003-2017) using the online version of the World Health Organization's Health Equity Assessment Toolkit (WHO HEAT). Prevalence estimates for acute respiratory tract infections in children were computed using the designated stratifiers within the WHO HEAT software. Four metrics: difference (D), ratio (R), population attributable fraction (PAF), and population attributable risk (PAR) were employed to assess the inequality in acute respiratory tract infections.

resultsThe results showed a decline in acute respiratory tract infections and disparities across the inequality dimensions. The age-related inequality decreased from a difference of 0.1 in 2003 to -1.5 in 2017. Economic-related inequality decreased from a difference of 3.1 in 2003 to 3.0 in 2017. Education inequality decreased from a difference of 3.1 in 2003 to 1.8 in 2017. The disparity in place of residence was zero in 2003 and reduced to -8.7 in 2017, signifying a reduction in inequality in this domain. Sex-related inequality increased from a difference of -0.3 in 2003 to -0.5 in 2017, suggesting a higher prevalence among male children. Regional inequalities in acute respiratory infection declined from 17.5 in 2003 to 9.1 in 2017, indicating that children in certain regions are disproportionately affected by acute respiratory infections in Indonesia, but the gap has reduced over time.

conclusionOur study found that acute respiratory infections are prevalent among children living in rural areas, those from low-income households, and those whose mothers have lower educational level in Indonesia. The current findings provide vital insights for governing bodies at all levels on ensuring that health services are accessible, reliable, and equitable. Consequently, stakeholders must work to improve the effectiveness of health policies and legislation affecting households, especially in rural regions, among those from economically disadvantaged backgrounds, and those with limited or no access to formal education. These measures may reduce acute respiratory infections and lessen their adverse effects on children in Indonesia.

Indexed as

Acute respiratory tract infectionsHealth Equity Assessment ToolkitIndonesiaInequalities

Identifiers

PMID41877280
PMCPMC13085756

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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.