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1. Predictors of delayed health seeking for febrile children: multi-level analysis of cross-sectional study data from southern Ethiopia

Author

Yilma Chisha, Tesfaye Feleke, Eshetu Andarge Zeleke, Zeleke Aschalew, Zeleke Girma Abate, Yosef Haile, Mulugeta Dalbo, and Misganu Endriyas

Subjects
delay treatment seeking, Gamo zone, Ethiopia, under five children, multi-level, prompt treatment seeking, Public aspects of medicine, RA1-1270
Abstract

BackgroundFebrile illnesses are commonly reported as a primary reason for seeking healthcare in sub-Saharan Africa. Timely diagnosis and getting prompt treatment within 24 h of fever onset is crucial to avert the risk of developing severe complications and death. Understanding factors contributing to delayed health seeking is important for public health interventions. Hence, this study aimed to assess individual- and contextual-level factors associated with the delay in seeking prompt treatment for children with fever.MethodA community-based cross-sectional study was conducted from September 2022 to June 2023 in Gamo zone, southern Ethiopia. Three districts were chosen, and then, from each district, six clusters or kebeles were chosen by simple random sampling. A total of 820 caregivers were randomly selected. A two-level mixed-effects logistic regression model was employed to identify factors associated with the delay in seeking prompt treatment. The associations were measured by an adjusted odds ratio (AOR), and statistical significance was declared at a 5% level of significance.ResultThe prevalence of the delay in seeking prompt care was 47.8%. Factors contributing to the delay were caregivers who were aged 30 years and above [AOR 0.23, 95% confidence interval (CI): 0.10–0.52], caregivers who followed the Protestant religion (AOR 3.67, 95% CI: 2.08–6.48), caregivers unable to read and write (AOR 5.32, 95% CI: 6.80–11.70), merchant caregivers (AOR 6.63, 95% CI: 2.75–15.97), caregivers who were exposed to only one media source (AOR 9.3, 95% CI: 8.43–15.60), caregivers with the experience of child death (AOR 0.05, 95% CI: 0.01–0.22), and caregivers seeking permission from their partners to access healthcare (AOR 12.64, 95% CI: 6.98–22.89).Conclusion and recommendationsThere was a high level of delay in seeking healthcare. Targeted community education through mass media, healthcare facilities, and community-level awareness campaigns should be strengthened to improve early treatment seeking and lessen the consequences of delayed treatment seeking.

Published
2024
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2. Maternal delay for institutional delivery and associated factors among postnatal mothers at Southeastern Ethiopia: a cross sectional study

Author

Derese Eshetu Debela, Zeleke Aschalew, Agegnehu Bante, Manaye Yihune, Degefa Gomora, Feisal Hussein, Ayele Sahile, and Abera Mersha

Subjects
Maternal delay, Institutional delivery, Postnatal, Bale, Ethiopia, Gynecology and obstetrics, RG1-991
Abstract

Abstract Background Maternal delay in timely seeking health care, inadequate health care and the inability to access health facilities are the main causes of maternal mortality in low and middle income countries. The three-delay approach was used to pinpoint responsible factors for maternal death. There was little data on the delay in decision making to seek institutional delivery service in the study area. Therefore, the aim of this study was to assess the extent of the first maternal delay for institutional delivery and its associated factors among postpartum mothers in the Bale and east Bale zones. Methods An institutional-based cross-sectional study was conducted among 407 postpartum mothers from April 6 to May 6, 2022. A systematic sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariate and multivariable analysis was done by using binary logistic regression model to identify factors associated with maternal delay for institutional delivery services. Statistical significance was declared at P-value

Published
2024
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3. Determinants of neonatal hypoglycemia among neonates admitted to neonatal intensive care units of public hospitals in Wolaita Zone, Southern Ethiopia, 2023: An unmatched case–control study

Author

Dawit Tesfaye Wodajo, Woiynshet Gebretsadik, Zeleke Aschalew Melketsedik, Nathan Desalegn, and Fikre Moga Lencha

Subjects
neonatal, hypoglycemia, determinants, case–control, Wolaita, Pediatrics, RJ1-570
Abstract

BackgroundGlobally, neonatal hypoglycemia is a common child health problem and significantly contributes to morbidity and mortality, with its impact being particularly detrimental in developing countries. Although being a prevalent metabolic condition, it is frequently overlooked. Furthermore, the problem is not adequately studied in Ethiopia, as seen by a few published studies on the topic, highlighting the lack of knowledge about its determinants.ObjectiveThis study aims to assess the determinants of neonatal hypoglycemia among neonates admitted to neonatal intensive care units of public hospitals in Wolaita Zone, Southern Ethiopia, 2023.MethodsAn institution-based unmatched case–control study design was conducted among 249 (83 cases and 166 controls) participants. Data were collected from 29 March to 23 May 2023 using a pretested chart review extraction tool/checklist. A consecutive sampling method was used for participant selection. Data were analyzed using Statistical Package for Social Science version 25. Binary logistic regression analysis was used to identify the determinants of neonatal hypoglycemia, and statistical significance was declared at P

Published
2024
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4. Practice of key essential nutrition action messages and associated factors among mothers of children aged six months to two years old in Karat town, Konso zone, South Ethiopia, 2024: a community-based cross-sectional study

Author

Tsehaynew Kasse, Zeleke Aschalew, Nathan Desalegn, Zenebe Jebero, Fikre Moga, and Addisalem Haile

Subjects
essential nutrition action, practice, mothers, children, Konso zone, Ethiopia, Public aspects of medicine, RA1-1270
Abstract

BackgroundKey essential nutrition actions (ENA) messages are a comprehensive and evidence-based nutritional package designed to improve the nutritional status during the critical first 1,000 days of life. The poor practice of ENA contributes significantly to mortality and morbidity related to malnutrition in young children. However, there is a dearth of studies focusing on the practice of key ENA messages among mothers and the factors associated with their practice. Therefore, this study aimed to assess the practice of key ENA messages among mothers of children aged 6 months to 2 years in Karat town, Konso zone, South Ethiopia in 2024.MethodsA community-based cross-sectional study involving 421 mothers of children aged 6 months to 2 years was conducted in Karat town, Konso zone, South Ethiopia from January 15 to February 29, 2024. Respondents were chosen using computer-generated random numbers. A structured, pretested, and interviewer-administered questionnaire was used to collect data. Following coding and entry into EpiData 3.1, the data were exported to SPSS version 25 for analysis. Logistic regression (bivariate and multivariable) was employed to identify factors influencing mothers’ practice of key ENA messages, and statistical significance was set at p

Published
2024
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5. Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study.

Author

Derese Eshetu, Zeleke Aschalew, Agegnehu Bante, Belda Negesa, Degefa Gomora, Neway Ejigu, Girma Geta, and Abera Mersha

Subjects
Public aspects of medicine, RA1-1270
Abstract

Maternal mortality occurs in developing nations as a result of inadequate health care, delayed medical attention and the inability to access medical facilities. The three-delay model was employed to determine the causes of maternal death. There was limited data on maternal delay in reaching health facilities for emergency obstetric care services in the study area. Therefore, the aim of this study was to assess the prevalence of delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale and east Bale zones. An institutional-based cross-sectional study was conducted among 407 postnatal women from April 6 to May 6, 2022. A systematic sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariable and multivariable analysis was done by using a binary logistic regression model to identify factors associated with delay in traveling for emergency obstetric care services. Statistical significance was declared at P-value < 0.05. In this study, the prevalence of delay in reaching health facilities during emergency obstetric care was 38.1% (95%CI: 33.3, 43). The following factors showed significant association with delay in reaching health facilities during emergency obstetric care: Average monthly income (AOR = 1.87; 95% CI: 1.12, 3.14), distance (AOR = 4.35; 95% CI: 2.65, 7.14), a referral from other health facilities (AOR = 1.77; 95% CI: 1.01, 3.11) and delay one (AOR = 2.9; 95% CI: 1.7, 4.93). This study showed that the prevalence of delay in reaching health facilities for emergency obstetric care services in the study area was high. Promoting road accessibility and transport mechanisms and strengthening referral mechanisms shall be emphasized.

Published
2024
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6. Assessing the influence of COVID-19 lockdown measures on cognition and behavior in school age children in Arba Minch Health and Demographic Surveillance site, Southern Ethiopia: A cross-sectional study.

Author

Befikadu Tariku Gutema, Eshetu Zerihun Tariku, Zeleke Aschalew Melketsedik, Bruno Levecke, Stefaan De Henauw, Amina Abubakar, and Souheila Abbeddou

Subjects
Public aspects of medicine, RA1-1270
Abstract

Ethiopian schools were closed for nearly 40 weeks as a measure to control the COVID-19 pandemic. The objective of the study was to evaluate the role of COVID-19 pandemic's restrictive measures on cognition and behavioral difficulties of schoolchildren in Arba Minch Health and Demographic Surveillance Site. Two cross-sectional surveys were conducted in November 2019 (pre-COVID-19-lockdown) and November 2020 (post-COVID-19 lockdown). Data were collected both at the school and homes of the children. Cognitive development of the children was assessed using digit span, Raven's coloured progressive matrices (RCPM) and Visual search using cancellation task. Behavioral difficulties score of the children was assessed using Strengths and Difficulties Questionnaire. Analysis of covariance (ANCOVA) was used to compare between the cognition outcomes and behavioral difficulties score pre- and post-COVID-19-lockdown. In a sub-group of children who provided data in both surveys, the difference in cognitive and behavioral outcomes was tested using a mixed effect model. Compared to the pre-COVID-19-lockdown, schoolchildren post-COVID-19-lockdown scored lower in the standardized performance index for the visual search task, which measures attention (0.27 SD, 95% confidence intervals (95%CI): -0.40, -0.13). However, they scored higher by 0.26 SD (95%CI: 0.13, 0.40) and 0.36 SD (95%CI: 0.22, 0.49) in digit span and RCPM, respectively, measuring working memory and non-verbal intelligence. There was no significant difference in total difficulties score between pre- and post-COVID-19-lockdown (0.01 SD, 95%CI: -0.12, 0.15). The subgroup analysis showed a significant increase in digit span among children post-COVID-19-lockdown while the other domains did not show a significant change. Factors contributing to the improvement of children's cognitive domains while away from the school environment should be explored and utilized to enhance child development. This study was registered at clinicaltrials.gov as NCT04137354 on October 14, 2019.

Published
2024
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7. Diaper dermatitis and associated factors among 1–24 months children visiting public health facilities of Arba Minch town, Gamo zone, southern Ethiopia

Author

Agegnehu Bante, Meseret Girma, Muluken Ahmed, and Zeleke Aschalew

Subjects
Diaper rash, Napkin dermatitis, Nappy rash, Risk factors, Predictors, Ethiopia, Science (General), Q1-390, Social sciences (General), H1-99
Abstract

Background: Diaper dermatitis is one of infants and toddlers' most common skin diseases; it accounts for 10–20 % of all skin diseases and 25 % of pediatric dermatology visits. Diaper dermatitis also increases parents' mental health problems and compromises the quality of life. Despite its ill outcome, diaper dermatitis's burden and risk factors are poorly studied in Ethiopia. Therefore, this study aimed to assess the magnitude of diaper dermatitis and associated factors among 1–24 months children visiting public health facilities in Arba Minch town, southern Ethiopia. Methods: A facility-based cross-sectional study was conducted among 671 mother-child pairs from May 15 to June 15, 2022. A structured and pretested interviewer-administered questionnaire and observational checklist were used to collect the information. The data was collected using an open data kit tools and analyzed using Stata version 17.0. Bivariable and multivariable analyses were carried out to identify factors associated with diaper dermatitis. P-value

Published
2023
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8. Delay in receiving emergency obstetric care and associated factors among mothers who gave birth in public hospitals of Bale and East Bale zones, Oromia region, South East Ethiopia: Facility based cross-sectional study

Author

Derese Eshetu, Zeleke Aschalew, Agegnehu Bante, Genet Fikedu, Mesfin Abebe, Degefa Gomora, Eden Silesh, Rediet Belay, Tewodros Getachew, Aregash Acha, and Abera Mersha

Subjects
Maternal delays, Emergency obstetric care, Bale, Ethiopia, Science (General), Q1-390, Social sciences (General), H1-99
Abstract

Introduction: Delays in timely seeking care, failure to reach health institutions and receiving ineffective health care cause maternal mortality in developing countries. The three maternal delay was used to identify contributing factors to maternal death. There was limited data on the maternal delay in receiving emergency obstetric care services in the study area. Therefore, the aim of this study was to assess the magnitude of delay in receiving emergency obstetric care and associated factors among postnatal mothers in the Bale and east Bale zones. Methods: A facility-based cross-sectional study was conducted among 407 postnatal women from April 6 to May 6, 2022. A systematic random sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariate and multivariable analyses were done by using a binary logistic regression model to identify factors associated with delay in receiving emergency obstetric care services. Statistical significance was declared at P-value < 0.05. Results: In this study, the magnitude of delay in receiving institutional delivery service utilization was 34.6% with [95% CI (30.0_39.5)]. Delay one was found to be statistically associated with maternal delay in receiving institutional delivery services (AOR = 2.07; 95% CI: 1.21, 3.53). Mothers with low monthly income had shown higher odds of delay (AOR = 1.79; 95% CI: 1.03, 3.10). Moreover, the delay in receiving emergency obstetric care was 89% less likely among mothers who had not been referred multiple times than among those who had been referred many times (AOR = 0.10; 95% CI: 0.06, 0.18). Conclusion: This study showed that the magnitude of the delay in receiving the utilization of emergency obstetric care services in the study area was high. Factors such as delay one, average monthly income and multiple referrals of mothers were found significant factors for delay in receiving care. Therefore, it is important to reduce delay in receiving institutional delivery by working on promoting road accessibility, transport mechanisms and building health education on key danger signs.

Published
2023
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9. Medication errors and associated factors among pediatric inpatients in public hospitals of gamo zone, southern Ethiopia

Author

Agegnehu Bante, Abera Mersha, Zeleke Aschalew, and Aklilu Ayele

Subjects
Incidence of medication errors, Risk factors, Predictors, Determinants, Children, Ethiopia, Science (General), Q1-390, Social sciences (General), H1-99
Abstract

Background: Medication errors are the most common medical errors in the world. In particular, pediatric patients are more susceptible to severe injuries and death. Despite their multidimensional impact, medication errors are not recognized well in developing nations, including Ethiopia. Thus, this study aimed to assess the prevalence of medication errors and associated factors among pediatric inpatients in public hospitals of Gamo zone, southern Ethiopia. Methods: A facility-based cross-sectional study was conducted among 416 pediatric inpatients from August 1, 2020, to February 30, 2021. Open data kit tools and Stata version 16.0 were used for data collection and analysis, respectively. Bivariable and multivariable analyses were performed to identify factors associated with medication errors. An adjusted odds ratio with a 95% confidence interval was computed and a P-value of 5 days (aOR: 1.83, 95% CI: 1.15, 2.93) were significantly associated with medication errors. Conclusion: Medication errors were high among pediatric inpatients as compared to previous national studies. To reduce the occurrences of medication errors, it is critical to create a suitable working environment, arrange education and training opportunities for providers, involve families in the medication administration process, and strictly adhere to medication administration rights.

Published
2023
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10. Clinical Competence of Nurses and the Associated Factors in Public Hospitals of Gamo Zone, Southern Ethiopia: A Cross-Sectional Study

Author

Shitaye Shibiru, Zeleke Aschalew, Mekidim Kassa, Agegnehu Bante, and Abera Mersha

Subjects
Nursing, RT1-120
Abstract

Introduction. Nursing competency is an essential component for improving the quality of care in the healthcare system. However, assessing competency solely on the dimensions of skills and knowledge does not provide complete picture of a nurse ability to provide quality patient care. This is because it lacks focus on the nurse’s attitudes and values, which are also important determinants of clinical competence. Therefore, this study aimed to assess the comprehensive clinical competence of nurses and its associated factors in public hospitals of Gamo Zone, Southern Ethiopia. Materials and Methods. A cross-sectional study was conducted using a census method to collect information from nurses through self-administered questionnaires. The data were entered into EpiData version 3.1 and exported to Stata version 15 for analysis. A linear regression model was used to identify factors associated with clinical competence. Results. In this study, the average clinical competence of nurses was 177.32, with a standard deviation of 19.19, and 31.2% of the respondents had a high level of clinical competence. Associated factors identified with clinical competence include gender, age, marital status, qualification, position, work experience, unit, interest in their profession, critical thinking disposition, clinical self-efficacy, and emotional intelligence. Conclusions. The overall level of clinical competence among nurses in this study was moderate. As such, nurses improve their clinical competence by receiving training and development opportunities that focus on critical thinking, clinical self-efficacy, and emotional intelligence; working in a supportive work environment that encourages them to take risks and learn from their mistakes; and being monitored and coached on a regular basis.

Published
2023
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11. Tobacco use and associated factors among adults reside in Arba Minch health and demographic surveillance site, southern Ethiopia: a cross-sectional study

Author

Befikadu Tariku Gutema, Adefris Chuka, Gistane Ayele, Wubshet Estifaons, Zeleke Aschalew Melketsedik, Eshetu Zerihun Tariku, Zerihun Zerdo, Alazar Baharu, and Nega Degefa Megersa

Subjects
Tobacco, Smoked, Smokeless, Health and demographic surveillance site (HDSS), Ethiopia, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Tobacco use is one of the world-leading preventable killers. There was a varied prevalence of tobacco use and cigarette smoking across different areas. The aim of the study was to assess the prevalence and factors associated with current tobacco use among adults residing in Arba Minch health and demographic surveillance site (HDSS). Methods A community-based cross-sectional study was conducted among adults residing in Arba Minch HDSS in 2017. The estimated sample size was 3368 individuals which were selected by simple random sampling techniques using Arba Minch HDSS dataset. Data collection tools were obtained from the WHO STEPwise. Current use of tobacco, which defined as the current use of smoked and/or smokeless tobacco, was considered as the dependent variable. A binary logistic regression model was used to identify candidate variables for the multivariable logistic regression model. An adjusted odds ratio (AOR) at a p-value of less than 0.05 was used to determine a statistically significant association between independent and dependent variables. Result The prevalence of tobacco use among adults was 20.2% (95% CI: 18.9–21.6%). The current use of smoked and smokeless tobacco were 17.1% (95%CI: 15.8–18.4%) and 9.7% (95%CI: 8.8–10.8%), respectively. The current use of tobacco was significantly associated with sex (female [AOR 0.54; 95%CI: 0.42–0.68] compared to men), age group (35–44 [AOR 1.57; 95%CI: 1.14–2.17], 45–54 [AOR 1.99; 95%CI: 1.45–2.74], and 55–64 [AOR 3.26; 95%CI: 2.37–4.48] years old compared to 25–35 years old), physical activity (moderate physical activity level [AOR 0.65; 95%CI: 0.44–0.96] compared with low) and residency (highland [AOR 4.39; 95% CI: 3.21–6.01] compared with at lowlander). Also, heavy alcohol consumption (AOR 3.97; 95% CI: 3.07–5.12), and Khat chewing (AOR 3.07(95%CI: 1.64–5.77) were also associated with the use of tobacco among the study participants. Conclusion Nearly one in five adults used tobacco currently in the study area, which is more than the national reports. Interventions for the reduction of tobacco use need to give due attention to men, older adults, uneducated, poor, and highlanders.

Published
2021
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12. Prevalence of heavy episodic drinking and associated factors among adults residing in Arba Minch health and demographic surveillance site: a cross sectional study

Author

Befikadu Tariku Gutema, Adefris Chuka, Gistane Ayele, Eshetu Zerhun Tariku, Zeleke Aschalew, Alazar Baharu, Nega Degefa, and Mekdes Kondale Gurara

Subjects
Alcohol, Heavy episodic drinking, Adults, Health and demographic surveillance system, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Alcohol consumption is associated with different types of illnesses; particularly heavy episodic drinking is one of the risk factors for the disease burden of alcohol intake. The aim of the study was to assess the prevalence of heavy episodic drinking and associated factors in Arba Minch Health and Demographic Surveillance Site (HDSS). Methods A community-based cross-sectional study was conducted in 2017 among adult residents of Arba Minch HDSS. Using Arba Minch HDSS database, 3368 individuals were selected by simple random sampling techniques. From WHO STEPS instruments, step one was applied for this study. Variables with a p-value of less than 0.10 for bivariate analysis entered into a multivariable logistic regression model to outline the independent predictors of the heavy episodic drinking. To assess the presence of an association between dependent and independent variables, a p-value of less than 0.05 was considered. Results The prevalence of heavy episodic drinking was 13.7% (95% CI: 12.6–14.9). The study has shown that heavy episodic drinking was significantly associated with occupation (daily laborer [AOR = 0.49; 95% C.I: 0.29–0.85] and housewives [AOR = 0.63; 95% C.I: 0.45–0.88] compared with farmers), wealth index (2nd quintiles [AOR =0.55; 95% C.I: 0.41–0.74) and 3rd quintiles [AOR = 0.66; 95% C.I: 0.46–0.93] compared with 1st quintiles), and climatic zone (midland [AOR = 1.80;95% CI: 1.11–2.93), highland [AOR = 1.95;95% CI: 1.19–3.18] compared with lowland). In addition, tobacco use [AOR = 4.28;95% CI: 3.38–5.43], and khat use [AOR = 4.75; 95% CI: 2.66–8.50) were also associated with heavy episodic drinking among the study participants. Conclusions More than one in ten adults reported heavy episodic drinking in the study area. Intervention programs that aim to prevent heavy episodic drinking should be designed appropriately for individuals from lower wealth status, and for highlander.

