Imperial College London
Alternate

Dr David Laith Rawaf

Faculty of Medicine, School of Public Health

Web Editor for the WHO Collaborating Centre
 
 
 
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d.rawaf Website

 
 
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Reynolds BuildingCharing Cross Campus

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Publications

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@article{Wiens:2020:10.1016/s2214-109x(20)30230-8,
author = {Wiens, KE and Lindstedt, PA and Blacker, BF and Johnson, KB and Baumann, MM and Schaeffer, LE and Abbastabar, H and Abd-Allah, F and Abdelalim, A and Abdollahpour, I and Abegaz, KH and Abejie, AN and Abreu, LG and Abrigo, MRM and Abualhasan, A and Accrombessi, MMK and Acharya, D and Adabi, M and Adamu, AA and Adebayo, OM and Adedoyin, RA and Adekanmbi, V and Adetokunboh, OO and Adhena, BM and Afarideh, M and Ahmad, S and Ahmadi, K and Ahmed, AE and Ahmed, MB and Ahmed, R and Akalu, TY and Alahdab, F and Al-Aly, Z and Alam, N and Alam, S and Alamene, GM and Alanzi, TM and Alcalde-Rabanal, JE and Ali, BA and Alijanzadeh, M and Alipour, V and Aljunid, SM and Almasi, A and Almasi-Hashiani, A and Al-Mekhlafi, HM and Altirkawi, KA and Alvis-Guzman, N and Alvis-Zakzuk, NJ and Amini, S and Amit, AML and Andrei, CL and Anjomshoa, M and Anoushiravani, A and Ansari, F and Antonio, CAT and Antony, B and Antriyandarti, E and Arabloo, J and Aref, HMA and Aremu, O and Armoon, B and Arora, A and Aryal},
doi = {10.1016/s2214-109x(20)30230-8},
journal = {The Lancet Global Health},
pages = {e1038--e1060},
title = {Mapping geographical inequalities in oral rehydration therapy coverage in low-income and middle-income countries, 2000–17},
url = {http://dx.doi.org/10.1016/s2214-109x(20)30230-8},
volume = {8},
year = {2020}
}
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TY  - JOUR
AB  - BackgroundOral rehydration solution (ORS) is a form of oral rehydration therapy (ORT) for diarrhoea that has the potential to drastically reduce child mortality; yet, according to UNICEF estimates, less than half of children younger than 5 years with diarrhoea in low-income and middle-income countries (LMICs) received ORS in 2016. A variety of recommended home fluids (RHF) exist as alternative forms of ORT; however, it is unclear whether RHF prevent child mortality. Previous studies have shown considerable variation between countries in ORS and RHF use, but subnational variation is unknown. This study aims to produce high-resolution geospatial estimates of relative and absolute coverage of ORS, RHF, and ORT (use of either ORS or RHF) in LMICs.MethodsWe used a Bayesian geostatistical model including 15 spatial covariates and data from 385 household surveys across 94 LMICs to estimate annual proportions of children younger than 5 years of age with diarrhoea who received ORS or RHF (or both) on continuous continent-wide surfaces in 2000–17, and aggregated results to policy-relevant administrative units. Additionally, we analysed geographical inequality in coverage across administrative units and estimated the number of diarrhoeal deaths averted by increased coverage over the study period. Uncertainty in the mean coverage estimates was calculated by taking 250 draws from the posterior joint distribution of the model and creating uncertainty intervals (UIs) with the 2·5th and 97·5th percentiles of those 250 draws.FindingsWhile ORS use among children with diarrhoea increased in some countries from 2000 to 2017, coverage remained below 50% in the majority (62·6%; 12417 of 19823) of second administrative-level units and an estimated 6519000 children (95% UI 5254000–7733000) with diarrhoea were not treated with any form of ORT in 2017. Increases in ORS use corresponded with declines in RHF in many locations, resulting in relatively co
