| Title: |
Progress in health among regions of Ethiopia, 1990-2019 : a subnational country analysis for the Global Burden of Disease Study 2019 |
| Authors: |
Misganaw, Awoke; Mirkuzie, Alemnesh H.; Giref, Ababi Zergaw; Berheto, Tezera Moshago; Waktola, Ebba Abate; Kempen, John H.; Eticha, Getachew Tollera; Wolde, Tsigereda Kifle; Deguma, Dereje; Abate, Kalkidan Hassen; Abegaz, Kedir Hussein; Ahmed, Muktar Beshir; Akalu, Yonas; Aklilu, Addis; Alemu, Biresaw Wassihun; Asemahagn, Mulusew A.; Awedew, Atalel Fentahun; Balakrishnan, Senthilkumar; Bekuma, Tariku Tesfaye; Beyene, Addisu Shunu; Beyene, Misrak Getnet; Bezabih, Yihienew Mequanint; Birhanu, Biruk Tesfaye; Chichiabellu, Tesfaye Yitna; Dachew, Berihun Assefa; Dagnew, Amare Belachew; Demeke, Feleke Mekonnen; Demissie, Getu Debalkie; Molla, Meseret Derbew; Dereje, Nebiyu; Deribe, Kebede; Desta, Abebaw Alemayehu; Eshetu, Munir Kassa; Ferede, Tomas Y.; Gebreyohannes, Eyob Alemayehu; Geremew, Abraham; Gesesew, Hailay Abrha; Getacher, Lemma; Glenn, Scott D.; Hafebo, Aregash Samuel; Hashi, Abdiwahab; Hassen, Hamid; Hay, Simon I.; Hordofa, Diriba Fufa; Huluko, Dawit Hoyiso; Kasa, Ayele Semachew; Azene, Getinet Kassahun; Kebede, Ermiyas Mulu; Kebede, Hafte Kahsay; Kelkay, Bayew; Kidane, Samuel Z.; Legesse, Samson Mideksa; Manamo, Wondimu Ayele; Melaku, Yohannes Adama A.; Mengesha, Endalkachew Worku; Mengesha, Sisay Derso; Merie, Hayimro Edemealem; Mersha, Abera M.; Mersha, Amanual Getnet; Mirutse, Mizan Kiros; Mohammed, Ammas Siraj; Mohammed, Hussen; Mohammed, Salahuddin; Netsere, Henok Biresaw; Nigatu, Dabere; Obsa, Mohammed Suleiman; Odo, Daniel Bogale; Omer, Muktar; Regassa, Lemma Demissie; Sahiledengle, Biniyam; Shaka, Mohammed Feyisso; Shiferaw, Wondimeneh Shibabaw; Sidemo, Negussie Boti; Sinke, Abiy H.; Sintayehu, Yitagesu; Sorrie, Muluken Bekele; Tadesse, Birkneh Tilahun; Tadesse, Eyayou Girma; Tamir, Zemenu; Tamiru, Animut Tagele; Tareke, Amare Abera; Tefera, Yonas Getaye; Tekalegn, Yohannes; Tesema, Ayenew Kassie; Tesema, Tefera Tadele; Tesfay, Fisaha Haile; Tessema, Zemenu Tadesse; Tilahun, Tadesse; Tsegaye, Gebiyaw Wudie; Tusa, Biruk Shalmeno; Weledesemayat, Geremew Tassew; Yazie, Taklo Simeneh; Yeshitila, Yordanos Gizachew; Yirdaw, Birhanu Wubale; Zegeye, Desalegn Tegabu; Murray, Christopher J. L.; Gebremedhin, Lia Tadesse |
| Contributors: |
GBD 2019 Ethiopia Subnational-Level Disease Burden Initiative Collaborators |
| Source: |
0140-6736 ; The lancet : international edition |
| Publication Year: |
2022 |
| Collection: |
IRUA - Institutional Repository van de Universiteit Antwerpen |
| Subject Terms: |
Human medicine |
| Description: |
Background Previous Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) studies have reported national health estimates for Ethiopia. Substantial regional variations in socioeconomic status, population, demography, and access to health care within Ethiopia require comparable estimates at the subnational level. The GBD 2019 Ethiopia subnational analysis aimed to measure the progress and disparities in health across nine regions and two chartered cities. Methods We gathered 1057 distinct data sources for Ethiopia and all regions and cities that included census, demographic surveillance, household surveys, disease registry, health service use, disease notifications, and other data for this analysis. Using all available data sources, we estimated the Socio-demographic Index (SDI), total fertility rate (TFR), life expectancy, years of life lost, years lived with disability, disability-adjusted life-years, and risk-factor-attributable health loss with 95% uncertainty intervals (UIs) for Ethiopia's nine regions and two chartered cities from 1990 to 2019. Spatiotemporal Gaussian process regression, cause of death ensemble model, Bayesian meta-regression tool, DisMod-MR 2.1, and other models were used to generate fertility, mortality, cause of death, and disability rates. The risk factor attribution estimations followed the general framework established for comparative risk assessment. Findings The SDI steadily improved in all regions and cities from 1990 to 2019, yet the disparity between the highest and lowest SDI increased by 54% during that period. The TFR declined from 6.91 (95% UI 6.59-7.20) in 1990 to 4.43 (4.01-4.92) in 2019, but the magnitude of decline also varied substantially among regions and cities. In 2019, TFR ranged from 6.41 (5.96-6.86) in Somali to 1.50 (1.26-1.80) in Addis Ababa. Life expectancy improved in Ethiopia by 21.93 years (21.79-22.07), from 46.91 years (45.71-48.11) in 1990 to 68.84 years (67.51-70.18) in 2019. Addis Ababa had the highest life expectancy at 70.86 ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/isi/000812828300024 |
| Availability: |
https://hdl.handle.net/10067/1897920151162165141; https://repository.uantwerpen.be/docstore/d:irua:13668 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.E488FA16 |
| Database: |
BASE |