Progress in health among regions of Ethiopia, 1990–2019: a subnational country analysis for the Global Burden of Disease Study 2019

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Progress in health among regions of Ethiopia, 1990–2019: a subnational country analysis for the Global Burden of Disease Study 2019


Death All causes 993·52 (914·97–1070·55) 943·24 (836·87–1055·38) 1353·38 (1195·69–1526·19) 955·41 (855·37–1065·85) 1215·37 (1046·64-1394·05) 930·76 (824·93–1054·72) 1097·57 (985·20–1238·38) 981·41 (865·09–1101·04) 931·40 (842·89–1028·21) 1175·51 (1007·84–1366·86) 1091·62 (982·79–1211·40) 982·61 (869·47–1098·19) Stroke 90·18 (70·62–110·04) 116·16 (96·78–137·59) 129·95 (101·08–160·22) 89·38 (63·85–113·96) 114·07 (87·35–144·52) 90·11 (66·51–113·88) 113·51 (82·92–142·58) 102·69 (78·39–126·79) 77·46 (57·53–98·33) 106·30 (76·92–137·63) 90·64 (70·53–112·85) 117·89 (91·08–147·91) Lower respiratory infections 86·44 (75·36–97·65) 59·41 (49·81–71·44) 103·71 (86·62–122·62) 74·37 (59·40–91·02) 101·84 (84·02–121·72) 69·94 (56·55–84·00) 82·41 (68·39–97·19) 77·06 (63·09–92·52) 89·33 (75·91–103·18) 97·58 (79·26–118·67) 99·00 (83·81–116·65) 95·97 (67·34–123·71) Ischaemic heart disease 84·24 (62·56–105·75) 116·47 (93·99–139·84) 118·22 (88·68–154·84) 82·64 (57·25–108·94) 103·98 (76·61–136·98) 84·28 (57·62–109·99) 106·02 (75·34–139·83) 91·96 (67·71–116·29) 74·99 (52·08–97·73) 93·89 (67·00–126·02) 86·85 (65·02–111·24) 84·63 (69·26–100·15) Diarrhoeal diseases 76·45 (45·12–112·15) 24·42 (9·55–44·34) 101·11 (55·82–151·57) 83·64 (42·90–130·29) 106·56 (58·68–168·74) 49·08 (26·15–79·26) 66·20 (31·72–106·05) 52·24 (26·81–86·27) 71·44 (43·92–110·98) 99·69 (55·99–155·16) 83·72 (51·20–124·32) 61·69 (32·58–98·04) Tuberculosis 60·90 (50·44–71·50) 45·20 (37·71–55·20) 140·35 (113·05–171·19) 59·77 (42·36–79·78) 100·81 (81·21–123·74) 47·07 (36·58–58·63) 76·77 (61·29–94·68) 61·04 (46·06–75·71) 52·46 (42·94–64·03) 105·80 (78·40–148·83) 67·41 (55·73–81·7) 50·18 (39·61–62·96) Cirrhosis and other chronic liver diseases 52·18 (44·17–62·07) 47·21 (38·14–58·42) 63·37 (48·41–82·03) 50·30 (37·16–73·63) 55·80 (42·99–73·42) 47·32 (35·80–63·72) 55·58 (44·53–68·52) 50·43 (39·35–64·70) 49·92 (40·85–60·24) 55·48 (41·23–75·10) 62·08 (50·89–74·44) 33·76 (19·21–50·31) Neonatal disorders 44·31 (34·92–56·99) 12·89 (8·85–18·16) 37·53 (28·99–49·26) 48·01 (37·44–62·34) 53·97 (41·45–71·03) 40·50 (30·27–53·58) 31·55 (23·57–41·73) 40·20 (30·05–53·01) 44·61 (35·47–56·81) 48·92 (38·58–62·57) 44·61 (34·60–58·11) 36·64 (19·77–61·88) Diabetes 36·00 (31·01–41·43) 39·85 (33·00–47·63) 44·72 (37·44–53·71) 31·52 (25·13–39·14) 39·14 (32·12–47·98) 34·10 (26·70–42·03) 38·48 (31·52–46·44) 37·03 (29·18–45·21) 35·35 (29·16–41·80) 35·99 (28·49–44·91) 42·62 (35·42–50·85) 45·32 (36·11–56·03) HIV and AIDS 33·56 (28·68–39·58) 95·61 (71·23–125·38) 60·67 (40·56–86·47) 40·12 (29·07–53·18) 26·19 (14·90–43·64) 67·09 (40·51–103·01) 91·96 (56·85–139·75) 38·84 (24·50–65·11) 23·86 (16·38–33·96) 42·96 (31·40–59·89) 20·22 (13·61–29·17) 