Published
2020
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13. Self- care practices and associated factors among adult diabetic patients in public hospitals of Dire Dawa administration, Eastern Ethiopia

Author

Asmare Getie, Biftu Geda, Tadesse Alemayhu, Agenehu Bante, Zeleke Aschalew, and Biresaw wassihun

Subjects
Diabetes mellitus, Self-care practice, Dire Dawa, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Diabetes is a huge growing problem, and causes high and escalating costs to society. Self- care practice for adults with diabetes is not well addressed in sub-Saharan Africa including Ethiopia. To prevent serious morbidity and mortality, diabetes treatment requires a commitment to demanding self-care practice. This study aimed to assess self- care practices and its associated factors among adults with diabetes in Dire Dawa public hospitals of Eastern, Ethiopia. Methods A cross-sectional study was conducted among 513 adults with diabetes. The study participants were selected through systematic random sampling. Data were collected from February 1st to March 1st, 2018. Patients were interviewed using a structured questionnaire. Data were entered into Epi-data version 3.3.1 and exported to SPSS version 22.0 for analysis. Bivariable and multivariable logistic regression with crude and adjusted odds ratios along with the 95% confidence interval was computed and interpreted accordingly. Good self-care was defined based on mean calculation; a result above the mean value had a good self-care practice, and a P-value of

Published
2020
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14. Exploring experiences of quarantined people during the early phase of COVID-19 outbreak in Southern Nations Nationalities and Peoples’ Region of Ethiopia: A qualitative study

Author

Ararso Baru Olani, Nega Degefa, Zeleke Aschalew, Mekdim Kassa, Tesfaye Feleke, Girma Gura, and Sarah Namee Wambete

Subjects
Medicine, Science
Abstract

Background Ethiopia enforced extremely rigorous contact tracing and mandatory quarantine for all suspected contact and travelers entering the country for a period of 14-days duration during the early phases of the COVID-19 outbreak. Several studies investigated the experience of quarantined people because of COVID-19 or previous outbreaks. However, quarantine is often perceived differently in different cultures because of its historical association with class, gender, ethnicity, politics, and prejudices. To our knowledge, there is limited literature on quarantine experience in Ethiopia related to either COVID-19 or other infectious diseases. Therefore, this study was aimed to explore quarantine experience of people in Southern Nations Nationalities and Peoples’ Region (SNNPR) of Ethiopia during early phase of COVID-19 pandemic. Methods The study implemented an exploratory qualitative research design using a phenomenological approach. Face-to-face in-depth interviews were conducted with purposively recruited 29 respondents. Digitally recorded audio files have been listened to several times and verbatim transcriptions were done. The transcribed narratives were examined independently and content analysis was carried out through reading and re-reading the verbatim several times, open coding, grouping, categorizing, and abstracting the final themes. Results Three broad themes were identified and characterized the experiences of quarantined people due to COVID-19. These themes were a) handling of the suspected person, b) adverse effects of quarantine and c) coping strategies. In addition, quarantine refusals; injustice in quarantine; quarantine errors; psychological distress; physiological changes; social effects; financial losses; personal and social coping strategies were the emerged sub-themes. Conclusions This study explored a range of complex experiences of quarantined people because of the COVID-19 outbreak in SNNPR. The quarantined people included in this study were adversely affected psychologically, physiologically, socially, and economically. They also experienced quarantine errors and injustice. There is a need to gather clear justification for close contact before forcing the suspect for mandatory quarantine. In addition, there is a need to develop risk communication strategy to approach suspected contacts for quarantine. Moreover, assessing psychological, physiological, social, and economic impacts of quarantine on the individuals while they are in quarantine and after release could be important. The use of personal and social coping strategies including psychosocial support may lessen the adverse impacts of the quarantine.

Published
2022

15. Utilization of non-pneumatic anti-shock garment and associated factors for postpartum hemorrhage management among obstetric care providers in public health facilities of southern Ethiopia, 2020

Author

Yordanos Gizachew Yeshitila, Agegnehu Bante, Zeleke Aschalew, Bezawit Afework, and Selamawit Gebeyehu

Subjects
Medicine, Science
Abstract

Background Delays in care have been recognized as a significant contributor to maternal mortality in low-resource settings. The non-pneumatic antishock garment is a low-cost first-aid device that can help women with obstetric haemorrhage survive these delays without long-term adverse effects. Extending professionals skills and the establishment of new technologies in basic healthcare facilities could harvest the enhancements in maternal outcomes necessary to meet the sustainable development goals. Thus, this study aims to assess utilization of non-pneumatic anti-shock garment to control complications of post-partum hemorrhage and associated factors among obstetric care providers in public health institutions of Southern Ethiopia, 2020. Methods A facility-based cross-sectional study was conducted among 412 obstetric health care providers from March 15 –June 30, 2020. A simple random sampling method was used to select the study participants. The data were collected through a pre-tested interviewer-administered questionnaire. A binary logistic regression model was used to identify determinants for the utilization of non-pneumatic antishock garment. STATA version 16 was used for data analysis. A P-value of < 0.05 was used to declare statistical significance. Results Overall, 48.5% (95%CI: 43.73, 53.48%) of the obstetric care providers had utilized Non pneumatic antishock garment for management of complications from postpartum hemorrhage. Training on Non pneumatic antishock garment (AOR = 2.92; 95% CI: 1.74, 4.92), working at hospital (AOR = 1.81; 95% CI: 1.04, 3.16), good knowledge about NASG (AOR = 1.997; 95%CI: 1.16, 3.42) and disagreed and neutral attitude on Non pneumatic antishock garment (AOR = 0.41; 95%CI: 0.24, 0.68), and (AOR = 0.39; 95% CI: 0.21, 0.73), respectively were significantly associated with obstetric care provider’s utilization of Non-pneumatic antishock garment. Conclusions In the current study, roughly half of the providers are using Non-pneumatic antishock garment for preventing complications from postpartum hemorrhage. Strategies and program initiatives should focus on strengthening in-service and continuous professional development training, thereby filling the knowledge and attitude gap among obstetric care providers. Health centers should be targeted in future programs for accessibility and utilization of non-pneumatic antishock garment.

Published
2021

16. Burden of intestinal helminths and associated factors three years after initiation of mass drug administration in Arbaminch Zuria district, Southern Ethiopia

Author

Getaneh Alemu, Zeleke Aschalew, and Eshetu Zerihun

Subjects
Prevalence, Helminth, School age children, Infectious and parasitic diseases, RC109-216
Abstract

Abstract Background Epidemiological information on the burden of various parasitic infections and associated factors in different localities is indispensable to develop appropriate control and prevention measures as well as to monitor and evaluate existing programs. Hence the aim of the present study was to assess the prevalence and associated factors of intestinal helminths among school age children in Arbaminch Zuria district, Southern Ethiopia. Methods A community based cross-sectional study was conducted by recruiting 391 primary school age children. Participants were selected using simple random sampling technique. Pre-tested structured questionnaire was used to collect data about socio-demographic characteristics and perceived factors associated with intestinal parasitosis. Stool microscopic examination was done following standard protocol. Data were analyzed using Statistical Package for Social Science version 22. Results Among 391 children participated, 181 (46.3%; 95% CI: 41.9–51.5) were infected with intestinal helminths. The magnitudes of single and double infections were 40.2% and 6.1% respectively. Seven helminths were detected among which Ascaris lumbricoides was with the highest frequency (56, 14.3%) followed by hookworms (55, 14.1%). Not washing fruits and vegetables before consumption (AOR = 2.16; 95%CI: 1.10–4.25, p = 0.026) and habit of swimming (AOR = 1.17; 95%CI: 1.03–1.95, p = 0.045) were significantly associated with helminthic infection. Conclusion High prevalence of intestinal helminthic infections among school age children demands integration of deworming with water, hygiene and sanitation as well as consistent health education.

Published
2018
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17. Prevalence of hypertension and associated factors among adult residents in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia.

Author

Adefris Chuka, Befikadu Tariku Gutema, Gistane Ayele, Nega Degefa Megersa, Zeleke Aschalew Melketsedik, and Tadiwos Hailu Zewdie

Subjects
Medicine, Science
Abstract

Hypertension is the leading risk factor for mortality and it is also one of the major risk factors for other non-communicable diseases (NCDs). The objective of the study was to assess the prevalence of hypertension and its associated factors among adults residing in Arba Minch health and demographic surveillance site (HDSS), Southern Ethiopia. A community-based cross-sectional survey was conducted in 2017 on the estimated sample size of 3,368 adults at Arba Minch Health and Demographic Surveillance site (HDSS). Data were collected using the WHO STEPS survey tools. Bivariate analysis was done to detect candidate variables at P-value less than 0.25 and entered into the final model to identify the independent predictors of hypertension. The prevalence of hypertension was 18.92% (95% CI: 17.63-20.28). The magnitude increase among respondents in the older age group [AOR 1.39 (95%CI: 1.05-1.84), 1.68 (95% CI: 1.26-2.23) and 2.67 (95%CI: 2.01-3.56) for age group 35-44, 45-54 and 55-64, respectively, compared to 25-34 years old group] and those with the higher wealth index [AOR 1.86 (95%CI: 1.33-2.59), 2.68 (95% CI: 1.91-3.75) and 2.97 (95%CI: 2.08-4.25) for 3rd quantile, 4th quantile and 5th quantile, respectively, compared to 1st quantile]. The odds of hypertension reduce among married participants (AOR 0.66, 95%CI: 0.51-0.85). Respondents with overweight (AOR 1.44, 95%CI: 1.02-2.02), khat chewing (AOR3.31, 95%CI: 1.94-5.64), low fruit and/or vegetable consumption (AOR 1.27, 95%CI: 1.05-1.53) and those who do not use coffee and tea (AOR 1.52, 95%CI: 1.03-2.24) had significantly higher likelihood of hypertension. Nearly one out of five participants have hypertension in this population. As hypertension is one of the silent killers, it is advisable to develop a system for enabling early detection and monitoring in the older age groups and overweight individuals.

Published
2020
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18. Breast Feeding Practice: Positioning and Attachment during Breast Feeding among Lactating Mothers Visiting Health Facility in Areka Town, Southern Ethiopia

Author

Nega Degefa, Befikadu Tariku, Takalign Bancha, Gizachew Amana, Abdo Hajo, Yisehak Kusse, Eshetu Zerihun, and Zeleke Aschalew

Subjects
Pediatrics, RJ1-570
Abstract

Background. Breastfeeding is the act of milk conveyance from the mother to the infant. Adequate nutrition during infancy and early childhood are mandatory to ensure growth, health, and development of children to their maximum potential. The positioning of the baby’s body is important for maintaining good attachment and successful breastfeeding. Most difficulties of breastfeeding can be avoided altogether if good attachment and positioning can be achieved at the first and early feeds. Plenty of studies have been conducted to explore factors affecting breastfeeding practice in general; however, there is a meagerness of evidence that assesses factors affecting attachment and positioning during breastfeeding specifically. Therefore, the current study was aimed to assess positioning and attachment during breastfeeding among lactating mothers visiting health facilities of Areka town. Methods. an institution-based cross-sectional study was conducted by using observational checklist adopted from the World Health Organization breastfeeding observation form. Maternal-related characteristics were collected by using a structured and pretested questionnaire. The study was conducted from April to June 2017. Respondents were selected by using a systematic random sampling technique. Descriptive summaries were done to present pertinent findings and a chi-square test was used to check association between variables. Result. There was poorer positioning among primipara mothers (47.1%) than multipara mothers (28.7%). A poor attachment was also more apparent among primipara mothers which were more (31.1%) than the multipara (27.1%) mothers. Conclusion. Younger mothers (

Published
2019
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19. Prevalence and factors associated with stunting and thinness among school-age children in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia.

Author

Eshetu Zerihun Tariku, Getaneh Alemu Abebe, Zeleke Aschalew Melketsedik, and Befikadu Tariku Gutema

Subjects
Medicine, Science
Abstract

INTRODUCTION:Despite consistent economic growth in the country, malnutrition remains one of the major public health problems in Ethiopia. The prevalence of malnutrition and its associated factors are well studied among under-five children. However, there is a paucity of evidence among older children in developing countries including Ethiopia. The aim of the study was to assess the prevalence of stunting and thinness and their associated factors among school-age children. METHODS:A community-based cross-sectional study was conducted among randomly selected 389 school-age children in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia, during April and May 2017. Height for age and body mass index for age z scores were calculated using WHO Anthro Plus software as indicators of stunting and thinness respectively. A binary logistic regression model was used to assess the association between independent and outcome variables. RESULTS:The prevalence of stunting and thinness were 41.9% (95% CI: 37-47) and 8.0% (95% CI: 5.4-10.8) respectively. The likelihood of stunting was significantly higher among children within the age group of 12-14 years old (AOR = 2.97, 95% CI: 1.78-4.95); children who were male (AOR = 1.94, 95% CI: 1.21-3.10); children living in households with medium wealth terciles (AOR = 2.90, 95%CI: 1.39-6.04); and children who were non-enrolled in schools (AOR = 2.25, 95% CI: (1.37-3.70). Moreover, thinness was 63% less common among children who had a dietary diversity score of

Published
2018
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21. Incidence and Predictors of Pressure Ulcers among Adult Patients in Intensive Care Units at Arba Minch and Jinka Hospitals, Southern Ethiopia

Author

Lankamo Ena Digesa, Ararso Baru, Alemayehu Shanko, Mekidim Kassa, Zeleke Aschalew, Fikre Moga, Bereket Beyene, and Tegegn Mulatu

Subjects
Article Subject, General Immunology and Microbiology, General Medicine, General Biochemistry, Genetics and Molecular Biology
Abstract

Introduction. The incidence of a pressure ulcer in intensive care units (ICU) is significantly higher than in noncritical care settings. The patients in the ICU are the most vulnerable group to disruption of the skin’s integrity. Prior studies in Ethiopia failed to evaluate pressure ulcers in intensive care units and were limited to general wards. The purpose of this study was to identify the incidence and predictors of pressure ulcers in adult patients admitted to intensive care units in Southern Ethiopia. Methods. A single-arm prospective open cohort of 216 patients was used to determine the presence of a pressure ulcer in the intensive care units from June 2021 to April 2022. A consecutive sampling was used until the sample size was reached. The data were collected using a structured questionnaire and analyzed using Stata 14. A cumulative incidence of a pressure ulcer was computed. The life table was used to estimate the cumulative survival. A multivariable Cox proportional hazard regression was used to identify independent predictors of a pressure ulcer. An adjusted hazard ratio with a 95% CI was used to measure the degree of association; a P value ≤ 0.05 was considered significant. Results. Twenty-five patients developed a pressure ulcer (PU), making a cumulative incidence of 11.57%. Out of 25 incident cases of pressure ulcers, four-fifths (80%) of the study patients developed PU within 6 days of their admission to the ICUs. The incidence rate was 32.98 PU per 1000 person-days of ICU stay. Pressure ulcers were most commonly found on the sacrum, followed by the shoulder. Among the incident cases, 52% were stage 2 ulcers. The presence of friction or shearing forces, as well as being 40 years of age or older, was independently associated with pressure ulcers. Conclusion. The overall cumulative incidence of the pressure ulcer was lower than that in other studies but occurred at a faster rate. Age (40 years of age or older) and the presence of friction or shearing forces were the main predictors of pressure ulcers in the intensive care units. Therefore, nurses working in ICUs should continually anticipate the risk of a pressure ulcer. Moreover, special attention should be given to patients of advanced ages. Furthermore, monitoring the installation of a mattress, keeping bed linens unwrinkled, and keeping patients in a proper position on a bed to prevent or reduce friction or shearing forces are very crucial in the prevention of pressure ulcers.

Published
2023
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23. Estimating global injuries morbidity and mortality