AU  - Wiens,KE
AU  - Lindstedt,PA
AU  - Blacker,BF
AU  - Johnson,KB
AU  - Baumann,MM
AU  - Schaeffer,LE
AU  - Abbastabar,H
AU  - Abd-Allah,F
AU  - Abdelalim,A
AU  - Abdollahpour,I
AU  - Abegaz,KH
AU  - Abejie,AN
AU  - Abreu,LG
AU  - Abrigo,MRM
AU  - Abualhasan,A
AU  - Accrombessi,MMK
AU  - Acharya,D
AU  - Adabi,M
AU  - Adamu,AA
AU  - Adebayo,OM
AU  - Adedoyin,RA
AU  - Adekanmbi,V
AU  - Adetokunboh,OO
AU  - Adhena,BM
AU  - Afarideh,M
AU  - Ahmad,S
AU  - Ahmadi,K
AU  - Ahmed,AE
AU  - Ahmed,MB
AU  - Ahmed,R
AU  - Akalu,TY
AU  - Alahdab,F
AU  - Al-Aly,Z
AU  - Alam,N
AU  - Alam,S
AU  - Alamene,GM
AU  - Alanzi,TM
AU  - Alcalde-Rabanal,JE
AU  - Ali,BA
AU  - Alijanzadeh,M
AU  - Alipour,V
AU  - Aljunid,SM
AU  - Almasi,A
AU  - Almasi-Hashiani,A
AU  - Al-Mekhlafi,HM
AU  - Altirkawi,KA
AU  - Alvis-Guzman,N
AU  - Alvis-Zakzuk,NJ
AU  - Amini,S
AU  - Amit,AML
AU  - Andrei,CL
AU  - Anjomshoa,M
AU  - Anoushiravani,A
AU  - Ansari,F
AU  - Antonio,CAT
AU  - Antony,B
AU  - Antriyandarti,E
AU  - Arabloo,J
AU  - Aref,HMA
AU  - Aremu,O
AU  - Armoon,B
AU  - Arora,A
AU  - Aryal,KK
AU  - Arzani,A
AU  - Asadi-Aliabadi,M
AU  - Atalay,HT
AU  - Athari,SS
AU  - Athari,SM
AU  - Atre,SR
AU  - Ausloos,M
AU  - Awoke,N
AU  - Ayala,Quintanilla BP
AU  - Ayano,G
AU  - Ayanore,MA
AU  - Aynalem,IV YA
AU  - Azari,S
AU  - Azzopardi,PS
AU  - Babaee,E
AU  - Babalola,TK
AU  - Badawi,A
AU  - Bairwa,M
AU  - Bakkannavar,SM
AU  - Balakrishnan,S
AU  - Bali,AG
AU  - Banach,M
AU  - Banoub,JAM
AU  - Barac,A
AU  - Bärnighausen,TW
AU  - Basaleem,H
AU  - Basu,S
AU  - Bay,VD
AU  - Bayati,M
AU  - Baye,E
AU  - Bedi,N
AU  - Beheshti,MMB
AU  - Behzadifar,M
AU  - Behzadifar,M
AU  - Bekele,BB
AU  - Belayneh,YM
AU  - Bell,ML
AU  - Bennett,DA
AU  - Berbada,DA
AU  - Bernstein,RS
AU  - Bhat,AG
AU  - Bhattacharyya,K
AU  - Bhattarai,S
AU  - Bhaumik,S
AU  - Bhutta,ZA
AU  - Bijani,A
AU  - Bikbov,B
AU  - Birihane,IV BM
AU  - Biswas,RK
AU  - Bohlouli,S
AU  - Bojia,I HAA
AU  - Boufous,S
AU  - Brady,OJ
AU  - Bragazzi,NL
AU  - Briko,AN
AU  - Briko,NI
AU  - Britton,GB
AU  - Burugina,Nagaraja S
AU  - Busse,R
AU  - Butt,ZA
AU  - Cámera,LLAA
AU  - Campos-Nonato,IR
AU  - Cano,J
AU  - Car,J
AU  - Cárdenas,R
AU  - Carvalho,F
AU  - Castañeda-Orjuela,CA
AU  - Castro,F
AU  - Chanie,WF
AU  - Chatterjee,P
AU  - Chattu,VK
AU  - Chichiabellu,TYY
AU  - Chin,KL
AU  - Christopher,DJ
AU  - Chu,D-T
AU  - Cormier,NM
AU  - Costa,VM
AU  - Culquichicon,C
AU  - Daba,MS
AU  - Damiani,G
AU  - Dandona,L
AU  - Dandona,R
AU  - Dang,AK
AU  - Darwesh,AM
AU  - Darwish,AH
AU  - Daryani,A
AU  - Das,JK
AU  - Das,Gupta R
AU  - Dash,AP
AU  - Davey,G
AU  - Dávila-Cervantes,CA
AU  - Davis,AC
AU  - Davitoiu,DV
AU  - De,la Hoz FP
AU  - Demis,AB
AU  - Demissie,DB
AU  - Demissie,GD
AU  - Demoz,GT
AU  - Denova-Gutiérrez,E
AU  - Deribe,K
AU  - Desalew,A
AU  - Deshpande,A
AU  - Dharmaratne,SD
AU  - Dhillon
DO  - 10.1016/s2214-109x(20)30230-8
EP  - 1060
PY  - 2020///
SN  - 2214-109X
SP  - 1038
TI  - Mapping geographical inequalities in oral rehydration therapy coverage in low-income and middle-income countries, 2000–17
T2  - The Lancet Global Health
UR  - http://dx.doi.org/10.1016/s2214-109x(20)30230-8
UR  - https://www.sciencedirect.com/science/article/pii/S2214109X20302308?via%3Dihub
UR  - http://hdl.handle.net/10044/1/81082
VL  - 8
ER  -
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