Evidence map›Paper›PMID 40836892›Full record

SynthesisInternational health2026

Risk factors and mortality rates for children co-infected with HIV and TB in Ethiopia: a systematic review and meta-analysis.

Fassikaw Kebede Bizuneh, Tsehay Kebede Bizuneh, Biruk Beletew Abate, Atitegeb Abera Kidie, Gataye Tizazu Biwota, Tilahun Gizaw Ayenew

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Fassikaw Kebede BizunehCollege of Medicine and Health Science, Debre Markos University, P.O. Box 269, Ethiopia.ORCID 0000-0002-6117-5272
Tsehay Kebede BizunehDepartment of Geography, Colleges of Social Science, Bahir Dare University, P.O. Box 72, Bahir Dare, Ethiopia.
Biruk Beletew AbateDepartment of Nursing, College of Health science, Woldia University, P.O. Box 400, Woldia, Ethiopia.
Atitegeb Abera KidieDepartment of Nursing, College of Health science, Woldia University, P.O. Box 400, Woldia, Ethiopia.
Gataye Tizazu BiwotaCollege of Medicine and Health Science, Debre Markos University, P.O. Box 269, Ethiopia.
Tilahun Gizaw AyenewDepartment of Psychiatry, College of medicine and Health science, Jigjiga University, P.O. Box 1020, Jigjiga, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review and meta-analysis aimed to identify risk factors and mortality rates in HIV and TB co-infected children in Ethiopia. An electronic literature search was conducted using multiple databases, including PubMed, Medline, Web of Science, African Journal Online, Google Scholar and university research repositories for gray literature. Weighted inverse variance random-effects meta-regression was employed to calculate pooled mortality rates, utilizing Stata/SE-17 for analysis. The meta-analysis included six eligible studies, encompassing a total of 2025 co-infected children. Among these, 238 deaths were reported over 1670.6 person-years. This made the crude mortality rate 11.74% (95% CI 11.49 to 16.12%) with an incidence of 1.5 deaths (95% CI 1.17 to 1.89) per 100 person-years. Factors including WHO stages III and IV (4.34, 95% CI 2.25 to 8.36), poor antiretroviral therapy (ART) adherence (3.11, 95% CI 2.04 to 4.15), missed isoniazid preventive therapy (IPT) (3.07, 95% CI 1.52 to 6.23) and low hemoglobin levels of ≤10 mg/dl (2.84, 95% CI 2.02 to 3.99) were predictors compared with their counterparts.This review reveals an unacceptably high pooled incidence of mortality among HIV and TB co-infected children in Ethiopia. Therefore, implementing systematic screenings for IPT, enhancing ART adherence counseling and addressing anemia through early treatment are critical for preventing premature deaths. Protocol registration in Prospero = CRD42024502038.

Indexed as

CoinfectionHIV InfectionsTuberculosisAnti-HIV AgentsAntitubercular AgentsChildChild, PreschoolEthiopiaHumansIncidenceRisk FactorsAnti-HIV AgentsAntitubercular AgentschildrenEthiopiaHIVmortalitypediatricspredictorsTB

Identifiers

PMID40836892
PMCPMC13017473

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.