Author

Zohreh Arefi, Rasmus Havmoeller, Pietro Ferrara, Vijay Kumar Chattu, Payman Salamati, Agegnehu Bante Getenet, Seyedeh Zahra Masoumi, Alexander C. Tsai, Andrew T Olagunju, Carl Abelardo T. Antonio, Morteza Abdullatif Khafaie, Tim Driscoll, Reza Rawassizadeh, Vishnu Renjith, Taras Kavetskyy, Ejaz Ahmad Khan, Gebreamlak Gebremedhn Gebremeskel, Richard C. Franklin, Naznin Hossain, Bhaskaran Unnikrishnan, Fariborz Mansour-Ghanaei, Arash Tehrani-Banihashemi, Morteza Naserbakht, Sangram Kishor Patel, Vera Marisa Costa, Suzanne Polinder, Ziad El-Khatib, Ashish Pathak, Mika Shigematsu, Bryan L. Sykes, David M. Pigott, Zeleke Aschalew Melketsedik, Hadi Hassankhani, Nuworza Kugbey, Lal B. Rawal, Masoud Foroutan, Dejana Braithwaite, Muluken Bekele Sorrie, Grant M. A. Wyper, Joht Singh Chandan, Akbar Barzegar, Hamid Safarpour, Kate E. LeGrand, Giulio Castelpietra, Dina Nur Anggraini Ningrum, Seth Christopher Yaw Appiah, Amin Soheili, Azeem Majeed, Akshaya Srikanth Bhagavathula, Nikolay Ivanovich Briko, Vahid Yazdi-Feyzabadi, Walter Mendoza, Ghulam Mustafa, Cuong Tat Nguyen, Pengpeng Ye, Mahesh P A, Carlos Miguel Rios González, Ahmad Daryani, Ibrahim Abdollahpour, Masoud Moradi, Haileab Fekadu Wolde, Mohammad Rabiee, Jaya Prasad Tripathy, Jack T Fox, Diep Ngoc Nguyen, Pallab K. Maulik, Ai-Min Wu, Félix Carvalho, Yun Jin Kim, Fatemeh Rajati, Nathaniel J Henry, David C. Schwebel, Ali H. Mokdad, Akine Eshete Abosetugn, Leonardo Roever, Ketema Bizuwork Gebremedhin, Khalid A Altirkawi, Hayimro Edemealem Merie, Farhad Ghamari, Ramesh Holla, Arash Sarveazad, Devasahayam J. Christopher, Kedir Hussein Abegaz, Suresh Jungari, Rohan Borschmann, Irfan Ullah, Nitin Joseph, Catalina Liliana Andrei, Abdallah M. Samy, Roman Topor-Madry, Michal Grivna, Ivo Rakovac, Mohammad Zamani, Antonio Maria Borzì, Atif Amin Baig, Mohsen Bayati, Mohammad Ali Mansournia, Fatemeh Heydarpour, Juanita A. Haagsma, Segun Emmanuel Ibitoye, Mehdi Sayyah, Teshome Abegaz Kamil, Fakher Rahim, Dillon O Sylte, Feng Sha, Palash Chandra Banik, Mohan Bairwa, Mariya Vladimirovna Titova, Yong Yu, Delia Hendrie, Spencer L. James, Anusha Ganapati Bhat, Seok Jun Yoon, Siavash Rahimi, Jost B. Jonas, Michael R. Phillips, Diana Silva, Amir Hossein Goudarzian, Samath D Dharmaratne, Roba Khundkar, Jemal Abdu Mohammed, Joemer C. Maravilla, Eleonora Dubljanin, Arun Balachandran, Arman Latifi, Randah R. Hamadeh, G. K. Mini, Alessandra C. Goulart, Andreea Mirica, Fatemeh Zarei, Habte Belete, Telma Zahirian Moghadam, Maseer Khan, Morenike Oluwatoyin Folayan, Atte Meretoja, Jasvinder A. Singh, Guilherme Borges, Yasir Waheed, Fahad Alanezi, Masoud Moghadaszadeh, Guoqing Hu, Archith Boloor, Luca Ronfani, Olayinka Stephen Ilesanmi, Vahid Rashedi, Mehran Shams-Beyranvand, Trang Huyen Nguyen, Yonatal Mesfin Tefera, Yousef Khader, Adnan Kisa, Simon I. Hay, Takeshi Fukumoto, Shahrzad Bazargan-Hejazi, Yuichiro Yano, Carlos A Castañeda-Orjuela, Suzanne Barker-Collo, Ghasem Azarian, Sezer Kisa, Basema Saddik, Leake Gebremeskel, Yetunde O. John-Akinola, Jennifer Rickard, Ilais Moreno Velásquez, Priya Rathi, Ali Bijani, Smita Pakhale, Francesco Saverio Violante, Neeraj Bedi, Efat Mohamadi, Deborah Carvalho Malta, Marek Majdan, Feleke Mekonnen Demeke, Chukwudi A Nnaji, Richard Ofori-Asenso, Prateek Rastogi, Xuefeng Liu, Monika Sawhney, Ayman Grada, Prasanna Mithra, Shanshan Li, Masood Ali Shaikh, Erin B Hamilton, Hung Chak Ho, Zichen Liu, Irini Chatziralli, Paulo A. Lotufo, Yuming Guo, Daniel N. Kiirithio, Hamidreza Komaki, Aristidis Tsatsakis, Brijesh Sathian, Daniel Kim, Yoosik Youm, Kebreab Paulos, Saqib Ali, Beriwan Abdulqadir Ali, M. Mofizul Islam, Ahad Bakhtiari, Karen M. Tabb, Davood Anvari, Tomislav Mestrovic, Yunquan Zhang, Muhammad Aziz Rahman, Naohiro Yonemoto, Rupak Desai, Peter Njenga Keiyoro, Rajan Nikbakhsh, Zahra Sadat Dibaji Forooshani, Carlo La Vecchia, Amrit Banstola, Niguse Meles Alema, Shivakumar K.M. Kondlahalli, Soraya Seedat, Filippo Ariani, Chi Linh Hoang, Maziar Moradi-Lakeh, Erika Ota, Dimas Ria Angga Pribadi, Van C. Lansingh, Mohammed Madadin, Mostafa Dianati Nasab, Biniyam Sahiledengle Geberemariyam, Amanda J. Mason-Jones, Marcela Agudelo-Botero, Dinh-Toi Chu, Bach Xuan Tran, Till Bärnighausen, Mehdi Mirzaei-Alavijeh, Mohammad Ali Jahani, Bereket Duko Adema, In-Hwan Oh, Paul S. F. Yip, Ionut Negoi, Eduarda Fernandes, Reza Ghanei Gheshlagh, Kelly Jones, Mahdi Safdarian, Josep Maria Haro, Zahiruddin Quazi Syed, Diego De Leo, Khanh Bao Tran, Syed Mohamed Aljunid, Yasser S. Amer, Tommi Vasankari, Vasily Vlassov, Jose C. Adsuar, Zoubida Zaidi, Asadollah Gholamian, Theo Vos, Nauman Khalid, Malke Asaad, André Faro, Rushdia Ahmed, Tuomo J. Meretoja, Ireneous N. Soyiri, Ana Isabel Ribeiro, Hoa Thi Do, Temesgen Gebeyehu Wondmeneh, Vladimir Andreevich Korshunov, Manasi Kumar, Josip Car, Shoaib Hassan, Mukhammad David Naimzada, Gurudatta Naik, Ali Rajabpour-Sanati, Mustafa Z. Younis, Farid Najafi, Ester Cerin, Lorenzo Monasta, Amit Arora, Rizwan Suliankatchi Abdulkader, Huong Lan Thi Nguyen, Javad Nazari, Joel M. Francis, Martin Amogre Ayanore, Farahnaz Joukar, Babak Moazen, Kebede Deribe, Nithin Kumar, Seyed-Mohammad Fereshtehnejad, Getinet Ayano, Serge Resnikoff, Mark A. Stokes, Alaa Badawi, Narinder Kumar, Habibolah Khazaie, Sojib Bin Zaman, Faris Lami, Jens R. Chapman, Onome Bright Oghenetega, Dhirendra N Sinha, Engida Yisma, Aso Mohammad Darwesh, Demelash Abewa Elemineh, Junaid Khan, Shane D. Morrison, Mansour Ghafourifard, Ata Rafiee, Hadush Gebremariam, Oghenowede Eyawo, Amir Hasanzadeh, Ana Laura Manda, Muhammed Magdy Abd El Razek, Morteza Arab-Zozani, Narayana Manjunatha, Navid Manafi, Ritesh G. Menezes, Ferrán Catalá-López, Hossein Poustchi, Ghobad Moradi, Suliman Alghnam, Tinuke O Olagunju, Mohiuddin Ahsanul Kabir Chowdhury, Man Mohan Mehndiratta, Sorin Hostiuc, Jalal Arabloo, Shaun Wen Huey Lee, Chris D Castle, Joan B. Soriano, Syed Amir Gilani, Mariam Molokhia, Gaurav Gupta, Inga Dora Sigfusdottir, Isabela M. Benseñor, Desalegn Getnet Demsie, Atalay Goshu Muluneh, Young Eun Kim, Olatunde Aremu, Leeberk Raja Inbaraj, Jae Il Shin, Berhe Etsay Tesfay, Neha Chaudhary, Juan Sanabria, Soosanna Kumary Chattu, Sanni Yaya, Rekha Thapar, Biruk Wogayehu Taddele, Maciej Banach, Salman Rawaf, Nicholas L S Roberts, Jagadish Rao Padubidri, Manoochehr Karami, Derrick A Bennett, Duduzile Ndwandwe, Soheil Hassanipour, Ashish Badiye, Krittika Bhattacharyya, Obinna Onwujekwe, Kewal Krishan, João Coelho, Ahmed Abdelalim, Kerrie E. Doyle, Tomasz Miazgowski, Rahman Shiri, Demelash Woldeyohannes Handiso, Navid Rabiee, Nikita Otstavnov, Brian J. Hall, Olalekan A. Uthman, Rohollah Kalhor, Swayam Prakash, Beatriz Paulina Ayala Quintanilla, Gebre Teklemariam Demoz, Ted R. Miller, Rebecca Ivers, Chuanhua Yu, Pascual R. Valdez, Martha Híjar, Taweewat Wiangkham, Maysaa El Sayed Zaki, Rafael Tabarés-Seisdedos, Melkamu Merid Mengesha, Seyedmojtaba Seyedmousavi, Ravi Prakash Jha, Songhomitra Panda-Jonas, Aidin Abedi, Savita Lasrado, Veincent Christian Filipino Pepito, Amir Almasi-Hashiani, Burcu Kucuk Bicer, Hagazi Gebremedhin Kassaye, Yousef Veisani, Ayenew Kassie Tesema, Amir Radfar, Pawan Faris, Oladimeji Adebayo, Fares Alahdab, Heather Orpana, Narayan Bahadur Mahotra, Tripti Khanna, Girikumar Kumaresh, Alireza Rafiei, João Mauricio Castaldelli-Maia, Subramanian Senthilkumaran, Cyrus Alinia, Era Upadhyay, Stanislav S. Otstavnov, Ahmed Omar Bali, Farshad Farzadfar, Vivek Kumar, Sanghamitra Pati, Gholamreza Roshandel, Daiane Borges Machado, Yuan-Pang Wang, Rafael Alves Guimarães, Aziz Sheikh, Jeevan Pereira, Ahamarshan Jayaraman Nagarajan, Soraya Siabani, Kamarul Imran Musa, Farshad Pourmalek, Janet L Leasher, Shafiu Mohammed, Shyam Sundar Budhathoki, Mehdi Naderi, Mehdi Hosseinzadeh, Eun-Kee Park, Marwa Rashad Salem, Alireza Ansari-Moghaddam, Achala Upendra Jayatilleke, Paolo Lauriola, Amir Kasaeian, Adam Belay Wondmieneh, Tilahun Belete Mossie, Rovshan Khalilov, Milena M Santric Milicevic, Ai Koyanagi, Shailesh Advani, Felix Akpojene Ogbo, Nihad A. Almasri, Abdur Razzaque Sarker, Salman Khazaei, Narayanaswamy Venketasubramanian, Josephine W. Ngunjiri, Mihajlo Jakovljevic, Matthew Cunningham, Shaimaa I. El-Jaafary, Hosni Salem, Sharareh Eskandarieh, Muktar Beshir Ahmed, Amy E. Peden, Rajaram Yadav, Srikanta Banerjee, Kenean Getaneh Tlaye, Ronan A Lyons, Farzad Jalilian, Jacek Jerzy Jozwiak, Soufiane Boufous, Leila R Kalankesh, Abdelrahman Ibrahim Abushouk, Mikk Jürisson, Hamid Reza Tohidinik, Flavia M. Cicuttini, Zachary V Dingels, Florian Fischer, Saad M.A. Dahlawi, Rahmatollah Moradzadeh, Getnet Gedefaw, Tauseef Ahmad, Faramarz Shaahmadi, Hamed Zandian, Bruno Ramos Nascimento, Gregory J. Bertolacci, Hamid Yimam Hassen, Christian Lycke Ellingsen, Zulfiqar A Bhutta, Pankaj Bhardwaj, Dawit Habte Woldeyes, Robert C. Reiner, Rakhi Dandona, Akram Pourshams, Lorainne Tudor Car, Inbal Salz, Reza Mohammadpourhodki, Farnam Mohebi, A. A. Fomenkov, Abraham Getachew Kelbore, Benjamin B. Massenburg, Yousef Mohammad, Arash Ziapour, Zabihollah Yousefi, Biresaw Wassihun Alemu, Neeti Kapoor, Seyed Sina Naghibi Irvani, Vinod C. Nayak, Yoshan Moodley, Venkatesh Maled, Zhi-Jiang Zhang, Arielle Wilder Eagan, Saif Ullah, Anwar Rafay, Ali Koolivand, Ibrahim A Khalil, Parul Puri, Lidia Sanchez Riera, Vinay Nangia, Tanuj Kanchan, Mu'awiyyah Babale Sufiyan, Lidia Morawska, Saeed Shahabi, Tiffany K. Gill, Traolach S. Brugha, Michael K. Hole, Vahid Alipour, Sowmya J. Rao, Pankaj Singh, Rosario Cárdenas, Abdollah Mohammadian-Hafshejani, Sanjay Zodpey, Birhanu Geta, Amaha Kahsay, Moritz U. G. Kraemer, Claudio Alberto Dávila-Cervantes, Samer Hamidi, Gbenga A. Kayode, Miloud Taki Eddine Aichour, Peter Memiah, Erkin M. Mirrakhimov, Sheikh Mohammed Shariful Islam, Sadia Bibi, Bartosz Miazgowski, Daniel Y. Cho, Keyvan Pakshir, Aziz Rezapour, R V Polibin, Sudha Jayaraman, S. Mohammad Sajadi, Amir Manafi, Berhe Gebremichael, Ali Yadollahpour, Barthelemy Kuate Defo, Alan D. Lopez, Masoud Behzadifar, Mohammad A. Mohseni Bandpei, Ali Kabir, Jee-Young Jasmine Choi, Gebretsadkan Hintsa Tekulu, Kidanemaryam Berhe, Bill & Melinda Gates Foundation, Sanofi, HUS Comprehensive Cancer Center, Clinicum, University of Helsinki, Helsinki University Hospital Area, HUS Neurocenter, James, S. L., Castle, C. D., Dingels, Z. V., Fox, J. T., Hamilton, E. B., Liu, Z., Roberts, N. L. S., Sylte, D. O., Bertolacci, G. J., Cunningham, M., Henry, N. J., Legrand, K. E., Abdelalim, A., Abdollahpour, I., Abdulkader, R. S., Abedi, A., Abegaz, K. H., Abosetugn, A. E., Abushouk, A. I., Adebayo, O. M., Adsuar, J. C., Advani, S. M., Agudelo-Botero, M., Ahmad, T., Ahmed, M. B., Ahmed, R., Aichour, M. T. E., Alahdab, F., Alanezi, F. M., Alema, N. M., Alemu, B. W., Alghnam, S. A., Ali, B. A., Ali, S., Alinia, C., Alipour, V., Aljunid, S. M., Almasi-Hashiani, A., Almasri, N. A., Altirkawi, K., Amer, Y. S. A., Andrei, C. L., Ansari-Moghaddam, A., Antonio, C. A. T., Anvari, D., Appiah, S. C. Y., Arabloo, J., Arab-Zozani, M., Arefi, Z., Aremu, O., Ariani, F., Arora, A., Asaad, M., Quintanilla, B. P. A., Ayano, G., Ayanore, M. A., Azarian, G., Badawi, A., Badiye, A. D., Baig, A. A., Bairwa, M., Bakhtiari, A., Balachandran, A., Banach, M., Banerjee, S. K., Banik, P. C., Banstola, A., Barker-Collo, S. L., Barnighausen, T. W., Barzegar, A., Bayati, M., Bazargan-Hejazi, S., Bedi, N., Behzadifar, M., Belete, H., Bennett, D. A., Bensenor, I. M., Berhe, K., Bhagavathula, A. S., Bhardwaj, P., Bhat, A. G., Bhattacharyya, K., Bhutta, Z. A., Bibi, S., Bijani, A., Boloor, A., Borges, G., Borschmann, R., Borzi, A. M., Boufous, S., Braithwaite, D., Briko, N. I., Brugha, T., Budhathoki, S. S., Car, J., Cardenas, R., Carvalho, F., Castaldelli-Maia, J. M., Castaneda-Orjuela, C. A., Castelpietra, G., Catala-Lopez, F., Cerin, E., Chandan, J. S., Chapman, J. R., Chattu, V. K., Chattu, S. K., Chatziralli, I., Chaudhary, N., Cho, D. Y., Choi, J. -Y. J., Chowdhury, M. A. K., Christopher, D. J., Chu, D. -T., Cicuttini, F. M., Coelho, J. M., Costa, V. M., Dahlawi, S. M. A., Daryani, A., Davila-Cervantes, C. A., De Leo, D., Demeke, F. M., Demoz, G. T., Demsie, D. G., Deribe, K., Desai, R., Nasab, M. D., Da Silva, D. D., Forooshani, Z. S. D., Do, H. T., Doyle, K. E., Driscoll, T. R., Dubljanin, E., Adema, B. D., Eagan, A. W., Elemineh, D. A., El-Jaafary, S. I., El-Khatib, Z., Ellingsen, C. L., El Sayedzaki, M., Eskandarieh, S., Eyawo, O., Faris, P. S., Faro, A., Farzadfar, F., Fereshtehnejad, S. -M., Fernandes, E., Ferrara, P., Fischer, F., Folayan, M. O., Fomenkov, A. A., Foroutan, M., Francis, J. M., Franklin, R. C., Fukumoto, T., Geberemariyam, B. S., Gebremariam, H., Gebremedhin, K. B., Gebremeskel, L. G., Gebremeskel, G. G., Gebremichael, B., Gedefaw, G. A., Geta, B., Getenet, A. B., Ghafourifard, M., Ghamari, F., Gheshlagh, R. G., Gholamian, A., Gilani, S. A., Gill, T. K., Goudarzian, A. H., Goulart, A. C., Grada, A., Grivna, M., Guimaraes, R. A., Guo, Y., Gupta, G., Haagsma, J. A., Hall, B. J., Hamadeh, R. R., Hamidi, S., Handiso, D. W., Haro, J. M., Hasanzadeh, A., Hassan, S., Hassanipour, S., Hassankhani, H., Hassen, H. Y., Havmoeller, R., Hendrie, D., Heydarpour, F., Hijar, M., Ho, H. C., Hoang, C. L., Hole, M. K., Holla, R., Hossain, N., Hosseinzadeh, M., Hostiuc, S., Hu, G., Ibitoye, S. E., Ilesanmi, O. S., Inbaraj, L. R., Irvani, S. S. N., Islam, M. M., Islam, S. M. S., Ivers, R. Q., Jahani, M. A., Jakovljevic, M., Jalilian, F., Jayaraman, S., Jayatilleke, A. U., Jha, R. P., John-Akinola, Y. O., Jonas, J. B., Jones, K. M., Joseph, N., Joukar, F., Jozwiak, J. J., Jungari, S. B., Jurisson, M., Kabir, A., Kahsay, A., Kalankesh, L. R., Kalhor, R., Kamil, T. A., Kanchan, T., Kapoor, N., Karami, M., Kasaeian, A., Kassaye, H. G., Kavetskyy, T., Kayode, G. A., Keiyoro, P. N., Kelbore, A. G., Khader, Y. S., Khafaie, M. A., Khalid, N., Khalil, I. A., Khalilov, R., Khan, M., Khan, E. A., Khan, J., Khanna, T., Khazaei, S., Khazaie, H., Khundkar, R., Kiirithio, D. N., Kim, Y. -E., Kim, Y. J., Kim, D., Kisa, S., Kisa, A., Komaki, H., Kondlahalli, S. K. M., Koolivand, A., Korshunov, V. A., Koyanagi, A., Kraemer, M. U. G., Krishan, K., Defo, B. K., Bicer, B. K., Kugbey, N., Kumar, N., Kumar, M., Kumar, V., Kumaresh, G., Lami, F. H., Lansingh, V. C., Lasrado, S., Latifi, A., Lauriola, P., Vecchia, C. L., Leasher, J. L., Lee, S. W. H., Li, S., Liu, X., Lopez, A. D., Lotufo, P. A., Lyons, R. A., Machado, D. B., Madadin, M., Abd El Razek, M. M., Mahotra, N. B., Majdan, M., Majeed, A., Maled, V., Malta, D. C., Manafi, N., Manafi, A., Manda, A. -L., Manjunatha, N., Mansour-Ghanaei, F., Mansournia, M. A., Maravilla, J. C., Mason-Jones, A. J., Masoumi, S. Z., Massenburg, B. B., Maulik, P. K., Mehndiratta, M. M., Melketsedik, Z. A., Memiah, P. T. N., Mendoza, W., Menezes, R. G., Mengesha, M. M., Meretoja, T. J., Meretoja, A., Merie, H. 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Kasaeian, A., Kassaye, H.G., Kavetskyy, T., Kayode, G.A., Keiyoro, P.N., Kelbore, A.G., Khader, Y.S., Khafaie, M.A., Khalid, N., Khalil, I.A., Khalilov, R., Khan, M., Khan, E.A., Khan, J., Khanna, T., Khazaei, S., Khazaie, H., Khundkar, R., Kiirithio, D.N., Kim, Y.-E., Kim, Y.J., Kim, D., Kisa, S., Kisa, A., Komaki, H., Kondlahalli, S.K.M., Koolivand, A., Korshunov, V.A., Koyanagi, A., Kraemer, M.U.G., Krishan, K., Defo, B.K., Bicer, B.K., Kugbey, N., Kumar, N., Kumar, M., Kumar, V., Kumar, N., Kumaresh, G., Lami, F.H., Lansingh, V.C., Lasrado, S., Latifi, A., Lauriola, P., Vecchia, C.L., Leasher, J.L., Lee, S.W.H., Li, S., Liu, X., Lopez, A.D., Lotufo, P.A., Lyons, R.A., Machado, D.B., Madadin, M., Abd El Razek, M.M., Mahotra, N.B., Majdan, M., Majeed, A., Maled, V., Malta, D.C., Manafi, N., Manafi, A., Manda, A.-L., Manjunatha, N., Mansour-Ghanaei, F., Mansournia, M.A., Maravilla, J.C., Mason-Jones, A.J., Masoumi, S.Z., Massenburg, B.B., Maulik, P.K., Mehndiratta, M.M., Melketsedik, Z.A., Memiah, P.T.N., Mendoza, W., Menezes, R.G., Mengesha, M.M., Meretoja, T.J., Meretoja, A., Merie, H.E., Mestrovic, T., Miazgowski, B., Miazgowski, T., Miller, T.R., Mini, G.K., Mirica, A., Mirrakhimov, E.M., Mirzaei-Alavijeh, M., Mithra, P., Moazen, B., Moghadaszadeh, M., Mohamadi, E., Mohammad, Y., Darwesh, A.M., Mohammadian-Hafshejani, A., Mohammadpourhodki, R., Mohammed, S., Mohammed, J.A., Mohebi, F., Bandpei, M.A.M., Molokhia, M., Monasta, L., Moodley, Y., Moradi, M., Moradi, G., Moradi-Lakeh, M., Moradzadeh, R., Morawska, L., Velásquez, I.M., Morrison, S.D., Mossie, T.B., Muluneh, A.G., Musa, K.I., Mustafa, G., Naderi, M., Nagarajan, A.J., Naik, G., Naimzada, M.D., Najaf, F., Nangia, V., Nascimento, B.R., Naserbakht, M., Nayak, V., Nazari, J., Ndwandwe, D.E., Negoi, I., Ngunjiri, J.W., Nguyen, T.H., Nguyen, C.T., Nguyen, D.N., Nguyen, H.L.T., Nikbakhsh, R., Ningrum, D.N.A., Nnaji, C.A., Ofori-Asenso, R., Ogbo, F.A., Oghenetega, O.B., Oh, I.-H., Olagunju, A.T., Olagunju, T.O., Bali, A.O., Onwujekwe, O.E., Orpana, H.M., Ota, E., Otstavnov, N., Otstavnov, S.S., Mahesh, A.P., Padubidri, J.R., Pakhale, S., Pakshir, K., Panda-Jonas, S., Park, E.-K., Patel, S.K., Pathak, A., Pati, S., Paulos, K., Peden, A.E., Pepito, V.C.F., Pereira, J., Phillips, M.R., Polibin, R.V., Polinder, S., Pourmalek, F., Pourshams, A., Poustchi, H., Prakash, S., Pribadi, D.R.A., Puri, P., Syed, Z.Q., Rabiee, N., Rabiee, M., Radfar, A., Rafay, A., Rafee, A., Rafei, A., Rahim, F., Rahimi, S., Rahman, M.A., Rajabpour-Sanati, A., Rajati, F., Rakovac, I., Rao, S.J., Rashedi, V., Rastogi, P., Rathi, P., Rawaf, S., Rawal, L., Rawassizadeh, R., Renjith, V., Resnikoff, S., Rezapour, A., Ribeiro, A.I., Rickard, J., González, C.M.R., Roever, L., Ronfani, L., Roshandel, G., Saddik, B., Safarpour, H., Safdarian, M., Sajadi, S.M., Salamati, P., Salem, M.R.R., Salem, H., Salz, I., Samy, A.M., Sanabria, J., Riera, L.S., Milicevic, M.M.S., Sarker, A.R., Sarveazad, A., Sathian, B., Sawhney, M., Sayyah, M., Schwebel, D.C., Seedat, S., Senthilkumaran, S., Seyedmousavi, S., Sha, F., Shaahmadi, F., Shahabi, S., Shaikh, M.A., Shams-Beyranvand, M., Sheikh, A., Shigematsu, M., Shin, J.I., Shiri, R., Siabani, S., Sigfusdottir, I.D., Singh, J.A., Singh, P.K., Sinha, D.N., Soheili, A., Soriano, J.B., Sorrie, M.B., Soyiri, I.N., Stokes, M.A., Sufiyan, M.B., Sykes, B.L., Tabarés-Seisdedos, R., Tabb, K.M., Taddele, B.W., Tefera, Y.M., Tehrani-Banihashemi, A., Tekulu, G.H., Tesema, A.K.T., Tesfay, B.E., Thapar, R., Titova, M.V., Tlaye, K.G., Tohidinik, H.R., Topor-Madry, R., Tran, K.B., Tran, B.X., Tripathy, J.P., Tsai, A.C., Tsatsakis, A., Car, L.T., Ullah, I., Ullah, S., Unnikrishnan, B., Upadhyay, E., Uthman, O.A., Valdez, P.R., Vasankari, T.J., Veisani, Y., Venketasubramanian, N., Violante, F.S., Vlassov, V., Waheed, Y., Wang, Y.-P., Wiangkham, T., Wolde, H.F., Woldeyes, D.H., Wondmeneh, T.G., Wondmieneh, A.B., Wu, A.-M., Wyper, G.M.A., Yadav, R., Yadollahpour, A., Yano, Y., Yaya, S., Yazdi-Feyzabadi, V., Ye, P., Yip, P., Yisma, E., Yonemoto, N., Yoon, S.-J., Youm, Y., Younis, M.Z., Yousef, Z., Yu, C., Yu, Y., Moghadam, T.Z., Zaidi, Z., Zaman, S.B., Zamani, M., Zandian, H., Zarei, F., Zhang, Z.-J., Zhang, Y., Ziapour, A., Zodpey, S., Dandona, R., Dharmaratne, S.D., Hay, S.I., Mokdad, A.H., Pigott, D.M., Reiner, R.C., Vos, T., Instituto de Saúde Pública da Universidade do Porto, James, Spencer L, Castle, Chris D, Dingels, Zachary V, Fox, Jack T, Adema, Bereket Duko, Yisma, Engida, Vos, Theo, and Public Health

Subjects
Male, Populations/contexts, 1106 Human Movement and Sports Sciences, Global injuries, population, 030204 cardiovascular system & hematology, Global Health, contexts, context, Global Burden of Disease, 0302 clinical medicine, Quality-Adjusted Life Year, Global health, 030212 general & internal medicine, Original Research, Data, populations/contexts, Incidence (epidemiology), Incidence, methodology, 3142 Public health care science, environmental and occupational health, Female, Public Health, TERRITORIES, Quality-Adjusted Life Years, descriptive epidemiology, Human, Disabilities, 195 COUNTRIES, statistical issue, 1117 Public Health and Health Services, 03 medical and health sciences, AGE, Life Expectancy, Environmental health, Injury prevention, SYSTEMATIC ANALYSIS, statistical issues, Humans, Mortality, Estimation, SEX-SPECIFIC MORTALITY, DISABILITY, Public Health, Environmental and Occupational Health, populations, Morbidity, Wounds and Injuries, 1106 Human Movement and Sports Sciences, 1117 Public Health and Health Services, 1701 Psychology, Quality-adjusted life year, Years of potential life lost, 1701 Psychology, Life expectancy, Estimates, Human medicine, populations/context
Abstract

Background. While there is a long history of measuring death and disability from injuries, modern research methods must account for the wide spectrum of disability that can occur in an injury, and must provide estimates with sufficient demographic, geographical and temporal detail to be useful for policy makers. The Global Burden of Disease (GBD) 2017 study used methods to provide highly detailed estimates of global injury burden that meet these criteria. Methods. In this study, we report and discuss the methods used in GBD 2017 for injury morbidity and mortality burden estimation. In summary, these methods included estimating cause-specific mortality for every cause of injury, and then estimating incidence for every cause of injury. Non-fatal disability for each cause is then calculated based on the probabilities of suffering from different types of bodily injury experienced. Results. GBD 2017 produced morbidity and mortality estimates for 38 causes of injury. Estimates were produced in terms of incidence, prevalence, years lived with disability, cause-specific mortality, years of life lost and disability-adjusted life-years for a 28-year period for 22 age groups, 195 countries and both sexes. Conclusions. GBD 2017 demonstrated a complex and sophisticated series of analytical steps using the largest known database of morbidity and mortality data on injuries. GBD 2017 results should be used to help inform injury prevention policy making and resource allocation. We also identify important avenues for improving injury burden estimation in the future. Seyed Aljunid acknowledges the Department of Health Policy and Management, Faculty of Public Health, Kuwait University and International Centre for Casemix and Clinical Coding, Faculty of Medicine, National University of Malaysia for the approval and support to participate in this research project. Alaa Badawi acknowledges support by the Public Health Agency of Canada. Till Bärnighausen acknowledges support by the Alexander von Humboldt Foundation through the Alexander von Humboldt Professor award, funded by the German Federal Ministry of Education and Research. Traolach Brugha received support from NatCen Social Research (http://natcen.ac.uk/) via NHS Digital and Department of Health and Social Care London, for the Adult Psychiatric Morbidity Survey (APMS) programme. Felix Carvalho received support from UID/MULTI/04378/2019 with funding from FCT/MCTES through national funds. Vera M Costa acknowledges support from grant (SFRH/BHD/110001/2015), received by Portuguese national funds through Fundação para a Ciência e Tecnologia (FCT), IP, under the Norma Transitória DL57/2016/CP1334/CT0006. Kebede Deribe is supported by a grant from the Wellcome Trust [grant number 201900] as part of his International Intermediate Fellowship. Tim Driscoll acknowledges that work on occupational risk factors was partially supported by funds from the World Health Organization. Eduarda Fernandes acknowledges support from UID/QUI/50006/2019 with funding from FCT/MCTES through national funds. Yuming Guo acknowledges support from Career Development Fellowships of the Australian National Health and Medical Research Council (numbers APP1107107 and APP1163693). Sheikh Mohammed Shariful Islam is funded by a Fellowship from National Heart Foundation of Australia and Institute for Physical Activity and Nutrition, Deakin University. Mihajlo Jakovljevic acknowledges support by the Ministry of Education Science and Technological Development of the Republic of Serbia through the Grant number OI175014; publication of results was not contingent upon Ministry's censorship or approval. Sudha Jayaraman acknowledges support from: NIH R21: 1R21TW010439-01A1 (PI); Rotary Foundation Global Grant #GG1749568 (PI); NIH P20: 1P20CA210284-01A1 (Co-PI) and DOD grant W81XWH-16-2-0040 (Co-I), during the period of this study. Yun Jin Kim acknowledges support from a grant from the Research Management Centre, Xiamen University Malaysia [grant number: XMUMRF/2018-C2/ITCM/0001]. Kewal Krishan is supported by UGC Centre of Advanced Study (CAS II) awarded to the Department of Anthropology, Panjab University, Chandigarh, India. Mansai Kumar acknowledges support from FIC/ NIH K43 1K43MH114320-01. Amanda Mason-Jones acknowledges support by the University of York. Mariam Molokhia is supported by the National Institute for Health Research Biomedical Research Center at Guy’s and St Thomas’s National Health Service Foundation Trust and King’s College London. Ilais Moreno Velasquez is supported by the Sistema Nacional de Investigación (SNI, Senacyt, Panama). Mukhammad David Naimzada acknowledges support from Government of the Russian Federation (Agreement No – 075-02-2019-967). Duduzile Ndwandwe acknowledges support from Cochrane South Africa, South African Medical Research Council. Stanislav S. Otstavnov acknowledges the support from the Government of the Russian Federation (Agreement No – 075-02-2019-967). Ashish Pathak acknowledges support from Indian Council of Medical Research (ICMR), New Delhi, India (Grant number 2013-1253). Michael R Phillips acknowledges support in part by a grant from the National Natural Science Foundation of China (No.81761128031). Abdallah M. Samy received a fellowship from the Egyptian Fulbright Mission Program. Milena Santric Milicevic acknowledges the support from the Ministry of Education, Science and Technological Development, Republic of Serbia (Contract No. 175087). Seyedmojtaba Seyedmousavi was supported by the Intramural Research Program of the National Institutes of Health, Clinical Center, Department of Laboratory Medicine, Bethesda, MD, USA. Rafael Tabarés-Seisdedos was supported in part by the national grant PI17/00719 from ISCIII-FEDER. Sojib Bin Zaman acknowledges support from an "Australian Government Research Training Program (RTP) Scholarship.

