Evidence map›Paper›PMID 42251460›Full record

ArticleTropical medicine and health2026

A rapid evaluation of the preparedness of Ethiopia's disease surveillance system for Mpox outbreak: a cross-sectional study of perspectives from professionals across various levels.

Gelan Ayana Zewdie, Henok Gulilat, Ketema Lemma Abdi, Firanol Teshome, Gelane Biru, Hundessa Daba Nemomssa, Tabarak Malik, Million Tesfaye Eshete, Mirkuzie Woldie, Ahmed Zeynudin and 4 more

Abstract read
In one paragraph

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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The emergence of Mpox in Ethiopia: implications for public health action.Tropical diseases, travel medicine and vaccines · 2025
    Article
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

14 authors.

Gelan Ayana ZewdieArtificial Intelligence & Mathematical Modeling Lab (AIMMLab), Dalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, ON, M5T 3M7, Canada.
Henok GulilatGlobal South Artificial Intelligence for Pandemic and Epidemic Preparedness Network (AI4PEP), Toronto, Canada.
Ketema Lemma AbdiGlobal South Artificial Intelligence for Pandemic and Epidemic Preparedness Network (AI4PEP), Toronto, Canada.
Firanol TeshomeGlobal South Artificial Intelligence for Pandemic and Epidemic Preparedness Network (AI4PEP), Toronto, Canada.
Gelane BiruGlobal South Artificial Intelligence for Pandemic and Epidemic Preparedness Network (AI4PEP), Toronto, Canada.
Hundessa Daba NemomssaGlobal South Artificial Intelligence for Pandemic and Epidemic Preparedness Network (AI4PEP), Toronto, Canada.
Tabarak MalikDepartment of Biomedical Sciences, Jimma Institute of Health, Jimma University, 378, Jimma, Ethiopia.
Million Tesfaye EsheteSustainable Health Unit, Faculty of Medicine, University of Oslo, Oslo, Norway.
Mirkuzie WoldieFenot Associates, Addis Ababa, Ethiopia.
Ahmed ZeynudinGlobal South Artificial Intelligence for Pandemic and Epidemic Preparedness Network (AI4PEP), Toronto, Canada.
Adane Tadesse GebryuGlobal South Artificial Intelligence for Pandemic and Epidemic Preparedness Network (AI4PEP), Toronto, Canada.
Netsanet Workneh GidiGlobal South Artificial Intelligence for Pandemic and Epidemic Preparedness Network (AI4PEP), Toronto, Canada.
Minyahil Tadesse BoltenaArtificial Intelligence and Digital Health Innovation Lab, Armauer Hansen Research Institute, Ministry of Health, 1005, Addis Ababa, Ethiopia.
Jude KongArtificial Intelligence & Mathematical Modeling Lab (AIMMLab), Dalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, ON, M5T 3M7, Canada. jude.kong@utoronto.ca.

Funding

Canada Research Chairs CRC-2023-00234Foreign, Commonwealth and Development Office 110554-001International Development Research Centre 110693-001Natural Sciences and Engineering Research Council of Canada RGPIN-2022-04559NSERC Discovery Launch Supplement DGECR-2022-00454
6 · The paper itself

Abstract

backgroundThe potential re-emergence of Mpox poses an increasing public health concern in the Horn of Africa, particularly in Ethiopia. This study examined perceptions of preparedness among surveyed surveillance professionals in Ethiopia regarding the disease surveillance system's ability to detect and respond to a potential Mpox outbreak.

methodsA descriptive cross-sectional survey design was employed, utilizing a structured 58-item questionnaire that assessed preparedness across five domains: general awareness and understanding, surveillance infrastructure and resources, coordination and communication, preparedness and response, and policy, training, and equity. The survey was distributed to disease surveillance professionals at both federal and regional levels through purposive sampling. The data were analyzed using descriptive statistics, Mann-Whitney U tests, Cramér's V, and content analysis.

resultsAmong the 42 surveyed surveillance professionals, 45.3% believed that the surveillance system could effectively respond to an Mpox outbreak, while 54.7% disagreed, reflecting divided perceptions within the sample. Respondents identified several perceived gaps, including limited awareness of Mpox-specific protocols, insufficient training, inadequate diagnostic capacity, and fragmented coordination across sectors. A substantial proportion of respondents reported system-related challenges, with 83.3% perceiving laboratory facilities as inadequate and 78.6% noting the absence of contingency plans. In addition, 57.1% indicated that their organizations lacked staff trained on Mpox, and 59.5% reported no stockpiles of personal protective equipment. Overall, the surveyed professionals expressed mixed perceptions of preparedness, with notable concerns regarding resource allocation, infrastructure, and policy implementation.

conclusionsThe study identifies perceived gaps among the 42 surveyed surveillance professionals regarding Mpox preparedness in Ethiopia, highlighting the need for enhanced training, strengthened infrastructure, improved coordination, and more equitable resource distribution. Addressing these gaps through targeted interventions may help strengthen disease surveillance capacity and improve the ability to detect, respond to, and manage emerging health threats such as Mpox.

Indexed as

EthiopiaMpoxPreparednessSurveillance

Identifiers

PMID42251460
PMCPMC13285013

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.