Evidence map›Paper›PMID 42432555›Full record

SynthesisBMC public health2026

Evaluating effectiveness of protective interventions towards environmental contamination among under-five children: systematic review and meta-analysis in Africa.

Fisseha Alebachew Wassie, Tadesse Wuletaw Demissie, Getaneh Awoke Yismaw, Gedefaw Abeje Masresha, Getasew Mitiku Gelaye, Gashaw Mekete Adal, Arega Asnakew Agazie, Marie Libasie Ambaw

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public 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.

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

8 authors.

Fisseha Alebachew WassieEnvironmental health and department of Public Health, Debre Tabor Health Science College, Debre Tabor, Ethiopia. Fissehaalebachew9@gmail.com.
Tadesse Wuletaw DemissieNutrition and department of Nursing, Debre Tabor Health Science College, Debre Tabor, Ethiopia.
Getaneh Awoke YismawEpidemiologist and department of Public Health, University of Gondar, Gondar, Ethiopia.
Gedefaw Abeje MasreshaEpidemiologist and department of Public Health, Debre Tabor Health Science College, Debre Tabor, Ethiopia.
Getasew Mitiku GelayeEnvironmental health and department of Public Health, Debre Tabor Health Science College, Debre Tabor Ethiopia, Ethiopia.
Gashaw Mekete AdalPediatrics nursing and department of Nursing, Debre Tabor Health Science College, Debre Tabor, Ethiopia.
Arega Asnakew AgazieHealth Informatics and department of health informatics, Debre Tabor Health Science College, Debre Tabor Ethiopia, Ethiopia.
Marie Libasie AmbawHealth Informatics and department of health informatics, Debre Tabor Health Science College, Debre Tabor Ethiopia, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnder-five children have a high vulnerability to environmental contaminants for gastrointestinal tract (GIT), respiratory tract, and skin problems. Effective protective interventions on such cases built future healthy and productive generation. The objective of this review and meta-analysis was evaluating the effectiveness of studies done under protective interventions in reducing environmental contaminants among children of under-five in African countries.

methodComprehensive searches were carried out across multiple databases like PubMed, MEDLINE, Cochrane Library, CINAHL, Science Direct, and Web of Science. Searches added from Google search, Google Scholar, African Journals Online (AJOL), and references list until June 30,2025. A PRISMA 2020 flow diagram was used for systematic review. A random-effect model was used to estimate the pooled effect size of the Risk ratio. Heterogeneity was evaluated using I

resultTwenty-seven studies were considered in the systematic review like cohort, case control, experimental studies and eleven RCT studies were included for pooled meta-analysis. Overall pooled effect size of effectiveness of protective interventions on environmental contamination was 59%, I

conclusionThis review evaluating Protective interventions of studies on environmental contaminations among children of under-five in Africa from 2015 to 2024. The meta-analysis identified different protective interventions strategies of WASH-based play yard, improved latrine, safe child feces disposal, treated drinking water at point of use, hand washing with soap at critical time, separated and ventilated kitchen, improved cook stove. Except for skin-related cases having limited interventions, our evaluation on the effectiveness of protective interventions of studies remarkably reduced children's exposure to environmental contamination. More study efforts were needed on such regard.

Indexed as

Environmental ExposureEnvironmental PollutionAfricaChild, PreschoolHumansInfantProgram EvaluationAfricaEffectivenessEnvironmental contaminationsEvaluationProtective interventionsUnder-five children

Identifiers

PMID42432555
PMCPMC13491795

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.