Published
2020
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24. Utilization of non-pneumatic anti-shock garment and associated factors for postpartum hemorrhage management among obstetric care providers in public health facilities of southern Ethiopia, 2020

Author

Zeleke Aschalew, Bezawit Afework, Selamawit Gebeyehu, Agegnehu Bante, and Yordanos Gizachew Yeshitila

Subjects
Critical Care and Emergency Medicine, Maternal Health, Gravity Suits, Vascular Medicine, Geographical Locations, Protective Clothing, Pregnancy, Health care, Medicine and Health Sciences, Public and Occupational Health, Multidisciplinary, Obstetrics and Gynecology, Shock, Severe Blood Loss, Maternal Mortality, Medicine, Female, Medical emergency, Research Article, Adult, medicine.medical_specialty, Emerging technologies, Health Personnel, Science, Nigeria, Hemorrhage, Obstetric care, Signs and Symptoms, medicine, First Aid, Humans, Adverse effect, Sustainable development, business.industry, Public health, Postpartum Hemorrhage, medicine.disease, Obstetric Labor Complications, Health Care, Cross-Sectional Studies, Health Care Facilities, People and Places, Africa, Birth, Non-pneumatic anti-shock garment, Women's Health, Ethiopia, Health Facilities, Clinical Medicine, business
Abstract

Background Delays in care have been recognized as a significant contributor to maternal mortality in low-resource settings. The non-pneumatic antishock garment is a low-cost first-aid device that can help women with obstetric haemorrhage survive these delays without long-term adverse effects. Extending professionals skills and the establishment of new technologies in basic healthcare facilities could harvest the enhancements in maternal outcomes necessary to meet the sustainable development goals. Thus, this study aims to assess utilization of non-pneumatic anti-shock garment to control complications of post-partum hemorrhage and associated factors among obstetric care providers in public health institutions of Southern Ethiopia, 2020. Methods A facility-based cross-sectional study was conducted among 412 obstetric health care providers from March 15 –June 30, 2020. A simple random sampling method was used to select the study participants. The data were collected through a pre-tested interviewer-administered questionnaire. A binary logistic regression model was used to identify determinants for the utilization of non-pneumatic antishock garment. STATA version 16 was used for data analysis. A P-value of < 0.05 was used to declare statistical significance. Results Overall, 48.5% (95%CI: 43.73, 53.48%) of the obstetric care providers had utilized Non pneumatic antishock garment for management of complications from postpartum hemorrhage. Training on Non pneumatic antishock garment (AOR = 2.92; 95% CI: 1.74, 4.92), working at hospital (AOR = 1.81; 95% CI: 1.04, 3.16), good knowledge about NASG (AOR = 1.997; 95%CI: 1.16, 3.42) and disagreed and neutral attitude on Non pneumatic antishock garment (AOR = 0.41; 95%CI: 0.24, 0.68), and (AOR = 0.39; 95% CI: 0.21, 0.73), respectively were significantly associated with obstetric care provider’s utilization of Non-pneumatic antishock garment. Conclusions In the current study, roughly half of the providers are using Non-pneumatic antishock garment for preventing complications from postpartum hemorrhage. Strategies and program initiatives should focus on strengthening in-service and continuous professional development training, thereby filling the knowledge and attitude gap among obstetric care providers. Health centers should be targeted in future programs for accessibility and utilization of non-pneumatic antishock garment.

Published
2021

26. Determinants of Essential Newborn Care Practice Among Nurses and Midwives Working at Public Health Facilities in Wolayta Zone, Southern Ethiopia: Observational Study

Author

Zerihun Zana, Zeleke Aschalew, Aseb Arba, and Addisu Alemayehu

Subjects
medicine.medical_specialty, Multivariate analysis, business.industry, Cross-sectional study, Family medicine, Public health, Health care, Medicine, Observational study, business, Logistic regression, Unit (housing), Health department
Abstract

Background: Essential Newborn Care is the care given to the newborn infant following birth within the delivery room by skilled personnel. Immediate and proper essential newborn care provision is important for survival, growth and development of a newborn. In spite of its essentiality, most health care professionals do not practice recommendation of World Health Organization. Therefore, this study was aimed to assess magnitude and factors associated with essential newborn care practice among nurses and midwives working in maternal and child health case team at public health facilities of Wolayta Zone, Southern Ethiopia, 2019. Methods: Institution based cross sectional study design was conducted from March to October, 2019. Data was collected by using pretested self-administered questionnaire and observation check list. 36 public health facilities were selected by using simple random sampling technique from 73 health facilities. From these, all (218) nurses and midwives who were working in delivery unit from selected facilities were participated in the study. The collected data was entered into Epi data 3.02 and exported to SPSS version 22 for analysis. The result is presented by using frequency and proportions table. Statistical significance was declared at 95% CI, AOR and p-value ≤ 0.05 in the multivariate analysis in binary logistic regression. Result: Magnitude of good practice on essential newborn care was 44.4%. Getting in-service training (AOR=2.768, 95% CI:1.25, 6.13), availability of equipment (AOR=3.44, 95% CI: 1.64, 7.21), knowledge on essential newborn care (AOR=3.53, 95% CI: 1.75, 7.09), type of facility (AOR=0.23, 95% CI: 0.097, 0.55) and experience of working in delivery unit (AOR=2.582, 95% CI: 1.198,5.566) were factors significantly associated with proper practice of essential newborn care. Conclusion: The study participants had poor practice on some components of essential newborn care in the study area. The type of facility especially those working in health center had poor practice than those in hospital, availability of equipment and knowledge on essential newborn care were variables independently affecting proper practice of essential newborn care. Therefore; we recommend staff motivation; strengthening training, provision of continuous education, close supervision, providing required equipment and supplies to facility managers, MCH department head, zonal health department and Woreda health office and non-governmental organizations who were working on maternal and child health.

Published
2020
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27. Global injury morbidity and mortality from 1990 to 2017 : results from the Global Burden of Disease Study 2017

Author

Giulio Castelpietra, Feng Sha, Khalid A Altirkawi, Seyedeh Zahra Masoumi, Gebreamlak Gebremedhn Gebremeskel, Ahmad Daryani, Ibrahim Abdollahpour, Simon I. Hay, Deborah Carvalho Malta, Erin B Hamilton, Kate E. LeGrand, Nikolay Ivanovich Briko, Ana-Laura Manda, Aziz Eftekhari, Irfan Ullah, Seth Christopher Yaw Appiah, Zichen Liu, Maida Umar, Shaimaa I. El-Jaafary, Marina Pinheiro, Farhad Ghamari, Milad Mohammadoo-Khorasani, Rajaram Yadav, Syed Mohamed Aljunid, Ramesh Holla, Farzad Jalilian, Jacek Jerzy Jozwiak, Omar Mukhtar Salman, Bayew Kelkay, Tanuj Kanchan, Irina Filip, Michael R. Phillips, Hamid Reza Tohidinik, Demelash Abewa Elemineh, Reza Malekzadeh, Tomasz Miazgowski, Diana Silva, Samath D Dharmaratne, Eleonora Dubljanin, Fatemeh Zare, Jasvinder A. Singh, Hagazi Gebremedhin Kassaye, Nathaniel J Henry, Venkatesh Maled, Girikumar Kumaresh, Alireza Rafiei, Zhi-Jiang Zhang, Arielle Wilder Eagan, Merhawi Gebremedhin Tekle, Gholamreza Roshandel, Jeevan Pereira, Tinuke O Olagunju, Olatunde Aremu, Mohammad Zamani, Mu'awiyyah Babale Sufiyan, Lidia Morawska, Bayisa Abdissa Baye, Eduarda Fernandes, Feleke Mekonnen Demeke, Beriwan Abdulqadir Ali, Ibrahim A Khalil, Hafte Kahsay Kebede, Songhomitra Panda-Jonas, Yuichiro Yano, Haileab Fekadu Wolde, Antonio Maria Borzì, Delia Hendrie, Azeem Majeed, Vahid Rashedi, Mehran Shams-Beyranvand, Ilais Moreno Velásquez, Derrick A Bennett, Roba Khundkar, Mohammed Madadin, Biniyam Sahiledengle Geberemariyam, Parul Puri, Lidia Sanchez Riera, Yetunde O. John-Akinola, Jennifer Rickard, Saeed Shahabi, Tiffany K. Gill, Jemal Abdu Mohammed, Alessandra C. Goulart, Mohiuddin Ahsanul Kabir Chowdhury, Roya Safari-Faramani, Pawan Faris, Farhad Moradpour, Guilherme Borges, Sadia Bibi, Bartosz Miazgowski, Wubalem Fekadu, Rakhi Dandona, Ali Reza Soltanian, Alaa Badawi, Amir Hasanzadeh, Hassan Haghparast Bidgoli, Carlos A Castañeda-Orjuela, Morteza Arab-Zozani, Vinay Nangia, Gaurav Gupta, Farkhonde Salehi, Isabela M. Benseñor, Rekha Thapar, Yasser S. Amer, Naohiro Yonemoto, Ahmad Ghashghaee, Amanda J. Mason-Jones, Marcela Agudelo-Botero, Ashraf Nabhan, Saeed Safari, Lorainne Tudor Car, Ayman Grada, Stanislav S. Otstavnov, Keyvan Pakshir, Nefsu Awoke, Ahamarshan Jayaraman Nagarajan, Adnan Kisa, Ghasem Azarian, Yogesh Sabde, Soufiane Boufous, Fatemeh Khosravi Shadmani, Ketema Bizuwork Gebremedhin, Heather Orpana, Narayan Bahadur Mahotra, Tripti Khanna, Peter Nyasulu, Tommi Vasankari, Reza Mohammadpourhodki, Peter Njenga Keiyoro, Andrea Werdecker, Sanghamitra Pati, Rajan Nikbakhsh, Sorin Hostiuc, Prateek Rastogi, Xuefeng Liu, Manasi Kumar, Josip Car, Chuanhua Yu, Aziz Rezapour, Narayana Manjunatha, Ritesh G. Menezes, Michael K. Hole, Asadollah Gholamian, Pascual R. Valdez, Lorenzo Monasta, Amit Arora, Marek Majdan, Abraham Getachew Kelbore, Irini Chatziralli, Rafael Alves Guimarães, Mohammad Hassan Emamian, Filippo Ariani, Jeadran N. Malagón-Rojas, Jae Il Shin, Aziz Sheikh, Garumma Tolu Feyissa, Ahmed Abdelalim, Babak Moazen, Smita Pakhale, Bija Soleymani, Mehdi Hosseinzadeh, Young Eun Kim, Yunquan Zhang, Guoqing Hu, Yousef Khader, Suzanne Barker-Collo, Rizwan Suliankatchi Abdulkader, Mahdi Safdarian, Arash Sarveazad, Maria Magdalena Constantin, Dhirendra N Sinha, Alireza Ansari-Moghaddam, Khezar Hayat, Ferrán Catalá-López, Shaun Wen Huey Lee, Susan M Sawyer, Soosanna Kumary Chattu, Salman Rawaf, Seyed Sina Naghibi Irvani, Eun-Kee Park, Nauman Khalid, Marwa Rashad Salem, Duduzile Ndwandwe, Carl Abelardo T. Antonio, Morteza Abdullatif Khafaie, Borhan Mansouri, Faramarz Shaahmadi, Rovshan Khalilov, Milena M Santric Milicevic, Pankaj Singh, Ashish Badiye, Ai Koyanagi, Priya Rathi, Sanni Yaya, Ali Bijani, Shanshan Li, Onome Bright Oghenetega, Manoochehr Karami, Huong Lan Thi Nguyen, Soheil Hassanipour, Chukwudi A Nnaji, Obinna Onwujekwe, Swayam Prakash, Animut Tagele Tamiru, Ted R. Miller, Rebecca Ivers, Paulo A. Lotufo, Tomislav Mestrovic, Bhaskaran Unnikrishnan, Morteza Shamsizadeh, Abdollah Mohammadian-Hafshejani, Savita Lasrado, Amir Almasi-Hashiani, Burcu Kucuk Bicer, Samad Azari, Degena Bahrey Tadesse, Ziad El-Khatib, Ashish Pathak, Kebreab Paulos, Krittika Bhattacharyya, Animut Alebel, Rupak Desai, Rafael Tabarés-Seisdedos, Melkamu Merid Mengesha, Ayenew Kassie Tesema, Amir Radfar, Shane D. Morrison, Inga Dora Sigfusdottir, Hamid Yimam Hassen, Miloud Taki Eddine Aichour, Getnet Gedefaw, Hamed Zandian, Chi Linh Hoang, Seyedmojtaba Seyedmousavi, Desalegn Getnet Demsie, Fares Alahdab, Vafa Rahimi-Movaghar, Atalay Goshu Muluneh, Leeberk Raja Inbaraj, Muluken Bekele Sorrie, Olayinka Stephen Ilesanmi, Om P Kurmi, Subramanian Senthilkumaran, Ahmed Omar Bali, Wagaye Fentahun Chanie, Abadi Kahsu Gebre, Neha Chaudhary, Endang Indriasih, Neeraj Bedi, Ghobad Moradi, Pankaj Bhardwaj, Erkin M. Mirrakhimov, Daniel Y. Cho, Karen M. Tabb, Elham Ehsani-Chimeh, Kamarul Imran Musa, Mustafa Z. Younis, Meresa Berwo Mengesha, Veincent Christian Filipino Pepito, Jalal Arabloo, Mukhammad David Naimzada, Ingan Ukur Tarigan, Eleni Bagli, Prasanna Mithra, Masood Ali Shaikh, Siamak Sabour, Theo Vos, Van C. Lansingh, Cuong Tat Nguyen, Dennis Odai Laryea, Tuomo J. Meretoja, Ireneous N. Soyiri, Mariam Molokhia, Biruk Wogayehu Taddele, Robert C. Reiner, Till Bärnighausen, Walter Mendoza, Maciej Banach, Justin J. Lang, Maysaa El Sayed Zaki, Martha Híjar, Farahnaz Joukar, João Mauricio Castaldelli-Maia, R V Polibin, Sudha Jayaraman, S. Mohammad Sajadi, Cyrus Alinia, Nicholas L S Roberts, Aso Mohammad Darwesh, Akine Eshete Abosetugn, Mostafa Dianati Nasab, Samar Al-Hajj, Jagadish Rao Padubidri, Gebretsadkan Hintsa Tekulu, Kidanemaryam Berhe, Mehdi Mirzaei-Alavijeh, Hasan Yusefzadeh, Felix Akpojene Ogbo, Mahesh P A, Amir Manafi, Berhe Gebremichael, Carlos Miguel Rios González, Rahman Shiri, Girmay Teklay Weldesamuel, Pallab K. Maulik, Suresh Jungari, Ali Yadollahpour, Ali H. 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L., Hole, M. K., Holla, R., Hossain, N., Hosseinzadeh, M., Hostiuc, S., Hu, G., Ibitoye, S. E., Ilesanmi, O. S., Ilic, I., Ilic, M. D., Inbaraj, L. R., Indriasih, E., Irvani, S. S. N., Islam, S. M. S., Mofizul Islam, M., Ivers, R. Q., Jacobsen, K. H., Jahani, M. A., Jahanmehr, N., Jakovljevic, M., Jalilian, F., Jayaraman, S., Jayatilleke, A. U., Jha, R. P., John-Akinola, Y. O., Jonas, J. B., Joseph, N., Joukar, F., Jozwiak, J. J., Jungari, S. B., Jurisson, M., Kabir, A., Kadel, R., Kahsay, A., Kalankesh, L. R., Kalhor, R., Kamil, T. A., Kanchan, T., Kapoor, N., Karami, M., Kasaeian, A., Kassaye, H. G., Kavetskyy, T., Kebede, H. K., Keiyoro, P. N., Kelbore, A. G., Kelkay, B., Khader, Y. S., Khafaie, M. A., Khalid, N., Khalil, I. A., Khalilov, R., Khammarnia, M., Khan, E. A., Khan, M., Khanna, T., Khazaie, H., Shadmani, F. K., Khundkar, R., Kiirithio, D. N., Kim, Y. -E., Kim, D., Kim, Y. J., Kisa, A., Kisa, S., Komaki, H., Kondlahalli, S. K. M., Korshunov, V. A., Koyanagi, A., Kraemer, M. U. G., Krishan, K., Bicer, B. K., Kugbey, N., Kumar, V., Kumar, N., Anil Kumar, G., Kumar, M., Kumaresh, G., Kurmi, O. P., Kuti, O., Vecchia, C. L., Lami, F. H., Lamichhane, P., Lang, J. J., Lansingh, V. C., Laryea, D. O., Lasrado, S., Latifi, A., Lauriola, P., Leasher, J. L., Lee, S. W. H., Lenjebo, T. L., Levi, M., Li, S., Linn, S., Liu, X., Lopez, A. D., Lotufo, P. A., Lunevicius, R., Lyons, R. A., Madadin, M., El Razek, M. M. A., Mahotra, N. B., Majdan, M., Majeed, A., Malagon-Rojas, J. N., Maled, V., Malekzadeh, R., Malta, D. C., Manafi, N., Manafi, A., Manda, A. -L., Manjunatha, N., Mansour-Ghanaei, F., Mansouri, B., Mansournia, M. A., Maravilla, J. C., March, L. M., Mason-Jones, A. J., Masoumi, S. Z., Massenburg, B. B., Maulik, P. K., Meles, G. G., Melese, A., Melketsedik, Z. A., Memiah, P. T. N., Mendoza, W., Menezes, R. G., Mengesha, M. B., Mengesha, M. M., Meretoja, T. J., Meretoja, A., Merie, H. E., Mestrovic, T., Miazgowski, B., Miazgowski, T., Miller, T. R., Mini, G. K., Mirica, A., Mirrakhimov, E. M., Mirzaei-Alavijeh, M., Mithra, P., Moazen, B., Moghadaszadeh, M., Mohamadi, E., Mohammad, Y., Mohammad, K. A., Darwesh, A. M., Mezerji, N. M. G., Mohammadian-Hafshejani, A., Mohammadoo-Khorasani, M., Mohammadpourhodki, R., Mohammed, S., Mohammed, J. A., Mohebi, F., Molokhia, M., Monasta, L., Moodley, Y., Moosazadeh, M., Moradi, M., Moradi, G., Moradi-Lakeh, M., Moradpour, F., Morawska, L., Velasquez, I. M., Morisaki, N., Morrison, S. D., Mossie, T. B., Muluneh, A. G., Murthy, S., Musa, K. I., Mustafa, G., Nabhan, A. F., Nagarajan, A. J., Naik, G., Naimzada, M. D., Najafi, F., Nangia, V., Nascimento, B. R., Naserbakht, M., Nayak, V., Ndwandwe, D. E., Negoi, I., Ngunjiri, J. W., Nguyen, C. T., Nguyen, H. L. T., Nikbakhsh, R., Ningrum, D. N. A., Nnaji, C. A., Nyasulu, P. S., Ogbo, F. A., Oghenetega, O. B., Oh, I. -H., Okunga, E. W., Olagunju, A. T., Olagunju, T. O., Bali, A. O., Onwujekwe, O. E., Asante, K. O., Orpana, H. M., Ota, E., Otstavnov, N., Otstavnov, S. S., Mahesh, P. A., Padubidri, J. R., Pakhale, S., Pakshir, K., Panda-Jonas, S., Park, E. -K., Patel, S. K., Pathak, A., Pati, S., Patton, G. C., Paulos, K., Peden, A. E., Pepito, V. C. F., Pereira, J., Pham, H. Q., Phillips, M. R., Pinheiro, M., Polibin, R. V., Polinder, S., Poustchi, H., Prakash, S., Pribadi, D. R. A., Puri, P., Syed, Z. Q., Rabiee, M., Rabiee, N., Radfar, A., Rafay, A., Rafiee, A., Rafiei, A., Rahim, F., Rahimi, S., Rahimi-Movaghar, V., Rahman, M. A., Rajabpour-Sanati, A., Rajati, F., Rakovac, I., Ranganathan, K., Rao, S. J., Rashedi, V., Rastogi, P., Rathi, P., Rawaf, S., Rawal, L., Rawassizadeh, R., Renjith, V., Renzaho, A. M. N., Resnikoff, S., Rezapour, A., Ribeiro, A. I., Rickard, J., Gonzalez, C. M. R., Ronfani, L., Roshandel, G., Saad, A. M., Sabde, Y. D., Sabour, S., Saddik, B., Safari, S., Safari-Faramani, R., Safarpour, H., Safdarian, M., Mohammad Sajadi, S., Salamati, P., Salehi, F., Zahabi, S. S., Rashad Salem, M. R., Salem, H., Salman, O., Salz, I., Samy, A. M., Sanabria, J., Riera, L. S., Santric Milicevic, M. M., Sarker, A. R., Sarveazad, A., Sathian, B., Sawhney, M., Sawyer, S. M., Saxena, S., Sayyah, M., Schwebel, D. C., Seedat, S., Senthilkumaran, S., Sepanlou, S. G., Seyedmousavi, S., Sha, F., Shaahmadi, F., Shahabi, S., Shaikh, M. A., Shams-Beyranvand, M., Shamsizadeh, M., Sharif-Alhoseini, M., Sharifi, H., Sheikh, A., Shigematsu, M., Shin, J. I., Shiri, R., Siabani, S., Sigfusdottir, I. D., Singh, P. K., Singh, J. A., Sinha, D. N., Smarandache, C. -G., Smith, E. U. R., Soheili, A., Soleymani, B., Soltanian, A. R., Soriano, J. B., Sorrie, M. B., Soyiri, I. N., Stein, D. J., Stokes, M. A., Mu'Awiyyah, B. S., Suleria, H. A. R., Sykes, B. L., Tabares-Seisdedos, R., Tabb, K. M., Taddele, B. W., Tadesse, D. B., Tamiru, A. T., Tarigan, I. U., Tefera, Y. M., Tehrani-Banihashemi, A., Tekle, M. G., Tekulu, G. H., Tesema, A. K., Tesfay, B. E., Thapar, R., Tilahune, A. B., Tlaye, K. G., Tohidinik, H. R., Topor-Madry, R., Tran, B. X., Tran, K. B., Tripathy, J. P., Tsai, A. C., Car, L. T., Ullah, S., Ullah, I., Umar, M., Unnikrishnan, B., Upadhyay, E., Uthman, O. A., Valdez, P. R., Vasankari, T. J., Venketasubramanian, N., Violante, F. S., Vlassov, V., Waheed, Y., Weldesamuel, G. T., Werdecker, A., Wiangkham, T., Wolde, H. F., Woldeyes, D. H., Wondafrash, D. Z., Wondmeneh, T. G., Wondmieneh, A. B., Wu, A. -M., Yadav, R., Yadollahpour, A., Yano, Y., Yaya, S., Yazdi-Feyzabadi, V., Yip, P., Yisma, E., Yonemoto, N., Yoon, S. -J., Youm, Y., Younis, M. Z., Yousefi, Z., Yu, Y., Yu, C., Yusefzadeh, H., Moghadam, T. Z., Zaidi, Z., Zaman, S. B., Zamani, M., Zamanian, M., Zandian, H., Zarei, A., Zare, F., Zhang, Z. -J., Zhang, Y., Zodpey, S., Dandona, L., Dandona, R., Degenhardt, L., Dharmaratne, S. D., Hay, S. I., Mokdad, A. H., Reiner, R. C., Sartorius, B., Vos, T., James, Spencer L, Castle, Chris D, Dingels, Zachary V, Fox, Jack T, Adema, Bereket Duko, Yisma, Engida, and Vos, Theo

Subjects
Dánarmein, Fötlun, Dánartíðni, Lífslíkur, Life expectancy, 1106 Human Movement and Sports Sciences, burden of disease, Global Health, Global Burden of Disease, 0302 clinical medicine, Quality-Adjusted Life Year, Global health, Medicine, LIFE EXPECTANCY, 030212 general & internal medicine, POPULATION, Cause of death, Original Research, RISK, education.field_of_study, Global disease burdens, Injuries, Sjúkdómar, Incidence (epidemiology), Incidence, Population health, Burden of disease, Global, global, 3142 Public health care science, environmental and occupational health, 3. Good health, Descriptive epidemiology, Lýðheilsa, Quality-Adjusted Life Years, Public Health, TERRITORIES, descriptive epidemiology, Human, Population, 195 COUNTRIES, Humans, Life Expectancy, Morbidity, Wounds and Injuries, 1117 Public Health and Health Services, 03 medical and health sciences, AGE, SYSTEMATIC ANALYSIS, Mortality, education, Disability, SEX-SPECIFIC MORTALITY, business.industry, Faraldsfræði, DISABILITY, Public Health, Environmental and Occupational Health, Quality-adjusted life year, Years of potential life lost, Áverkar, 1701 Psychology, Human medicine, business, 030217 neurology & neurosurgery, Demography
Abstract

Publisher's version (útgefin grein), Background Past research in population health trends has shown that injuries form a substantial burden of population health loss. Regular updates to injury burden assessments are critical. We report Global Burden of Disease (GBD) 2017 Study estimates on morbidity and mortality for all injuries. Methods We reviewed results for injuries from the GBD 2017 study. GBD 2017 measured injury-specific mortality and years of life lost (YLLs) using the Cause of Death Ensemble model. To measure non-fatal injuries, GBD 2017 modelled injury-specific incidence and converted this to prevalence and years lived with disability (YLDs). YLLs and YLDs were summed to calculate disability-adjusted life years (DALYs). Findings In 1990, there were 4 260 493 (4 085 700 to 4 396 138) injury deaths, which increased to 4 484 722 (4 332 010 to 4 585 554) deaths in 2017, while age-standardised mortality decreased from 1079 (1073 to 1086) to 738 (730 to 745) per 100 000. In 1990, there were 354 064 302 (95% uncertainty interval: 338 174 876 to 371 610 802) new cases of injury globally, which increased to 520 710 288 (493 430 247 to 547 988 635) new cases in 2017. During this time, age-standardised incidence decreased non-significantly from 6824 (6534 to 7147) to 6763 (6412 to 7118) per 100 000. Between 1990 and 2017, age-standardised DALYs decreased from 4947 (4655 to 5233) per 100 000 to 3267 (3058 to 3505). Interpretation Injuries are an important cause of health loss globally, though mortality has declined between 1990 and 2017. Future research in injury burden should focus on prevention in high-burden populations, improving data collection and ensuring access to medical care., Bill and Melinda Gates Foundation OPP1152504, "Peer Reviewed"

Published
2020
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28. Prevalence of hypertension and associated factors among adult residents in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia

Author

Tadiwos Hailu Zewdie, Zeleke Aschalew Melketsedik, Gistane Ayele, Nega Degefa Megersa, Adefris Chuka, and Befikadu Tariku Gutema

Subjects
Male, Physiology, Blood Pressure, 030204 cardiovascular system & hematology, Overweight, Cardiovascular Medicine, Vascular Medicine, Coffee, 0302 clinical medicine, Medical Conditions, Khat, Risk Factors, Vegetables, Medicine and Health Sciences, Prevalence, 030212 general & internal medicine, Flowering Plants, education.field_of_study, Multidisciplinary, biology, Age Factors, Eukaryota, Plants, Middle Aged, Physiological Parameters, Cardiovascular Diseases, Population Surveillance, Hypertension, Medicine, Female, medicine.symptom, Research Article, Adult, Science, Population, Cardiology, Catha, Odds, Beverages, 03 medical and health sciences, Age groups, medicine, Humans, Risk factor, education, Noncommunicable Diseases, Nutrition, Tea, Marital Status, business.industry, Body Weight, Organisms, Biology and Life Sciences, Feeding Behavior, Cardiovascular Disease Risk, biology.organism_classification, Diet, Cross-Sectional Studies, Sample size determination, Ethiopia, business, Demography, Quantile
Abstract

Hypertension is the leading risk factor for mortality and it is also one of the major risk factors for other non-communicable diseases (NCDs). The objective of the study was to assess the prevalence of hypertension and its associated factors among adults residing in Arba Minch health and demographic surveillance site (HDSS), Southern Ethiopia. A community-based cross-sectional survey was conducted in 2017 on the estimated sample size of 3,368 adults at Arba Minch Health and Demographic Surveillance site (HDSS). Data were collected using the WHO STEPS survey tools. Bivariate analysis was done to detect candidate variables at P-value less than 0.25 and entered into the final model to identify the independent predictors of hypertension. The prevalence of hypertension was 18.92% (95% CI: 17.63-20.28). The magnitude increase among respondents in the older age group [AOR 1.39 (95%CI: 1.05-1.84), 1.68 (95% CI: 1.26-2.23) and 2.67 (95%CI: 2.01-3.56) for age group 35-44, 45-54 and 55-64, respectively, compared to 25-34 years old group] and those with the higher wealth index [AOR 1.86 (95%CI: 1.33-2.59), 2.68 (95% CI: 1.91-3.75) and 2.97 (95%CI: 2.08-4.25) for 3rd quantile, 4th quantile and 5th quantile, respectively, compared to 1st quantile]. The odds of hypertension reduce among married participants (AOR 0.66, 95%CI: 0.51-0.85). Respondents with overweight (AOR 1.44, 95%CI: 1.02-2.02), khat chewing (AOR3.31, 95%CI: 1.94-5.64), low fruit and/or vegetable consumption (AOR 1.27, 95%CI: 1.05-1.53) and those who do not use coffee and tea (AOR 1.52, 95%CI: 1.03-2.24) had significantly higher likelihood of hypertension. Nearly one out of five participants have hypertension in this population. As hypertension is one of the silent killers, it is advisable to develop a system for enabling early detection and monitoring in the older age groups and overweight individuals.

Published
2020

29. Tobacco use and associated factors among adults reside in Arba Minch health and demographic surveillance site, southern Ethiopia: a cross-sectional study

Author

Gistane Ayele, Nega Degefa Megersa, Befikadu Tariku Gutema, Eshetu Zerihun Tariku, Alazar Baharu, Zeleke Aschalew Melketsedik, Wubshet Estifaons, Adefris Chuka, and Zerihun Zerdo

Subjects
Male, Cross-sectional study, 030508 substance abuse, Social Sciences, DETERMINANTS, Logistic regression, DISEASE, Smokeless, Tobacco Use, 0302 clinical medicine, Epidemiology, Medicine and Health Sciences, Prevalence, Medicine, 030212 general & internal medicine, POPULATION, lcsh:Public aspects of medicine, PREVALENCE, Smokeless tobacco, Child, Preschool, OCCUPATION, Female, Public Health, SMOKING, 0305 other medical science, Research Article, medicine.medical_specialty, CONCURRENT ALCOHOL, Catha, 03 medical and health sciences, Smoked, Environmental health, Tobacco, Humans, Aged, business.industry, Public health, MORTALITY, Environmental and Occupational Health, Public Health, Environmental and Occupational Health, CONSUMPTION, lcsh:RA1-1270, Odds ratio, Physical activity level, PHYSICAL-ACTIVITY, Cross-Sectional Studies, Ethiopia, Biostatistics, business, Health and demographic surveillance site (HDSS)
Abstract

Background Tobacco use is one of the world-leading preventable killers. There was a varied prevalence of tobacco use and cigarette smoking across different areas. The aim of the study was to assess the prevalence and factors associated with current tobacco use among adults residing in Arba Minch health and demographic surveillance site (HDSS). Methods A community-based cross-sectional study was conducted among adults residing in Arba Minch HDSS in 2017. The estimated sample size was 3368 individuals which were selected by simple random sampling techniques using Arba Minch HDSS dataset. Data collection tools were obtained from the WHO STEPwise. Current use of tobacco, which defined as the current use of smoked and/or smokeless tobacco, was considered as the dependent variable. A binary logistic regression model was used to identify candidate variables for the multivariable logistic regression model. An adjusted odds ratio (AOR) at a p-value of less than 0.05 was used to determine a statistically significant association between independent and dependent variables. Result The prevalence of tobacco use among adults was 20.2% (95% CI: 18.9–21.6%). The current use of smoked and smokeless tobacco were 17.1% (95%CI: 15.8–18.4%) and 9.7% (95%CI: 8.8–10.8%), respectively. The current use of tobacco was significantly associated with sex (female [AOR 0.54; 95%CI: 0.42–0.68] compared to men), age group (35–44 [AOR 1.57; 95%CI: 1.14–2.17], 45–54 [AOR 1.99; 95%CI: 1.45–2.74], and 55–64 [AOR 3.26; 95%CI: 2.37–4.48] years old compared to 25–35 years old), physical activity (moderate physical activity level [AOR 0.65; 95%CI: 0.44–0.96] compared with low) and residency (highland [AOR 4.39; 95% CI: 3.21–6.01] compared with at lowlander). Also, heavy alcohol consumption (AOR 3.97; 95% CI: 3.07–5.12), and Khat chewing (AOR 3.07(95%CI: 1.64–5.77) were also associated with the use of tobacco among the study participants. Conclusion Nearly one in five adults used tobacco currently in the study area, which is more than the national reports. Interventions for the reduction of tobacco use need to give due attention to men, older adults, uneducated, poor, and highlanders.

Published
2020

31. Tobacco use and associated factors among adults reside in Arba Minch health and demographic surveillance site, southern Ethiopia: a cross-sectional study

Author

Gutema, Befikadu Tariku, primary, Chuka, Adefris, additional, Ayele, Gistane, additional, Estifaons, Wubshet, additional, Melketsedik, Zeleke Aschalew, additional, Tariku, Eshetu Zerihun, additional, Zerdo, Zerihun, additional, Baharu, Alazar, additional, and Megersa, Nega Degefa, additional

Published
2021
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33. Estimating global injuries morbidity and mortality: methods and data used in the Global Burden of Disease 2017 study

Author

James, Spencer L, primary, Castle, Chris D, additional, Dingels, Zachary V, additional, Fox, Jack T, additional, Hamilton, Erin B, additional, Liu, Zichen, additional, Roberts, Nicholas L S, additional, Sylte, Dillon O, additional, Bertolacci, Gregory J, additional, Cunningham, Matthew, additional, Henry, Nathaniel J, additional, LeGrand, Kate E, additional, Abdelalim, Ahmed, additional, Abdollahpour, Ibrahim, additional, Abdulkader, Rizwan Suliankatchi, additional, Abedi, Aidin, additional, Abegaz, Kedir Hussein, additional, Abosetugn, Akine Eshete, additional, Abushouk, Abdelrahman I, additional, Adebayo, Oladimeji M, additional, Adsuar, Jose C, additional, Advani, Shailesh M, additional, Agudelo-Botero, Marcela, additional, Ahmad, Tauseef, additional, Ahmed, Muktar Beshir, additional, Ahmed, Rushdia, additional, Eddine Aichour, Miloud Taki, additional, Alahdab, Fares, additional, Alanezi, Fahad Mashhour, additional, Alema, Niguse Meles, additional, Alemu, Biresaw Wassihun, additional, Alghnam, Suliman A, additional, Ali, Beriwan Abdulqadir, additional, Ali, Saqib, additional, Alinia, Cyrus, additional, Alipour, Vahid, additional, Aljunid, Syed Mohamed, additional, Almasi-Hashiani, Amir, additional, Almasri, Nihad A, additional, Altirkawi, Khalid, additional, Abdeldayem Amer, Yasser Sami, additional, Andrei, Catalina Liliana, additional, Ansari-Moghaddam, Alireza, additional, T Antonio, Carl Abelardo, additional, Anvari, Davood, additional, Yaw Appiah, Seth Christopher, additional, Arabloo, Jalal, additional, Arab-Zozani, Morteza, additional, Arefi, Zohreh, additional, Aremu, Olatunde, additional, Ariani, Filippo, additional, Arora, Amit, additional, Asaad, Malke, additional, Ayala Quintanilla, Beatriz Paulina, additional, Ayano, Getinet, additional, Ayanore, Martin Amogre, additional, Azarian, Ghasem, additional, Badawi, Alaa, additional, Badiye, Ashish D, additional, Baig, Atif Amin, additional, Bairwa, Mohan, additional, Bakhtiari, Ahad, additional, Balachandran, Arun, additional, Banach, Maciej, additional, Banerjee, Srikanta K, additional, Banik, Palash Chandra, additional, Banstola, Amrit, additional, Barker-Collo, Suzanne Lyn, additional, Bärnighausen, Till Winfried, additional, Barzegar, Akbar, additional, Bayati, Mohsen, additional, Bazargan-Hejazi, Shahrzad, additional, Bedi, Neeraj, additional, Behzadifar, Masoud, additional, Belete, Habte, additional, Bennett, Derrick A, additional, Bensenor, Isabela M, additional, Berhe, Kidanemaryam, additional, Bhagavathula, Akshaya Srikanth, additional, Bhardwaj, Pankaj, additional, Bhat, Anusha Ganapati, additional, Bhattacharyya, Krittika, additional, Bhutta, Zulfiqar A, additional, Bibi, Sadia, additional, Bijani, Ali, additional, Boloor, Archith, additional, Borges, Guilherme, additional, Borschmann, Rohan, additional, Borzì, Antonio Maria, additional, Boufous, Soufiane, additional, Braithwaite, Dejana, additional, Briko, Nikolay Ivanovich, additional, Brugha, Traolach, additional, Budhathoki, Shyam S, additional, Car, Josip, additional, Cárdenas, Rosario, additional, Carvalho, Félix, additional, Castaldelli-Maia, João Mauricio, additional, Castañeda-Orjuela, Carlos A, additional, Castelpietra, Giulio, additional, Catalá-López, Ferrán, additional, Cerin, Ester, additional, Chandan, Joht S, additional, Chapman, Jens Robert, additional, Chattu, Vijay Kumar, additional, Chattu, Soosanna Kumary, additional, Chatziralli, Irini, additional, Chaudhary, Neha, additional, Cho, Daniel Youngwhan, additional, Choi, Jee-Young J, additional, Kabir Chowdhury, Mohiuddin Ahsanul, additional, Christopher, Devasahayam J, additional, Chu, Dinh-Toi, additional, Cicuttini, Flavia M, additional, Coelho, João M, additional, Costa, Vera M, additional, Dahlawi, Saad M A, additional, Daryani, Ahmad, additional, Dávila-Cervantes, Claudio Alberto, additional, Leo, Diego De, additional, Demeke, Feleke Mekonnen, additional, Demoz, Gebre Teklemariam, additional, Demsie, Desalegn Getnet, additional, Deribe, Kebede, additional, Desai, Rupak, additional, Nasab, Mostafa Dianati, additional, Silva, Diana Dias da, additional, Dibaji Forooshani, Zahra Sadat, additional, Do, Hoa Thi, additional, Doyle, Kerrie E, additional, Driscoll, Tim Robert, additional, Dubljanin, Eleonora, additional, Adema, Bereket Duko, additional, Eagan, Arielle Wilder, additional, Elemineh, Demelash Abewa, additional, El-Jaafary, Shaimaa I, additional, El-Khatib, Ziad, additional, Ellingsen, Christian Lycke, additional, Zaki, Maysaa El Sayed, additional, Eskandarieh, Sharareh, additional, Eyawo, Oghenowede, additional, Faris, Pawan Sirwan, additional, Faro, Andre, additional, Farzadfar, Farshad, additional, Fereshtehnejad, Seyed-Mohammad, additional, Fernandes, Eduarda, additional, Ferrara, Pietro, additional, Fischer, Florian, additional, Folayan, Morenike Oluwatoyin, additional, Fomenkov, Artem Alekseevich, additional, Foroutan, Masoud, additional, Francis, Joel Msafiri, additional, 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2020
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35. Global injury morbidity and mortality from 1990 to 2017: results from the Global Burden of Disease Study 2017

Author

James, Spencer L, primary, Castle, Chris D, additional, Dingels, Zachary V, additional, Fox, Jack T, additional, Hamilton, Erin B, additional, Liu, Zichen, additional, S Roberts, Nicholas L, additional, Sylte, Dillon O, additional, Henry, Nathaniel J, additional, LeGrand, Kate E, additional, Abdelalim, Ahmed, additional, Abdoli, Amir, additional, Abdollahpour, Ibrahim, additional, Abdulkader, Rizwan Suliankatchi, additional, Abedi, Aidin, additional, Abosetugn, Akine Eshete, additional, Abushouk, Abdelrahman I, additional, Adebayo, Oladimeji M, additional, Agudelo-Botero, Marcela, additional, Ahmad, Tauseef, additional, Ahmed, Rushdia, additional, Ahmed, Muktar Beshir, additional, Eddine Aichour, Miloud Taki, additional, Alahdab, Fares, additional, Alamene, Genet Melak, additional, Alanezi, Fahad Mashhour, additional, Alebel, Animut, additional, Alema, Niguse Meles, additional, Alghnam, Suliman A, additional, Al-Hajj, Samar, additional, Ali, Beriwan Abdulqadir, additional, Ali, Saqib, additional, Alikhani, Mahtab, additional, Alinia, Cyrus, additional, Alipour, Vahid, additional, Aljunid, Syed Mohamed, additional, Almasi-Hashiani, Amir, additional, Almasri, Nihad A, additional, Altirkawi, Khalid, additional, Abdeldayem Amer, Yasser Sami, additional, Amini, Saeed, additional, Loreche Amit, Arianna Maever, additional, Andrei, Catalina Liliana, additional, Ansari-Moghaddam, Alireza, additional, T Antonio, Carl Abelardo, additional, Yaw Appiah, Seth Christopher, additional, Arabloo, Jalal, additional, Arab-Zozani, Morteza, additional, Arefi, Zohreh, additional, Aremu, Olatunde, additional, Ariani, Filippo, additional, Arora, Amit, additional, Asaad, Malke, additional, Asghari, Babak, additional, Awoke, Nefsu, additional, Ayala Quintanilla, Beatriz Paulina, additional, Ayano, Getinet, additional, Ayanore, Martin Amogre, additional, Azari, Samad, additional, Azarian, Ghasem, additional, Badawi, Alaa, additional, Badiye, Ashish D, additional, Bagli, Eleni, additional, Baig, Atif Amin, additional, Bairwa, Mohan, additional, Bakhtiari, Ahad, additional, Balachandran, Arun, additional, Banach, Maciej, additional, Banerjee, Srikanta K, additional, Banik, Palash Chandra, additional, Banstola, Amrit, additional, Barker-Collo, Suzanne Lyn, additional, Bärnighausen, Till Winfried, additional, Barrero, Lope H, additional, Barzegar, Akbar, additional, Bayati, Mohsen, additional, Baye, Bayisa Abdissa, additional, Bedi, Neeraj, additional, Behzadifar, Masoud, additional, Bekuma, Tariku Tesfaye, additional, Belete, Habte, additional, Benjet, Corina, additional, Bennett, Derrick A, additional, Bensenor, Isabela M, additional, Berhe, Kidanemaryam, additional, Bhardwaj, Pankaj, additional, Bhat, Anusha Ganapati, additional, Bhattacharyya, Krittika, additional, Bibi, Sadia, additional, Bijani, Ali, additional, Bin Sayeed, Muhammad Shahdaat, additional, Borges, Guilherme, additional, Borzì, Antonio Maria, additional, Boufous, Soufiane, additional, Brazinova, Alexandra, additional, Briko, Nikolay Ivanovich, additional, Budhathoki, Shyam S, additional, Car, Josip, additional, Cárdenas, Rosario, additional, Carvalho, Félix, additional, Castaldelli-Maia, João Mauricio, additional, Castañeda-Orjuela, Carlos A, additional, Castelpietra, Giulio, additional, Catalá-López, Ferrán, additional, Cerin, Ester, additional, Chandan, Joht S, additional, Chanie, Wagaye Fentahun, additional, Chattu, Soosanna Kumary, additional, Chattu, Vijay Kumar, additional, Chatziralli, Irini, additional, Chaudhary, Neha, additional, Cho, Daniel Youngwhan, additional, Kabir Chowdhury, Mohiuddin Ahsanul, additional, Chu, Dinh-Toi, additional, Colquhoun, Samantha M, additional, Constantin, Maria-Magdalena, additional, Costa, Vera M, additional, Damiani, Giovanni, additional, Daryani, Ahmad, additional, Dávila-Cervantes, Claudio Alberto, additional, Demeke, Feleke Mekonnen, additional, Demis, Asmamaw Bizuneh, additional, Demoz, Gebre Teklemariam, additional, Demsie, Desalegn Getnet, additional, Derakhshani, Afshin, additional, Deribe, Kebede, additional, Desai, Rupak, additional, Nasab, Mostafa Dianati, additional, da Silva, Diana Dias, additional, Dibaji Forooshani, Zahra Sadat, additional, Doyle, Kerrie E, additional, Driscoll, Tim Robert, additional, Dubljanin, Eleonora, additional, Adema, Bereket Duko, additional, Eagan, Arielle Wilder, additional, Eftekhari, Aziz, additional, Ehsani-Chimeh, Elham, additional, Sayed Zaki, Maysaa El, additional, Elemineh, Demelash Abewa, additional, El-Jaafary, Shaimaa I, additional, El-Khatib, Ziad, additional, Ellingsen, Christian Lycke, additional, Emamian, Mohammad Hassan, additional, Endalew, Daniel Adane, additional, Eskandarieh, Sharareh, additional, Faris, Pawan Sirwan, additional, Faro, Andre, additional, Farzadfar, Farshad, additional, Fatahi, Yousef, additional, Fekadu, Wubalem, additional, Ferede, Tomas Y, additional, Fereshtehnejad, Seyed-Mohammad, additional, Fernandes, Eduarda, additional, Ferrara, Pietro, additional, Feyissa, Garumma Tolu, additional, Filip, Irina, additional, Fischer, Florian, additional, Folayan, Morenike Oluwatoyin, additional, Foroutan, Masoud, additional, Francis, Joel Msafiri, additional, Franklin, Richard Charles, additional, Fukumoto, Takeshi, additional, Geberemariyam, Biniyam Sahiledengle, additional, Gebre, Abadi Kahsu, additional, Gebremedhin, Ketema Bizuwork, additional, Gebremeskel, Gebreamlak Gebremedhn, additional, Gebremichael, Berhe, additional, Gedefaw, Getnet Azeze, additional, Geta, Birhanu, additional, Ghafourifard, Mansour, additional, Ghamari, Farhad, additional, Ghashghaee, Ahmad, additional, Gholamian, Asadollah, additional, Gill, Tiffany K, additional, Goulart, Alessandra C, additional, Grada, Ayman, additional, Grivna, Michal, additional, Mohialdeen Gubari, Mohammed Ibrahim, additional, Guimarães, Rafael Alves, additional, Guo, Yuming, additional, Gupta, Gaurav, additional, Haagsma, Juanita A, additional, Hafezi-Nejad, Nima, additional, Bidgoli, Hassan Haghparast, additional, Hall, Brian James, additional, Hamadeh, Randah R, additional, Hamidi, Samer, additional, Haro, Josep Maria, additional, Hasan, Md Mehedi, additional, Hasanzadeh, Amir, additional, Hassanipour, Soheil, additional, Hassankhani, Hadi, additional, Hassen, Hamid Yimam, additional, Havmoeller, Rasmus, additional, Hayat, Khezar, additional, Hendrie, Delia, additional, Heydarpour, Fatemeh, additional, Híjar, Martha, additional, Ho, Hung Chak, additional, Hoang, Chi Linh, additional, Hole, Michael K, additional, Holla, Ramesh, additional, Hossain, Naznin, additional, Hosseinzadeh, Mehdi, additional, Hostiuc, Sorin, additional, Hu, Guoqing, additional, Ibitoye, Segun Emmanuel, additional, Ilesanmi, Olayinka Stephen, additional, Ilic, Irena, additional, Ilic, Milena D, additional, Inbaraj, Leeberk Raja, additional, Indriasih, Endang, additional, Naghibi Irvani, Seyed Sina, additional, Shariful Islam, Sheikh Mohammed, additional, Islam, M Mofizul, additional, Ivers, Rebecca Q, additional, Jacobsen, Kathryn H, additional, Jahani, Mohammad Ali, additional, Jahanmehr, Nader, additional, Jakovljevic, Mihajlo, additional, Jalilian, Farzad, additional, Jayaraman, Sudha, additional, Jayatilleke, Achala Upendra, additional, Jha, Ravi Prakash, additional, John-Akinola, Yetunde O, additional, Jonas, Jost B, additional, Joseph, Nitin, additional, Joukar, Farahnaz, additional, Jozwiak, Jacek Jerzy, additional, Jungari, Suresh Banayya, additional, Jürisson, Mikk, additional, Kabir, Ali, additional, Kadel, Rajendra, additional, Kahsay, Amaha, additional, Kalankesh, Leila R, additional, Kalhor, Rohollah, additional, Kamil, Teshome Abegaz, additional, Kanchan, Tanuj, additional, Kapoor, Neeti, additional, Karami, Manoochehr, additional, Kasaeian, Amir, additional, Kassaye, Hagazi Gebremedhin, additional, Kavetskyy, Taras, additional, Kebede, Hafte Kahsay, additional, Keiyoro, Peter Njenga, additional, Kelbore, Abraham Getachew, additional, Kelkay, Bayew, additional, Khader, Yousef Saleh, additional, Khafaie, Morteza Abdullatif, additional, Khalid, Nauman, additional, Khalil, Ibrahim A, additional, Khalilov, Rovshan, additional, Khammarnia, Mohammad, additional, Khan, Ejaz Ahmad, additional, Khan, Maseer, additional, Khanna, Tripti, additional, Khazaie, Habibolah, additional, Shadmani, Fatemeh Khosravi, additional, Khundkar, Roba, additional, Kiirithio, Daniel N, additional, Kim, Young-Eun, additional, Kim, Daniel, additional, Kim, Yun Jin, additional, Kisa, Adnan, additional, Kisa, Sezer, additional, Komaki, Hamidreza, additional, M Kondlahalli, Shivakumar K, additional, Korshunov, Vladimir Andreevich, additional, Koyanagi, Ai, additional, G Kraemer, Moritz U, additional, Krishan, Kewal, additional, Bicer, Burcu Kucuk, additional, Kugbey, Nuworza, additional, Kumar, Vivek, additional, Kumar, Nithin, additional, Kumar, G Anil, additional, Kumar, Manasi, additional, Kumaresh, Girikumar, additional, Kurmi, Om P, additional, Kuti, Oluwatosin, additional, Vecchia, Carlo La, additional, Lami, Faris Hasan, additional, Lamichhane, Prabhat, additional, Lang, Justin J, additional, Lansingh, Van C, additional, Laryea, Dennis Odai, additional, Lasrado, Savita, additional, Latifi, Arman, additional, Lauriola, Paolo, additional, Leasher, Janet L, additional, Huey Lee, Shaun Wen, additional, Lenjebo, Tsegaye Lolaso, additional, Levi, Miriam, additional, Li, Shanshan, additional, Linn, Shai, additional, Liu, Xuefeng, additional, Lopez, Alan D, additional, Lotufo, Paulo A, additional, Lunevicius, Raimundas, additional, Lyons, Ronan A, additional, Madadin, Mohammed, additional, El Razek, Muhammed Magdy Abd, additional, Mahotra, Narayan Bahadur, additional, Majdan, Marek, additional, Majeed, Azeem, additional, Malagon-Rojas, Jeadran N, additional, Maled, Venkatesh, additional, Malekzadeh, Reza, additional, Malta, Deborah Carvalho, additional, Manafi, Navid, additional, Manafi, Amir, additional, Manda, Ana-Laura, additional, Manjunatha, Narayana, additional, Mansour-Ghanaei, Fariborz, additional, Mansouri, Borhan, additional, Mansournia, Mohammad Ali, additional, Maravilla, Joemer C, additional, March, Lyn M, additional, Mason-Jones, Amanda J, additional, Masoumi, Seyedeh Zahra, additional, Massenburg, Benjamin Ballard, additional, Maulik, Pallab K, additional, Meles, Gebrekiros Gebremichael, additional, Melese, Addisu, additional, Melketsedik, Zeleke Aschalew, additional, N Memiah, Peter T, additional, Mendoza, Walter, additional, Menezes, Ritesh G, additional, Mengesha, Meresa Berwo, additional, Mengesha, Melkamu Merid, additional, Meretoja, Tuomo J, additional, Meretoja, Atte, additional, Merie, Hayimro Edemealem, additional, Mestrovic, Tomislav, additional, Miazgowski, Bartosz, additional, Miazgowski, Tomasz, additional, Miller, Ted R, additional, Mini, GK, additional, Mirica, Andreea, additional, Mirrakhimov, Erkin M, additional, Mirzaei-Alavijeh, Mehdi, additional, Mithra, Prasanna, additional, Moazen, Babak, additional, Moghadaszadeh, Masoud, additional, Mohamadi, Efat, additional, Mohammad, Yousef, additional, Mohammad, Karzan Abdulmuhsin, additional, Darwesh, Aso Mohammad, additional, Gholi Mezerji, Naser Mohammad, additional, Mohammadian-Hafshejani, Abdollah, additional, Mohammadoo-Khorasani, Milad, additional, Mohammadpourhodki, Reza, additional, Mohammed, Shafiu, additional, Mohammed, Jemal Abdu, additional, Mohebi, Farnam, additional, Molokhia, Mariam, additional, Monasta, Lorenzo, additional, Moodley, Yoshan, additional, Moosazadeh, Mahmood, additional, Moradi, Masoud, additional, Moradi, Ghobad, additional, Moradi-Lakeh, Maziar, additional, Moradpour, Farhad, additional, Morawska, Lidia, additional, Velásquez, Ilais Moreno, additional, Morisaki, Naho, additional, Morrison, Shane Douglas, additional, Mossie, Tilahun Belete, additional, Muluneh, Atalay Goshu, additional, Murthy, Srinivas, additional, Musa, Kamarul Imran, additional, Mustafa, Ghulam, additional, Nabhan, Ashraf F, additional, Nagarajan, Ahamarshan Jayaraman, additional, Naik, Gurudatta, additional, Naimzada, Mukhammad David, additional, Najafi, Farid, additional, Nangia, Vinay, additional, Nascimento, Bruno Ramos, additional, Naserbakht, Morteza, additional, Nayak, Vinod, additional, Ndwandwe, Duduzile Edith, additional, Negoi, Ionut, additional, Ngunjiri, Josephine W, additional, Nguyen, Cuong Tat, additional, Thi Nguyen, Huong Lan, additional, Nikbakhsh, Rajan, additional, Anggraini Ningrum, Dina Nur, additional, Nnaji, Chukwudi A, additional, Nyasulu, Peter S, additional, Ogbo, Felix Akpojene, additional, Oghenetega, Onome Bright, additional, Oh, In-Hwan, additional, Okunga, Emmanuel Wandera, additional, Olagunju, Andrew T, additional, Olagunju, Tinuke O, additional, Bali, Ahmed Omar, additional, Onwujekwe, Obinna E, additional, Asante, Kwaku Oppong, additional, Orpana, Heather M, additional, Ota, Erika, additional, Otstavnov, Nikita, additional, Otstavnov, Stanislav S, additional, A, Mahesh P, additional, Padubidri, Jagadish Rao, additional, Pakhale, Smita, additional, Pakshir, Keyvan, additional, Panda-Jonas, Songhomitra, additional, Park, Eun-Kee, additional, Patel, Sangram Kishor, additional, Pathak, Ashish, additional, Pati, Sanghamitra, additional, Patton, George C, additional, Paulos, Kebreab, additional, Peden, Amy E, additional, Filipino Pepito, Veincent Christian, additional, Pereira, Jeevan, additional, Pham, Hai Quang, additional, Phillips, Michael R, additional, Pinheiro, Marina, additional, Polibin, Roman V, additional, Polinder, Suzanne, additional, Poustchi, Hossein, additional, Prakash, Swayam, additional, Angga Pribadi, Dimas Ria, additional, Puri, Parul, additional, Syed, Zahiruddin Quazi, additional, Rabiee, Mohammad, additional, Rabiee, Navid, additional, Radfar, Amir, additional, Rafay, Anwar, additional, Rafiee, Ata, additional, Rafiei, Alireza, additional, Rahim, Fakher, additional, Rahimi, Siavash, additional, Rahimi-Movaghar, Vafa, additional, Rahman, Muhammad Aziz, additional, Rajabpour-Sanati, Ali, additional, Rajati, Fatemeh, additional, Rakovac, Ivo, additional, Ranganathan, Kavitha, additional, Rao, Sowmya J, additional, Rashedi, Vahid, additional, Rastogi, Prateek, additional, Rathi, Priya, additional, Rawaf, Salman, additional, Rawal, Lal, additional, Rawassizadeh, Reza, additional, Renjith, Vishnu, additional, N Renzaho, Andre M, additional, Resnikoff, Serge, additional, Rezapour, Aziz, additional, Ribeiro, Ana Isabel, additional, Rickard, Jennifer, additional, Rios González, Carlos Miguel, additional, Ronfani, Luca, additional, Roshandel, Gholamreza, additional, Saad, Anas M, additional, Sabde, Yogesh Damodar, additional, Sabour, Siamak, additional, Saddik, Basema, additional, Safari, Saeed, additional, Safari-Faramani, Roya, additional, Safarpour, Hamid, additional, Safdarian, Mahdi, additional, Sajadi, S Mohammad, additional, Salamati, Payman, additional, Salehi, Farkhonde, additional, Zahabi, Saleh Salehi, additional, Rashad Salem, Marwa R, additional, Salem, Hosni, additional, Salman, Omar, additional, Salz, Inbal, additional, Samy, Abdallah M, additional, Sanabria, Juan, additional, Riera, Lidia Sanchez, additional, Santric Milicevic, Milena M, additional, Sarker, Abdur Razzaque, additional, Sarveazad, Arash, additional, Sathian, Brijesh, additional, Sawhney, Monika, additional, Sawyer, Susan M, additional, Saxena, Sonia, additional, Sayyah, Mehdi, additional, Schwebel, David C, additional, Seedat, Soraya, additional, Senthilkumaran, Subramanian, additional, Sepanlou, Sadaf G, additional, Seyedmousavi, Seyedmojtaba, additional, Sha, Feng, additional, Shaahmadi, Faramarz, additional, Shahabi, Saeed, additional, Shaikh, Masood Ali, additional, Shams-Beyranvand, Mehran, additional, Shamsizadeh, Morteza, additional, Sharif-Alhoseini, Mahdi, additional, Sharifi, Hamid, additional, Sheikh, Aziz, additional, Shigematsu, Mika, additional, Shin, Jae 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Tesema, Ayenew Kassie, additional, Tesfay, Berhe Etsay, additional, Thapar, Rekha, additional, Tilahune, Asres Bedaso, additional, Tlaye, Kenean Getaneh, additional, Tohidinik, Hamid Reza, additional, Topor-Madry, Roman, additional, Tran, Bach Xuan, additional, Tran, Khanh Bao, additional, Tripathy, Jaya Prasad, additional, Tsai, Alexander C, additional, Car, Lorainne Tudor, additional, Ullah, Saif, additional, Ullah, Irfan, additional, Umar, Maida, additional, Unnikrishnan, Bhaskaran, additional, Upadhyay, Era, additional, Uthman, Olalekan A, additional, Valdez, Pascual R, additional, Vasankari, Tommi Juhani, additional, Venketasubramanian, Narayanaswamy, additional, Violante, Francesco S, additional, Vlassov, Vasily, additional, Waheed, Yasir, additional, Weldesamuel, Girmay Teklay, additional, Werdecker, Andrea, additional, Wiangkham, Taweewat, additional, Wolde, Haileab Fekadu, additional, Woldeyes, Dawit Habte, additional, Wondafrash, Dawit Zewdu, additional, Wondmeneh, Temesgen Gebeyehu, additional, Wondmieneh, Adam Belay, additional, Wu, Ai-Min, additional, Yadav, Rajaram, additional, Yadollahpour, Ali, additional, Yano, Yuichiro, additional, Yaya, Sanni, additional, Yazdi-Feyzabadi, Vahid, additional, Yip, Paul, additional, Yisma, Engida, additional, Yonemoto, Naohiro, additional, Yoon, Seok-Jun, additional, Youm, Yoosik, additional, Younis, Mustafa Z, additional, Yousefi, Zabihollah, additional, Yu, Yong, additional, Yu, Chuanhua, additional, Yusefzadeh, Hasan, additional, Moghadam, Telma Zahirian, additional, Zaidi, Zoubida, additional, Zaman, Sojib Bin, additional, Zamani, Mohammad, additional, Zamanian, Maryam, additional, Zandian, Hamed, additional, Zarei, Ahmad, additional, Zare, Fatemeh, additional, Zhang, Zhi-Jiang, additional, Zhang, Yunquan, additional, Zodpey, Sanjay, additional, Dandona, Lalit, additional, Dandona, Rakhi, additional, Degenhardt, Louisa, additional, Dharmaratne, Samath Dhamminda, additional, Hay, Simon I, additional, Mokdad, Ali H, additional, Reiner, Robert C, additional, Sartorius, Benn, additional, and Vos, Theo, additional

Published
2020
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36. Anemia and its associated factors among school-age children living in different climatic zones of Arba Minch Zuria District, Southern Ethiopia

Author

Nega Degefa Megersa, Befikadu Tariku Gutema, Muluken Bekele Sorrie, Eshetu Zerihun Tariku, Feleke Gebremeskel Weldehawariat, Getaneh Alemu Abebe, Eskeziyaw Agedew Getahun, and Zeleke Aschalew Melketsedik

Subjects
medicine.medical_specialty, School age child, Child age, Anemia, business.industry, lcsh:RC633-647.5, Public health, Altitude, Psychological intervention, Hematology, lcsh:Diseases of the blood and blood-forming organs, medicine.disease, Logistic regression, Environmental health, Medicine and Health Sciences, medicine, Hemoglobin, Ethiopia, School-age children, HEMOGLOBINOMETER, business, Molecular Biology, Research Article
Abstract

Background Anemia, defined as a low blood hemoglobin concentration, has been shown to be a major public health concern in low-income countries like Ethiopia. School-age children are the most vulnerable population groups for anemia. The aim of this study was to assess the prevalence of anemia, with consideration of altitudinal variations, and to identify factors associated with anemia among school-age children. Methods A community-based cross-sectional study was conducted from April to May 2017 among randomly selected 391 school-age children (6 to 14 years) in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia. Hemoglobin concentration was measured on the spot using portable hemoglobinometer (HemoCue Hb 201). The hemoglobin cut off values, adjusted for child age and altitude, were used to define anemia. Stool microscopic examination was done for investigation of intestinal parasites. A binary logistic regression model was used to assess the possible association of independent and outcome variables. Results The overall prevalence of anemia was 37.3% (146); (95% CI: 32.5, 42.2). Among those who were anemic, 110 (28.1%) and 35 (9%) had mild (Hb 11–11.4 g/dl for children age from 6 to 11 years and 11–11.9 g/dl for children age from 12 to 14 years) and moderate (Hb 8–10.9 g/dl) anemia respectively. A single case of severe (Hb

Published
2019

37. Breast Feeding Practice: Positioning and Attachment during Breast Feeding among Lactating Mothers Visiting Health Facility in Areka Town, Southern Ethiopia

Author

Abdo Hajo, Eshetu Zerihun, Yisehak Kusse, Nega Degefa, Befikadu Tariku, Zeleke Aschalew, Gizachew Amana, and Takalign Bancha

Subjects
medicine.medical_specialty, Article Subject, Breastfeeding, Social Sciences, Pediatrics, 03 medical and health sciences, 0302 clinical medicine, Health facility, Medicine and Health Sciences, Medicine, 030212 general & internal medicine, Early childhood, 030219 obstetrics & reproductive medicine, business.industry, lcsh:RJ1-570, lcsh:Pediatrics, Systematic sampling, Perinatology and Child Health, Checklist, Test (assessment), Family medicine, Pediatrics, Perinatology and Child Health, Observational study, business, Breast feeding, Research Article
Abstract

Background. Breastfeeding is the act of milk conveyance from the mother to the infant. Adequate nutrition during infancy and early childhood are mandatory to ensure growth, health, and development of children to their maximum potential. The positioning of the baby’s body is important for maintaining good attachment and successful breastfeeding. Most difficulties of breastfeeding can be avoided altogether if good attachment and positioning can be achieved at the first and early feeds. Plenty of studies have been conducted to explore factors affecting breastfeeding practice in general; however, there is a meagerness of evidence that assesses factors affecting attachment and positioning during breastfeeding specifically. Therefore, the current study was aimed to assess positioning and attachment during breastfeeding among lactating mothers visiting health facilities of Areka town. Methods. an institution-based cross-sectional study was conducted by using observational checklist adopted from the World Health Organization breastfeeding observation form. Maternal-related characteristics were collected by using a structured and pretested questionnaire. The study was conducted from April to June 2017. Respondents were selected by using a systematic random sampling technique. Descriptive summaries were done to present pertinent findings and a chi-square test was used to check association between variables. Result. There was poorer positioning among primipara mothers (47.1%) than multipara mothers (28.7%). A poor attachment was also more apparent among primipara mothers which were more (31.1%) than the multipara (27.1%) mothers. Conclusion. Younger mothers (

Published
2019

38. Global injury morbidity and mortality from 1990 to 2017 : Results from the Global Burden of Disease Study 2017

Author

James, Spencer L, Castle, Chris D, Dingels, Zachary V, Fox, Jack T, Hamilton, Erin B, Liu, Zichen, S Roberts, Nicholas L, Sylte, Dillon O, Henry, Nathaniel J, Legrand, Kate E, Abdelalim, Ahmed, Abdoli, Amir, Abdollahpour, Ibrahim, Abdulkader, Rizwan Suliankatchi, Abedi, Aidin, Abosetugn, Akine Eshete, Abushouk, Abdelrahman I, Adebayo, Oladimeji M, Agudelo-botero, Marcela, Ahmad, Tauseef, Ahmed, Rushdia, Ahmed, Muktar Beshir, Eddine Aichour, Miloud Taki, Alahdab, Fares, Alamene, Genet Melak, Alanezi, Fahad Mashhour, Alebel, Animut, Alema, Niguse Meles, Alghnam, Suliman A, Al-hajj, Samar, Ali, Beriwan Abdulqadir, Ali, Saqib, Alikhani, Mahtab, Alinia, Cyrus, Alipour, Vahid, Aljunid, Syed Mohamed, Almasi-hashiani, Amir, Almasri, Nihad A, Altirkawi, Khalid, Abdeldayem Amer, Yasser Sami, Amini, Saeed, Loreche Amit, Arianna Maever, Andrei, Catalina Liliana, Ansari-moghaddam, Alireza, T Antonio, Carl Abelardo, Yaw Appiah, Seth Christopher, Arabloo, Jalal, Arab-zozani, Morteza, Arefi, Zohreh, Aremu, Olatunde, Ariani, Filippo, Arora, Amit, Asaad, Malke, Asghari, Babak, Awoke, Nefsu, Ayala Quintanilla, Beatriz Paulina, Ayano, Getinet, Ayanore, Martin Amogre, Azari, Samad, Azarian, Ghasem, Badawi, Alaa, Badiye, Ashish D, Bagli, Eleni, Baig, Atif Amin, Bairwa, Mohan, Bakhtiari, Ahad, Balachandran, Arun, Banach, Maciej, Banerjee, Srikanta K, Banik, Palash Chandra, Banstola, Amrit, Barker-collo, Suzanne Lyn, Bärnighausen, Till Winfried, Barrero, Lope H, Barzegar, Akbar, Bayati, Mohsen, Baye, Bayisa Abdissa, Bedi, Neeraj, Behzadifar, Masoud, Bekuma, Tariku Tesfaye, Belete, Habte, Benjet, Corina, Bennett, Derrick A, Bensenor, Isabela M, Berhe, Kidanemaryam, Bhardwaj, Pankaj, Bhat, Anusha Ganapati, Bhattacharyya, Krittika, Bibi, Sadia, Bijani, Ali, Bin Sayeed, Muhammad Shahdaat, Borges, Guilherme, Borzì, Antonio Maria, Boufous, Soufiane, Brazinova, Alexandra, Briko, Nikolay Ivanovich, Budhathoki, Shyam S, Car, Josip, Cárdenas, Rosario, Carvalho, Félix, Castaldelli-maia, João Mauricio, Castañeda-orjuela, Carlos A, Castelpietra, Giulio, Catalá-lópez, Ferrán, Cerin, Ester, Chandan, Joht S, Chanie, Wagaye Fentahun, Chattu, Soosanna Kumary, Chattu, Vijay Kumar, Chatziralli, Irini, Chaudhary, Neha, Cho, Daniel Youngwhan, Kabir Chowdhury, Mohiuddin Ahsanul, Chu, Dinh-toi, Colquhoun, Samantha M, Constantin, Maria-magdalena, Costa, Vera M, Damiani, Giovanni, Daryani, Ahmad, Dávila-cervantes, Claudio Alberto, Demeke, Feleke Mekonnen, Demis, Asmamaw Bizuneh, Demoz, Gebre Teklemariam, Demsie, Desalegn Getnet, Derakhshani, Afshin, Deribe, Kebede, Desai, Rupak, Nasab, Mostafa Dianati, Da Silva, Diana Dias, Dibaji Forooshani, Zahra Sadat, Doyle, Kerrie E, Driscoll, Tim Robert, Dubljanin, Eleonora, Adema, Bereket Duko, Eagan, Arielle Wilder, Eftekhari, Aziz, Ehsani-chimeh, Elham, Sayed Zaki, Maysaa El, Elemineh, Demelash Abewa, El-jaafary, Shaimaa I, El-khatib, Ziad, Ellingsen, Christian Lycke, Emamian, Mohammad Hassan, Endalew, Daniel Adane, Eskandarieh, Sharareh, Faris, Pawan Sirwan, Faro, Andre, Farzadfar, Farshad, Fatahi, Yousef, Fekadu, Wubalem, Ferede, Tomas Y, Fereshtehnejad, Seyed-mohammad, Fernandes, Eduarda, Ferrara, Pietro, Feyissa, Garumma Tolu, Filip, Irina, Fischer, Florian, Folayan, Morenike Oluwatoyin, Foroutan, Masoud, Francis, Joel Msafiri, Franklin, Richard Charles, Fukumoto, Takeshi, Geberemariyam, Biniyam Sahiledengle, Gebre, Abadi Kahsu, Gebremedhin, Ketema Bizuwork, Gebremeskel, Gebreamlak Gebremedhn, Gebremichael, Berhe, Gedefaw, Getnet Azeze, Geta, Birhanu, Ghafourifard, Mansour, Ghamari, Farhad, Ghashghaee, Ahmad, Gholamian, Asadollah, Gill, Tiffany K, Goulart, Alessandra C, Grada, Ayman, Grivna, Michal, Mohialdeen Gubari, Mohammed Ibrahim, Guimarães, Rafael Alves, Guo, Yuming, Gupta, Gaurav, Haagsma, Juanita A, Hafezi-nejad, Nima, Bidgoli, Hassan Haghparast, Hall, Brian James, Hamadeh, Randah R, Hamidi, Samer, Haro, Josep Maria, Hasan, Md Mehedi, Hasanzadeh, Amir, Hassanipour, Soheil, Hassankhani, Hadi, Hassen, Hamid Yimam, Havmoeller, Rasmus, Hayat, Khezar, Hendrie, Delia, Heydarpour, Fatemeh, Híjar, Martha, Ho, Hung Chak, Hoang, Chi Linh, Hole, Michael K, Holla, Ramesh, Hossain, Naznin, Hosseinzadeh, Mehdi, Hostiuc, Sorin, Hu, Guoqing, Ibitoye, Segun Emmanuel, Ilesanmi, Olayinka Stephen, Ilic, Irena, Ilic, Milena D, Inbaraj, Leeberk Raja, Indriasih, Endang, Naghibi Irvani, Seyed Sina, Shariful Islam, Sheikh Mohammed, Islam, M Mofizul, Ivers, Rebecca Q, Jacobsen, Kathryn H, Jahani, Mohammad Ali, Jahanmehr, Nader, Jakovljevic, Mihajlo, Jalilian, Farzad, Jayaraman, Sudha, Jayatilleke, Achala Upendra, Jha, Ravi Prakash, John-akinola, Yetunde O, Jonas, Jost B, Joseph, Nitin, Joukar, Farahnaz, Jozwiak, Jacek Jerzy, Jungari, Suresh Banayya, Jürisson, Mikk, Kabir, Ali, Kadel, Rajendra, Kahsay, Amaha, Kalankesh, Leila R, Kalhor, Rohollah, Kamil, Teshome Abegaz, Kanchan, Tanuj, Kapoor, Neeti, Karami, Manoochehr, Kasaeian, Amir, Kassaye, Hagazi Gebremedhin, Kavetskyy, Taras, Kebede, Hafte Kahsay, Keiyoro, Peter Njenga, Kelbore, Abraham Getachew, Kelkay, Bayew, Khader, Yousef Saleh, Khafaie, Morteza Abdullatif, Khalid, Nauman, Khalil, Ibrahim A, Khalilov, Rovshan, Khammarnia, Mohammad, Khan, Ejaz Ahmad, Khan, Maseer, Khanna, Tripti, Khazaie, Habibolah, Shadmani, Fatemeh Khosravi, Khundkar, Roba, Kiirithio, Daniel N, Kim, Young-eun, Kim, Daniel, Kim, Yun Jin, Kisa, Adnan, Kisa, Sezer, Komaki, Hamidreza, M Kondlahalli, Shivakumar K, Korshunov, Vladimir Andreevich, Koyanagi, Ai, G Kraemer, Moritz U, Krishan, Kewal, Bicer, Burcu Kucuk, Kugbey, Nuworza, Kumar, Vivek, Kumar, Nithin, Kumar, G Anil, Kumar, Manasi, Kumaresh, Girikumar, Kurmi, Om P, Kuti, Oluwatosin, Vecchia, Carlo La, Lami, Faris Hasan, Lamichhane, Prabhat, Lang, Justin J, Lansingh, Van C, Laryea, Dennis Odai, Lasrado, Savita, Latifi, Arman, Lauriola, Paolo, Leasher, Janet L, Huey Lee, Shaun Wen, Lenjebo, Tsegaye Lolaso, Levi, Miriam, Li, Shanshan, Linn, Shai, Liu, Xuefeng, Lopez, Alan D, Lotufo, Paulo A, Lunevicius, Raimundas, Lyons, Ronan A, Madadin, Mohammed, El Razek, Muhammed Magdy Abd, Mahotra, Narayan Bahadur, Majdan, Marek, Majeed, Azeem, Malagon-rojas, Jeadran N, Maled, Venkatesh, Malekzadeh, Reza, Malta, Deborah Carvalho, Manafi, Navid, Manafi, Amir, Manda, Ana-laura, Manjunatha, Narayana, Mansour-ghanaei, Fariborz, Mansouri, Borhan, Mansournia, Mohammad Ali, Maravilla, Joemer C, March, Lyn M, Mason-jones, Amanda J, Masoumi, Seyedeh Zahra, Massenburg, Benjamin Ballard, Maulik, Pallab K, Meles, Gebrekiros Gebremichael, Melese, Addisu, Melketsedik, Zeleke Aschalew, N Memiah, Peter T, Mendoza, Walter, Menezes, Ritesh G, Mengesha, Meresa Berwo, Mengesha, Melkamu Merid, Meretoja, Tuomo J, Meretoja, Atte, Merie, Hayimro Edemealem, Mestrovic, Tomislav, Miazgowski, Bartosz, Miazgowski, Tomasz, Miller, Ted R, Mini, Gk, Mirica, Andreea, Mirrakhimov, Erkin M, Mirzaei-alavijeh, Mehdi, Mithra, Prasanna, Moazen, Babak, Moghadaszadeh, Masoud, Mohamadi, Efat, Mohammad, Yousef, Mohammad, Karzan Abdulmuhsin, Darwesh, Aso 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Abstract

Background Past research in population health trends has shown that injuries form a substantial burden of population health loss. Regular updates to injury burden assessments are critical. We report Global Burden of Disease (GBD) 2017 Study estimates on morbidity and mortality for all injuries. Methods We reviewed results for injuries from the GBD 2017 study. GBD 2017 measured injury-specific mortality and years of life lost (YLLs) using the Cause of Death Ensemble model. To measure non-fatal injuries, GBD 2017 modelled injury-specific incidence and converted this to prevalence and years lived with disability (YLDs). YLLs and YLDs were summed to calculate disability-adjusted life years (DALYs). Findings In 1990, there were 4 260 493 (4 085 700 to 4 396 138) injury deaths, which increased to 4 484 722 (4 332 010 to 4 585 554) deaths in 2017, while age-standardised mortality decreased from 1079 (1073 to 1086) to 738 (730 to 745) per 100 000. In 1990, there were 354 064 302 (95% uncertainty interval: 338 174 876 to 371 610 802) new cases of injury globally, which increased to 520 710 288 (493 430 247 to 547 988 635) new cases in 2017. During this time, age-standardised incidence decreased non-significantly from 6824 (6534 to 7147) to 6763 (6412 to 7118) per 100 000. Between 1990 and 2017, age-standardised DALYs decreased from 4947 (4655 to 5233) per 100 000 to 3267 (3058 to 3505). Interpretation Injuries are an important cause of health loss globally, though mortality has declined between 1990 and 2017. Future research in injury burden should focus on prevention in high-burden populations, improving data collection and ensuring access to medical care.

Published
2020

39. Estimating global injuries morbidity and mortality: Methods and data used in the Global Burden of Disease 2017 study

Author

James, S, Castle, C, Dingels, Z, Fox, J, Hamilton, E, Liu, Z, Roberts, N, Sylte, D, Bertolacci, G, Cunningham, M, Henry, N, Legrand, K, Abdelalim, A, Abdollahpour, I, Abdulkader, R, Abedi, A, Abegaz, K, Abosetugn, A, Abushouk, A, Adebayo, O, Adsuar, J, Advani, S, Agudelo-Botero, M, Ahmad, T, Ahmed, M, Ahmed, R, Eddine Aichour, M, Alahdab, F, Alanezi, F, Alema, N, Alemu, B, Alghnam, S, Ali, B, Ali, S, Alinia, C, Alipour, V, Aljunid, S, Almasi-Hashiani, A, Almasri, N, Altirkawi, K, Abdeldayem Amer, Y, Andrei, C, Ansari-Moghaddam, A, T Antonio, C, Anvari, D, Yaw Appiah, S, Arabloo, J, Arab-Zozani, M, Arefi, Z, Aremu, O, Ariani, F, Arora, A, Asaad, M, Ayala Quintanilla, B, Ayano, G, Ayanore, M, Azarian, G, Badawi, A, Badiye, A, Baig, A, Bairwa, M, Bakhtiari, A, Balachandran, A, Banach, M, Banerjee, S, Banik, P, Banstola, A, Barker-Collo, S, Bärnighausen, T, Barzegar, A, Bayati, M, Bazargan-Hejazi, S, Bedi, N, Behzadifar, M, Belete, H, Bennett, D, Bensenor, I, Berhe, K, Bhagavathula, A, Bhardwaj, P, Bhat, A, Bhattacharyya, K, Bhutta, Z, Bibi, S, Bijani, A, Boloor, A, Borges, G, Borschmann, R, Borzì, A, Boufous, S, Braithwaite, D, Briko, N, Brugha, T, Budhathoki, S, Car, J, Cárdenas, R, Carvalho, F, Castaldelli-Maia, J, Castañeda-Orjuela, C, Castelpietra, G, Catalá-López, F, Cerin, E, Chandan, J, Chapman, J, Chattu, V, Chattu, S, Chatziralli, I, Chaudhary, N, Cho, D, Choi, J, Kabir Chowdhury, M, Christopher, D, Chu, D, Cicuttini, F, Coelho, J, Costa, V, Dahlawi, S, Daryani, A, Dávila-Cervantes, C, Leo, D, Demeke, F, Demoz, G, Demsie, D, Deribe, K, Desai, R, Nasab, M, Silva, D, Dibaji Forooshani, Z, Do, H, Doyle, K, Driscoll, T, Dubljanin, E, Adema, B, Eagan, A, Elemineh, D, El-Jaafary, S, El-Khatib, Z, Ellingsen, C, Zaki, M, Eskandarieh, S, Eyawo, O, Faris, P, Faro, A, Farzadfar, F, Fereshtehnejad, S, Fernandes, E, Ferrara, P, Fischer, F, Folayan, M, Fomenkov, A, Foroutan, M, Francis, J, Franklin, R, Fukumoto, T, Geberemariyam, B, Gebremariam, H, Gebremedhin, K, Gebremeskel, L, Gebremeskel, G, Gebremichael, B, Gedefaw, G, Geta, B, Getenet, A, Ghafourifard, M, Ghamari, F, Gheshlagh, R, Gholamian, A, Gilani, S, Gill, T, Goudarzian, A, Goulart, A, Grada, A, Grivna, M, Guimarães, R, Guo, Y, Gupta, G, Haagsma, J, Hall, B, Hamadeh, R, Hamidi, S, Handiso, D, Haro, J, Hasanzadeh, A, Hassan, S, Hassanipour, S, Hassankhani, H, Hassen, H, Havmoeller, R, Hendrie, D, Heydarpour, F, Híjar, M, Ho, H, Hoang, C, Hole, M, Holla, R, Hossain, N, Hosseinzadeh, M, Hostiuc, S, Hu, G, Ibitoye, S, Ilesanmi, O, Inbaraj, L, Naghibi Irvani, S, Mofizul Islam, M, Shariful Islam, S, Ivers, R, Jahani, M, Jakovljevic, M, Jalilian, F, Jayaraman, S, Jayatilleke, A, Jha, R, John-Akinola, Y, Jonas, J, Jones, K, Joseph, N, Joukar, F, Jozwiak, J, Jungari, S, Jürisson, M, Kabir, A, Kahsay, A, Kalankesh, L, Kalhor, R, Kamil, T, Kanchan, T, Kapoor, N, Karami, M, Kasaeian, A, Kassaye, H, Kavetskyy, T, Kayode, G, Keiyoro, P, Kelbore, A, Khader, Y, Khafaie, M, Khalid, N, Khalil, I, Khalilov, R, Khan, M, Khan, E, Khan, J, Khanna, T, Khazaei, S, Khazaie, H, Khundkar, R, Kiirithio, D, Kim, Y, Kim, D, Kisa, S, Kisa, A, Komaki, H, Kondlahalli, S, Koolivand, A, Korshunov, V, Koyanagi, A, Kraemer, M, Krishan, K, Defo, B, Bicer, B, Kugbey, N, Kumar, N, Kumar, M, Kumar, V, Kumaresh, G, Lami, F, Lansingh, V, Lasrado, S, Latifi, A, Lauriola, P, Vecchia, C, Leasher, J, Huey Lee, S, Li, S, Liu, X, Lopez, A, Lotufo, P, Lyons, R, Machado, D, Madadin, M, Abd El Razek, M, Mahotra, N, Majdan, M, Majeed, A, Maled, V, Malta, D, Manafi, N, Manafi, A, Manda, A, Manjunatha, N, Mansour-Ghanaei, F, Mansournia, M, Maravilla, J, Mason-Jones, A, Masoumi, S, Massenburg, B, Maulik, P, Mehndiratta, M, Melketsedik, Z, Memiah, P, Mendoza, W, Menezes, R, Mengesha, M, Meretoja, T, Meretoja, A, Merie, H, Mestrovic, T, Miazgowski, B, Miazgowski, T, Miller, T, Mini, G, Mirica, A, Mirrakhimov, E, Mirzaei-Alavijeh, M, Mithra, P, Moazen, B, Moghadaszadeh, M, Mohamadi, E, Mohammad, Y, Darwesh, A, Mohammadian-Hafshejani, A, Mohammadpourhodki, R, Mohammed, S, Mohammed, J, Mohebi, F, Mohseni Bandpei, M, Molokhia, M, Monasta, L, Moodley, Y, Moradi, M, Moradi, G, Moradi-Lakeh, M, Moradzadeh, R, Morawska, L, Velásquez, I, Morrison, S, Mossie, T, Muluneh, A, Musa, K, Mustafa, G, Naderi, M, Nagarajan, A, Naik, G, Naimzada, M, Najafi, F, Nangia, V, Nascimento, B, Naserbakht, M, Nayak, V, Nazari, J, Ndwandwe, D, Negoi, I, Ngunjiri, J, Nguyen, T, Nguyen, C, Nguyen, D, Thi Nguyen, H, Nikbakhsh, R, Anggraini Ningrum, D, Nnaji, C, Ofori-Asenso, R, Ogbo, F, Oghenetega, O, Oh, I, Olagunju, A, Olagunju, T, Bali, A, Onwujekwe, O, Orpana, H, Ota, E, Otstavnov, N, Otstavnov, S, P A, M, Padubidri, J, Pakhale, S, Pakshir, K, Panda-Jonas, S, Park, E, Patel, S, Pathak, A, Pati, S, Paulos, K, Peden, A, Filipino Pepito, V, Pereira, J, Phillips, M, Polibin, R, Polinder, S, Pourmalek, F, Pourshams, A, Poustchi, H, Prakash, S, Angga Pribadi, D, Puri, P, Syed, Z, Rabiee, N, Rabiee, M, Radfar, A, Rafay, A, Rafiee, A, Rafiei, A, Rahim, F, Rahimi, S, Rahman, M, Rajabpour-Sanati, A, Rajati, F, Rakovac, I, Rao, S, Rashedi, V, Rastogi, P, Rathi, P, Rawaf, S, Rawal, L, Rawassizadeh, R, Renjith, V, Resnikoff, S, Rezapour, A, Ribeiro, A, Rickard, J, Rios González, C, Roever, L, Ronfani, L, Roshandel, G, Saddik, B, Safarpour, H, Safdarian, M, Mohammad Sajadi, S, Salamati, P, Rashad Salem, M, Salem, H, Salz, I, Samy, A, Sanabria, J, Riera, L, Santric Milicevic, M, Sarker, A, Sarveazad, A, Sathian, B, Sawhney, M, Sayyah, M, Schwebel, D, Seedat, S, Senthilkumaran, S, Seyedmousavi, S, Sha, F, Shaahmadi, F, Shahabi, S, Shaikh, M, Shams-Beyranvand, M, Sheikh, A, Shigematsu, M, Shin, J, Shiri, R, Siabani, S, Sigfusdottir, I, Singh, J, Singh, P, Sinha, D, Soheili, A, Soriano, J, Sorrie, M, Soyiri, I, Stokes, M, Sufiyan, M, Sykes, B, Tabarés-Seisdedos, R, Tabb, K, Taddele, B, Tefera, Y, Tehrani-Banihashemi, A, Tekulu, G, Tesema Tesema, A, Tesfay, B, Thapar, R, Titova, M, Tlaye, K, Tohidinik, H, Topor-Madry, R, Tran, K, Tran, B, Tripathy, J, Tsai, A, Tsatsakis, A, Car, L, Ullah, I, Ullah, S, Unnikrishnan, B, Upadhyay, E, Uthman, O, Valdez, P, Vasankari, T, Veisani, Y, Venketasubramanian, N, Violante, F, Vlassov, V, Waheed, Y, Wang, Y, Wiangkham, T, Wolde, H, Woldeyes, D, Wondmeneh, T, Wondmieneh, A, Wu, A, Wyper, G, Yadav, R, Yadollahpour, A, Yano, Y, Yaya, S, Yazdi-Feyzabadi, V, Ye, P, Yip, P, Yisma, E, Yonemoto, N, Yoon, S, Youm, Y, Younis, M, Yousefi, Z, Yu, C, Yu, Y, Moghadam, T, Zaidi, Z, Zaman, S, Zamani, M, Zandian, H, Zarei, F, Zhang, Z, Zhang, Y, Ziapour, A, Zodpey, S, Dandona, R, Dharmaratne, S, Hay, S, Mokdad, A, Pigott, D, Reiner, R, Vos, T, James, Spencer L, Castle, Chris D, Dingels, Zachary V, Fox, Jack T, Hamilton, Erin B, Liu, Zichen, Roberts, Nicholas L S, Sylte, Dillon O, Bertolacci, Gregory J, Cunningham, Matthew, Henry, Nathaniel J, LeGrand, Kate E, Abdelalim, Ahmed, Abdollahpour, Ibrahim, Abdulkader, Rizwan Suliankatchi, Abedi, Aidin, Abegaz, Kedir Hussein, Abosetugn, Akine Eshete, Abushouk, Abdelrahman I, Adebayo, Oladimeji M, Adsuar, Jose C, Advani, Shailesh M, Agudelo-Botero, Marcela, Ahmad, Tauseef, Ahmed, Muktar Beshir, Ahmed, Rushdia, Eddine Aichour, Miloud Taki, Alahdab, Fares, Alanezi, Fahad Mashhour, Alema, Niguse Meles, Alemu, Biresaw Wassihun, Alghnam, Suliman A, Ali, Beriwan Abdulqadir, Ali, Saqib, Alinia, Cyrus, Alipour, Vahid, Aljunid, Syed Mohamed, Almasi-Hashiani, Amir, Almasri, Nihad A, Altirkawi, Khalid, Abdeldayem Amer, Yasser Sami, Andrei, Catalina Liliana, Ansari-Moghaddam, Alireza, T Antonio, Carl Abelardo, Anvari, Davood, Yaw Appiah, Seth Christopher, Arabloo, Jalal, Arab-Zozani, Morteza, Arefi, Zohreh, Aremu, Olatunde, Ariani, Filippo, Arora, Amit, Asaad, Malke, Ayala Quintanilla, Beatriz Paulina, Ayano, Getinet, Ayanore, Martin Amogre, Azarian, Ghasem, Badawi, Alaa, Badiye, Ashish D, Baig, Atif Amin, Bairwa, Mohan, Bakhtiari, Ahad, Balachandran, Arun, Banach, Maciej, Banerjee, Srikanta K, Banik, Palash Chandra, Banstola, Amrit, Barker-Collo, Suzanne Lyn, Bärnighausen, Till Winfried, Barzegar, Akbar, Bayati, Mohsen, Bazargan-Hejazi, Shahrzad, Bedi, Neeraj, Behzadifar, Masoud, Belete, Habte, Bennett, Derrick A, Bensenor, Isabela M, Berhe, Kidanemaryam, Bhagavathula, Akshaya Srikanth, Bhardwaj, Pankaj, Bhat, Anusha Ganapati, Bhattacharyya, Krittika, Bhutta, Zulfiqar A, Bibi, Sadia, Bijani, Ali, Boloor, Archith, Borges, Guilherme, Borschmann, Rohan, Borzì, Antonio Maria, Boufous, Soufiane, Braithwaite, Dejana, Briko, Nikolay Ivanovich, Brugha, Traolach, Budhathoki, Shyam S, Car, Josip, Cárdenas, Rosario, Carvalho, Félix, Castaldelli-Maia, João Mauricio, Castañeda-Orjuela, Carlos A, Castelpietra, Giulio, Catalá-López, Ferrán, Cerin, Ester, Chandan, Joht S, Chapman, Jens Robert, Chattu, Vijay Kumar, Chattu, Soosanna Kumary, Chatziralli, Irini, Chaudhary, Neha, Cho, Daniel Youngwhan, Choi, Jee-Young J, Kabir Chowdhury, Mohiuddin Ahsanul, Christopher, Devasahayam J, Chu, Dinh-Toi, Cicuttini, Flavia M, Coelho, João M, Costa, Vera M, Dahlawi, Saad M A, Daryani, Ahmad, Dávila-Cervantes, Claudio Alberto, Leo, Diego De, Demeke, Feleke Mekonnen, Demoz, Gebre Teklemariam, Demsie, Desalegn Getnet, Deribe, Kebede, Desai, Rupak, Nasab, Mostafa Dianati, Silva, Diana Dias da, Dibaji Forooshani, Zahra Sadat, Do, Hoa Thi, Doyle, Kerrie E, Driscoll, Tim Robert, Dubljanin, Eleonora, Adema, Bereket Duko, Eagan, Arielle Wilder, Elemineh, Demelash Abewa, El-Jaafary, Shaimaa I, El-Khatib, Ziad, Ellingsen, Christian Lycke, Zaki, Maysaa El Sayed, Eskandarieh, Sharareh, Eyawo, Oghenowede, Faris, Pawan Sirwan, Faro, Andre, Farzadfar, Farshad, Fereshtehnejad, Seyed-Mohammad, Fernandes, Eduarda, Ferrara, Pietro, Fischer, Florian, Folayan, Morenike Oluwatoyin, Fomenkov, Artem Alekseevich, Foroutan, Masoud, Francis, Joel Msafiri, Franklin, Richard Charles, Fukumoto, Takeshi, Geberemariyam, Biniyam Sahiledengle, Gebremariam, Hadush, Gebremedhin, Ketema Bizuwork, Gebremeskel, Leake G, Gebremeskel, Gebreamlak Gebremedhn, Gebremichael, Berhe, Gedefaw, Getnet Azeze, Geta, Birhanu, Getenet, Agegnehu Bante, Ghafourifard, Mansour, Ghamari, Farhad, Gheshlagh, Reza Ghanei, Gholamian, Asadollah, Gilani, Syed Amir, Gill, Tiffany K, Goudarzian, Amir Hossein, Goulart, Alessandra C, Grada, Ayman, Grivna, Michal, Guimarães, Rafael Alves, Guo, Yuming, Gupta, Gaurav, Haagsma, Juanita A, Hall, Brian James, Hamadeh, Randah R, Hamidi, Samer, Handiso, Demelash Woldeyohannes, Haro, Josep Maria, Hasanzadeh, Amir, Hassan, Shoaib, Hassanipour, Soheil, Hassankhani, Hadi, Hassen, Hamid Yimam, Havmoeller, Rasmus, Hendrie, Delia, Heydarpour, Fatemeh, Híjar, Martha, Ho, Hung Chak, Hoang, Chi Linh, Hole, Michael K, Holla, Ramesh, Hossain, Naznin, Hosseinzadeh, Mehdi, Hostiuc, Sorin, Hu, Guoqing, Ibitoye, Segun Emmanuel, Ilesanmi, Olayinka Stephen, Inbaraj, Leeberk Raja, Naghibi Irvani, Seyed Sina, Shariful Islam, Sheikh Mohammed, Ivers, Rebecca Q, Jahani, Mohammad Ali, Jakovljevic, Mihajlo, Jalilian, Farzad, Jayaraman, Sudha, Jayatilleke, Achala Upendra, Jha, Ravi Prakash, John-Akinola, Yetunde O, Jonas, Jost B, Jones, Kelly M, Joseph, Nitin, Joukar, Farahnaz, Jozwiak, Jacek Jerzy, Jungari, Suresh Banayya, Jürisson, Mikk, Kabir, Ali, Kahsay, Amaha, Kalankesh, Leila R, Kalhor, Rohollah, Kamil, Teshome Abegaz, Kanchan, Tanuj, Kapoor, Neeti, Karami, Manoochehr, Kasaeian, Amir, Kassaye, Hagazi Gebremedhin, Kavetskyy, Taras, Kayode, Gbenga A, Keiyoro, Peter Njenga, Kelbore, Abraham Getachew, Khader, Yousef Saleh, Khafaie, Morteza Abdullatif, Khalid, Nauman, Khalil, Ibrahim A, Khalilov, Rovshan, Khan, Maseer, Khan, Ejaz Ahmad, Khan, Junaid, Khanna, Tripti, Khazaei, Salman, Khazaie, Habibolah, Khundkar, Roba, Kiirithio, Daniel N, Kim, Young-Eun, Kim, Yun Jin, Kim, Daniel, Kisa, Sezer, Kisa, Adnan, Komaki, Hamidreza, Kondlahalli, Shivakumar K M, Koolivand, Ali, Korshunov, Vladimir Andreevich, Koyanagi, Ai, Kraemer, Moritz U G, Krishan, Kewal, Defo, Barthelemy Kuate, Bicer, Burcu Kucuk, Kugbey, Nuworza, Kumar, Nithin, Kumar, Manasi, Kumar, Vivek, Kumar, Narinder, Kumaresh, Girikumar, Lami, Faris Hasan, Lansingh, Van C, Lasrado, Savita, Latifi, Arman, Lauriola, Paolo, Vecchia, Carlo La, Leasher, Janet L, Huey Lee, Shaun Wen, Li, Shanshan, Liu, Xuefeng, Lopez, Alan D, Lotufo, Paulo A, Lyons, Ronan A, Machado, Daiane Borges, Madadin, Mohammed, Abd El Razek, Muhammed Magdy, Mahotra, Narayan Bahadur, Majdan, Marek, Majeed, Azeem, Maled, Venkatesh, Malta, Deborah Carvalho, Manafi, Navid, Manafi, Amir, Manda, Ana-Laura, Manjunatha, Narayana, Mansour-Ghanaei, Fariborz, Mansournia, Mohammad Ali, Maravilla, Joemer C, Mason-Jones, Amanda J, Masoumi, Seyedeh Zahra, Massenburg, Benjamin Ballard, Maulik, Pallab K, Mehndiratta, Man Mohan, Melketsedik, Zeleke Aschalew, Memiah, Peter T N, Mendoza, Walter, Menezes, Ritesh G, Mengesha, Melkamu Merid, Meretoja, Tuomo J, Meretoja, Atte, Merie, Hayimro Edemealem, Mestrovic, Tomislav, Miazgowski, Bartosz, Miazgowski, Tomasz, Miller, Ted R, Mini, G K, Mirica, Andreea, Mirrakhimov, Erkin M, Mirzaei-Alavijeh, Mehdi, Mithra, Prasanna, Moazen, Babak, Moghadaszadeh, Masoud, Mohamadi, Efat, Mohammad, Yousef, Darwesh, Aso Mohammad, Mohammadian-Hafshejani, Abdollah, Mohammadpourhodki, Reza, Mohammed, Shafiu, Mohammed, Jemal Abdu, Mohebi, Farnam, Mohseni Bandpei, Mohammad A, Molokhia, Mariam, Monasta, Lorenzo, Moodley, Yoshan, Moradi, Masoud, Moradi, Ghobad, Moradi-Lakeh, Maziar, Moradzadeh, Rahmatollah, Morawska, Lidia, Velásquez, Ilais Moreno, Morrison, Shane Douglas, Mossie, Tilahun Belete, Muluneh, Atalay Goshu, Musa, Kamarul Imran, Mustafa, Ghulam, Naderi, Mehdi, Nagarajan, Ahamarshan Jayaraman, Naik, Gurudatta, Naimzada, Mukhammad David, Najafi, Farid, Nangia, Vinay, Nascimento, Bruno Ramos, Naserbakht, Morteza, Nayak, Vinod, Nazari, Javad, Ndwandwe, Duduzile Edith, Negoi, Ionut, Ngunjiri, Josephine W, Nguyen, Trang Huyen, Nguyen, Cuong Tat, Nguyen, Diep Ngoc, Thi Nguyen, Huong Lan, Nikbakhsh, Rajan, Anggraini Ningrum, Dina Nur, Nnaji, Chukwudi A, Ofori-Asenso, Richard, Ogbo, Felix Akpojene, Oghenetega, Onome Bright, Oh, In-Hwan, Olagunju, Andrew T, Olagunju, Tinuke O, Bali, Ahmed Omar, Onwujekwe, Obinna E, Orpana, Heather M, Ota, Erika, Otstavnov, Nikita, Otstavnov, Stanislav S, P A, Mahesh, Padubidri, Jagadish Rao, Pakhale, Smita, Pakshir, Keyvan, Panda-Jonas, Songhomitra, Park, Eun-Kee, Patel, Sangram Kishor, Pathak, Ashish, Pati, Sanghamitra, Paulos, Kebreab, Peden, Amy E, Filipino Pepito, Veincent Christian, Pereira, Jeevan, Phillips, Michael R, Polibin, Roman V, Polinder, Suzanne, Pourmalek, Farshad, Pourshams, Akram, Poustchi, Hossein, Prakash, Swayam, Angga Pribadi, Dimas Ria, Puri, Parul, Syed, Zahiruddin Quazi, Rabiee, Navid, Rabiee, Mohammad, Radfar, Amir, Rafay, Anwar, Rafiee, Ata, Rafiei, Alireza, Rahim, Fakher, Rahimi, Siavash, Rahman, Muhammad Aziz, Rajabpour-Sanati, Ali, Rajati, Fatemeh, Rakovac, Ivo, Rao, Sowmya J, Rashedi, Vahid, Rastogi, Prateek, Rathi, Priya, Rawaf, Salman, Rawal, Lal, Rawassizadeh, Reza, Renjith, Vishnu, Resnikoff, Serge, Rezapour, Aziz, Ribeiro, Ana Isabel, Rickard, Jennifer, Rios González, Carlos Miguel, Roever, Leonardo, Ronfani, Luca, Roshandel, Gholamreza, Saddik, Basema, Safarpour, Hamid, Safdarian, Mahdi, Salamati, Payman, Rashad Salem, Marwa R, Salem, Hosni, Salz, Inbal, Samy, Abdallah M, Sanabria, Juan, Riera, Lidia Sanchez, Santric Milicevic, Milena M, Sarker, Abdur Razzaque, Sarveazad, Arash, Sathian, Brijesh, Sawhney, Monika, Sayyah, Mehdi, Schwebel, David C, Seedat, Soraya, Senthilkumaran, Subramanian, Seyedmousavi, Seyedmojtaba, Sha, Feng, Shaahmadi, Faramarz, Shahabi, Saeed, Shaikh, Masood Ali, Shams-Beyranvand, Mehran, Sheikh, Aziz, Shigematsu, Mika, Shin, Jae Il, Shiri, Rahman, Siabani, Soraya, Sigfusdottir, Inga Dora, Singh, Jasvinder A, Singh, Pankaj Kumar, Sinha, Dhirendra Narain, Soheili, Amin, Soriano, Joan B, Sorrie, Muluken Bekele, Soyiri, Ireneous N, Stokes, Mark A, Sufiyan, Mu'awiyyah Babale, Sykes, Bryan L, Tabarés-Seisdedos, Rafael, Tabb, Karen M, Taddele, Biruk Wogayehu, Tefera, Yonatal Mesfin, Tehrani-Banihashemi, Arash, Tekulu, Gebretsadkan Hintsa, Tesema Tesema, Ayenew Kassie, Tesfay, Berhe Etsay, Thapar, Rekha, Titova, Mariya Vladimirovna, Tlaye, Kenean Getaneh, Tohidinik, Hamid Reza, Topor-Madry, Roman, Tran, Khanh Bao, Tran, Bach Xuan, Tripathy, Jaya Prasad, Tsai, Alexander C, Tsatsakis, Aristidis, Car, Lorainne Tudor, Ullah, Irfan, Ullah, Saif, Unnikrishnan, Bhaskaran, Upadhyay, Era, Uthman, Olalekan A, Valdez, Pascual R, Vasankari, Tommi Juhani, Veisani, Yousef, Venketasubramanian, Narayanaswamy, Violante, Francesco S, Vlassov, Vasily, Waheed, Yasir, Wang, Yuan-Pang, Wiangkham, Taweewat, Wolde, Haileab Fekadu, Woldeyes, Dawit Habte, Wondmeneh, Temesgen Gebeyehu, Wondmieneh, Adam Belay, Wu, Ai-Min, Wyper, Grant M A, Yadav, Rajaram, Yadollahpour, Ali, Yano, Yuichiro, Yaya, Sanni, Yazdi-Feyzabadi, Vahid, Ye, Pengpeng, Yip, Paul, Yisma, Engida, Yonemoto, Naohiro, Yoon, Seok-Jun, Youm, Yoosik, Younis, Mustafa Z, Yousefi, Zabihollah, Yu, Chuanhua, Yu, Yong, Moghadam, Telma Zahirian, Zaidi, Zoubida, Zaman, Sojib Bin, Zamani, Mohammad, Zandian, Hamed, Zarei, Fatemeh, Zhang, Zhi-Jiang, Zhang, Yunquan, Ziapour, Arash, Zodpey, Sanjay, Dandona, Rakhi, Dharmaratne, Samath Dhamminda, Hay, Simon I, Mokdad, Ali H, Pigott, David M, Reiner, Robert C, Vos, Theo, James, S, Castle, C, Dingels, Z, Fox, J, Hamilton, E, Liu, Z, Roberts, N, Sylte, D, Bertolacci, G, Cunningham, M, Henry, N, Legrand, K, Abdelalim, A, Abdollahpour, I, Abdulkader, R, Abedi, A, Abegaz, K, Abosetugn, A, Abushouk, A, Adebayo, O, Adsuar, J, Advani, S, Agudelo-Botero, M, Ahmad, T, Ahmed, M, Ahmed, R, Eddine Aichour, M, Alahdab, F, Alanezi, F, Alema, N, Alemu, B, Alghnam, S, Ali, B, Ali, S, Alinia, C, Alipour, V, Aljunid, S, Almasi-Hashiani, A, Almasri, N, Altirkawi, K, Abdeldayem Amer, Y, Andrei, C, Ansari-Moghaddam, A, T Antonio, C, Anvari, D, Yaw Appiah, S, Arabloo, J, Arab-Zozani, M, Arefi, Z, Aremu, O, 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Vlassov, Vasily, Waheed, Yasir, Wang, Yuan-Pang, Wiangkham, Taweewat, Wolde, Haileab Fekadu, Woldeyes, Dawit Habte, Wondmeneh, Temesgen Gebeyehu, Wondmieneh, Adam Belay, Wu, Ai-Min, Wyper, Grant M A, Yadav, Rajaram, Yadollahpour, Ali, Yano, Yuichiro, Yaya, Sanni, Yazdi-Feyzabadi, Vahid, Ye, Pengpeng, Yip, Paul, Yisma, Engida, Yonemoto, Naohiro, Yoon, Seok-Jun, Youm, Yoosik, Younis, Mustafa Z, Yousefi, Zabihollah, Yu, Chuanhua, Yu, Yong, Moghadam, Telma Zahirian, Zaidi, Zoubida, Zaman, Sojib Bin, Zamani, Mohammad, Zandian, Hamed, Zarei, Fatemeh, Zhang, Zhi-Jiang, Zhang, Yunquan, Ziapour, Arash, Zodpey, Sanjay, Dandona, Rakhi, Dharmaratne, Samath Dhamminda, Hay, Simon I, Mokdad, Ali H, Pigott, David M, Reiner, Robert C, and Vos, Theo

Abstract

Background: While there is a long history of measuring death and disability from injuries, modern research methods must account for the wide spectrum of disability that can occur in an injury, and must provide estimates with sufficient demographic, geographical and temporal detail to be useful for policy makers. The Global Burden of Disease (GBD) 2017 study used methods to provide highly detailed estimates of global injury burden that meet these criteria. Methods: In this study, we report and discuss the methods used in GBD 2017 for injury morbidity and mortality burden estimation. In summary, these methods included estimating cause-specific mortality for every cause of injury, and then estimating incidence for every cause of injury. Non-fatal disability for each cause is then calculated based on the probabilities of suffering from different types of bodily injury experienced. Results: GBD 2017 produced morbidity and mortality estimates for 38 causes of injury. Estimates were produced in terms of incidence, prevalence, years lived with disability, cause-specific mortality, years of life lost and disability-adjusted life-years for a 28-year period for 22 age groups, 195 countries and both sexes. Conclusions: GBD 2017 demonstrated a complex and sophisticated series of analytical steps using the largest known database of morbidity and mortality data on injuries. GBD 2017 results should be used to help inform injury prevention policy making and resource allocation. We also identify important avenues for improving injury burden estimation in the future.

Published
2020

40. Knowledge about neonatal danger signs and associated factors among mothers attending immunization clinic at Arba Minch General Hospital, Southern Ethiopia : a cross-sectional study

Author

Ketema Diriba, Tekeste Girma, Eyasu Eshetu, Amelework Kebede, Ayano Senbeto, Befikadu Tariku, Nega Degefa, Zeleke Aschalew, and Eshetu Zerihun

Subjects
Postnatal Care, Adult, Health Knowledge, Attitudes, Practice, Article Subject, Cross-sectional study, Perinatal Death, MEDLINE, lcsh:Medicine, Mothers, Social Sciences, Genetics and Molecular Biology, Logistic regression, Hospitals, General, General Biochemistry, Genetics and Molecular Biology, 03 medical and health sciences, 0302 clinical medicine, Pregnancy, 030225 pediatrics, Surveys and Questionnaires, medicine, Medicine and Health Sciences, Humans, 030212 general & internal medicine, General Immunology and Microbiology, business.industry, lcsh:R, Attendance, Systematic sampling, General Medicine, medicine.disease, Delivery, Obstetric, Test (assessment), General Biochemistry, Female, Immunization, Ethiopia, business, Demography, Research Article
Abstract

Background. The first 28 days of life (the neonatal period) constitute the most vulnerable time for a child’s survival. Overall 2.7 million neonatal deaths were stated by the 2015 global report of neonatal mortality and they account for 45% of under-five deaths. Sub-Saharan Africa remains the region with the highest risk of death in the first month of life and is among the regions showing the least progress in reducing neonatal mortality in the world. Ethiopia, as part of sub-Saharan Africa, also shares the greatest risk of neonatal death. A recent report in Ethiopia showed that neonatal mortality was 29 deaths per 1,000 live births. Therefore, the signs that suggest the onset of severe illness which leads to death and their contributing factors should be identified. The aim of the study was to assess knowledge about neonatal danger signs and associated factors among mothers attending immunization clinic at Arba Minch General Hospital. Method. Institution-based cross-sectional study design was employed from Feb to April 2018. Systematic sampling technique was used to select a total of 345 mother-child pairs. A pretested, structured, and interviewer-administered questionnaire was used to collect data. Data were entered using Epidata version 3.1 and analyzed using SPSS version 20. Bivariate and multivariable analysis were carried out using binary logistic regression to check and test the association between dependent and explanatory variables. Model fitness was checked by Hosmer-Lemeshow goodness of fit test. Result. Nearly two-fifths (40.9%) of all mothers had good knowledge about neonatal danger signs (95% CI; 35.7, 46.4). Close to thirty-three percent of mothers identified child’s body hotness (fever) as a neonatal danger sign. Maternal educational status (AOR: 5.64; 95% CI: 1.68, 18.95) and attendance of postnatal care (AOR: 2.64; 95% CI: 1.36, 5.15) were significantly associated with maternal knowledge about neonatal danger signs in multivariable analysis. Conclusion. Even though considerable improvement has been achieved over the past decades as a result of expanded coverage of maternal and childcare services, still there are a significant number of mothers who have limited knowledge about neonatal danger signs. Therefore, interventional strategies that stress strengthening maternal education and ANC follow-up should be extended.

Published
2019

41. Additional file 1: of Burden of intestinal helminths and associated factors three years after initiation of mass drug administration in Arbaminch Zuria district, Southern Ethiopia

Author

Getaneh Alemu, Zeleke Aschalew, and Eshetu Zerihun

Subjects
parasitic diseases
Abstract

Questionnaire administered to assess the Burden of intestinal helminths and associated factors 3 years after initiation of Mass drug administration in Arbaminch Zuria district, Southern Ethiopia, 2017. The data contains list of questions asked to children (study participants) in order to collect socio-demographic data and factors associated with intestinal helminth infection. (DOCX 20 kb)

Published
2018
Full Text
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42. Burden of intestinal helminths and associated factors three years after initiation of mass drug administration in Arbaminch Zuria district, Southern Ethiopia

Author

Eshetu Zerihun, Getaneh Alemu, and Zeleke Aschalew

Subjects
Male, School age children, medicine.medical_specialty, Adolescent, media_common.quotation_subject, 030231 tropical medicine, Helminthiasis, Social Sciences, lcsh:Infectious and parasitic diseases, Deworming, 03 medical and health sciences, 0302 clinical medicine, Hygiene, Risk Factors, Environmental health, Surveys and Questionnaires, Epidemiology, Medicine and Health Sciences, Helminth, Prevalence, Medicine, Helminths, Animals, Humans, lcsh:RC109-216, 030212 general & internal medicine, Intestinal Diseases, Parasitic, Mass drug administration, Child, media_common, Infection Control, Schools, biology, business.industry, biology.organism_classification, Cross-Sectional Studies, Infectious Diseases, Child, Preschool, Tropical medicine, Mass Drug Administration, Health education, Female, Ethiopia, Preventive Medicine, Ascaris lumbricoides, business, Program Evaluation, Research Article
Abstract

Background Epidemiological information on the burden of various parasitic infections and associated factors in different localities is indispensable to develop appropriate control and prevention measures as well as to monitor and evaluate existing programs. Hence the aim of the present study was to assess the prevalence and associated factors of intestinal helminths among school age children in Arbaminch Zuria district, Southern Ethiopia. Methods A community based cross-sectional study was conducted by recruiting 391 primary school age children. Participants were selected using simple random sampling technique. Pre-tested structured questionnaire was used to collect data about socio-demographic characteristics and perceived factors associated with intestinal parasitosis. Stool microscopic examination was done following standard protocol. Data were analyzed using Statistical Package for Social Science version 22. Results Among 391 children participated, 181 (46.3%; 95% CI: 41.9–51.5) were infected with intestinal helminths. The magnitudes of single and double infections were 40.2% and 6.1% respectively. Seven helminths were detected among which Ascaris lumbricoides was with the highest frequency (56, 14.3%) followed by hookworms (55, 14.1%). Not washing fruits and vegetables before consumption (AOR = 2.16; 95%CI: 1.10–4.25, p = 0.026) and habit of swimming (AOR = 1.17; 95%CI: 1.03–1.95, p = 0.045) were significantly associated with helminthic infection. Conclusion High prevalence of intestinal helminthic infections among school age children demands integration of deworming with water, hygiene and sanitation as well as consistent health education. Electronic supplementary material The online version of this article (10.1186/s12879-018-3330-3) contains supplementary material, which is available to authorized users.

Published
2018

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