30·77 (23·75–40·55) Hypertensive heart disease 31·97 (17·85–53·09) 34·42 (16·91–54·07) 37·37 (20·89–59·95) 31·51 (16·76–54·86) 36·42 (19·54–59·42) 31·79 (16·06–56·11) 34·41 (18·72–62·25) 36·17 (18·43–61·89) 29·85 (16·12–51·79) 31·74 (16·68–56·83) 34·04 (20·02–53·15) 28·76 (6·81–76·63) YLLs All causes 30?188·15 (27?335·78–33?522·76) 24?587·96 (21?376·63–28?479·55) 40?646·83 (35?269·66–46 519·61) 29?627·03 (26?153·31–33?252·03) 40?246·93 (34?763·93–46?458·09) 27?923·42 (24?318·73–31?972·61) 31?423·03 (27?436·21–36?073·92) 29?023·21 (25?052·82–33?498·29) 27?993·55 (24?822·94–31?877·11) 37?678·08 (32?787·59–43?171·12) 32?890·51 (29?184·45–37?155·55) 26?435·52 (22?998·71–30?181·61) Neonatal disorders 3936 (3102·02–5062·36) 1144·89 (786·19–1613·71) 3334·17 (2575·70–4376·74) 4263·88 (3325·45–5535·56) 4794·17 (3682·23–6308·66) 3598·47 (2689·60–4760·63) 2802·72 (2094·70–3707·80) 3571·17 (2669·98–4709·61) 3962·85 (3151·45–5047·45) 4346·19 (3427·41–5558·73) 3963·41 (3074·49–5162·24) 2734·15 (2110·52–3602·85) Diarrhoeal diseases 2679·41 (1823·93–3760·22) 706·94 (346·09–1160·00) 3028·74 (1858·68–4359·95) 2872·53 (1619·57–4669·36) 3468·05 (2075·83–5236·29) 1527·28 (863·89–2479·98) 1765·71 (941·39–2671·89) 1696·78 (949·97–2706·74) 2636·66 (1799·45–3752·16) 3189·06 (2085·43–4620·42) 2883·22 (1933·89–4093·83) 1885·83 (1160·09–2787·08) Lower respiratory infections 2404·57 (2059·41–2833·31) 1285·69 (1065·07–1561·83) 2824·70 (2323·08–3414·07) 2016·49 (1551·49–2541·83) 3571·17 (2772·41–4510·79) 1832·81 (1407·35–2363·18) 1937·46 (1567·70–2344·65) 2060·45 (1595·62–2623·15) 2433·84 (2042·25–2879·55) 3236·48 (2537·45–4006·03) 2698·20 (2243·52–3250·28) 1977·15 (1593·94–2395·05) Tuberculosis 1729·19 (1421·57–2049·86) 1257·74 (987·65–1637·78) 4224·43 (3303·11–5286·23) 1694·00 (1206·70–2252·30) 3122·54 (2515·90–3818·30) 1265·73 (961·97–1615·11) 2108·48 (1620·78–2668·38) 1708·90 (1268·87–2211·91) 1424·64 (1145·31–1764·27) 3114·68 (2316·65–4344·20) 1932·74 (1568·38–2350·92) 1353·68 (1052·73–1707·25) Stroke 1639·45 (1277·27–1998·83) 2076·73 (1734·67–2511·62) 2643·28 (2063·50–3255·20) 1585·87 (1113·95–2048·27) 2265·59 (1735·78–2873·04) 1572·81 (1132·77–2021·77) 2089·66 (1505·93–2660·73) 1844·51 (1379·32–2326·34) 1382·54 (1033·51–1753·97) 2029·76 (1472·25–2610·22) 1694·69 (1329·04–2112·14) 2065·02 (1571·61–2618·60) HIV and AIDS 1581·17 (1311·51–1935·43) 4381·86 (3213·40–5800·05) 2828·57 (1852·03–4134·58) 1922·00 (1387·50–2530·78) 1323·30 (734·37–2257·41) 3369·60 (2037·19–5146·92) 4584·14 (2776·25–7087·13) 2102·84 (1264·16–3429·05) 1154·69 (791·12–1689·22) 2024·87 (1418·98–2847·11) 954·79 (610·25–1395·80) 1592·44 (895·80–2417·13) Ischaemic heart disease 1524·69 (1133·11–1925·66) 2119·12 (1686·63–2595·35) 2391·79 (1823·27–3112·12) 1469·00 (1013·35–1978·65) 2036·72 (1495·64–2644·13) 1460·62 (979·94–1944·49) 1968·05 (1389·57–2644·08) 1636·32 (1184·83–2099·02) 1317·64 (915·29–1719·34) 1786·75 (1267·81–2396·47) 1615·90 (1213·31–2075·90) 1691·52 (1175·78–2229·61) Cirrhosis and other chronic liver diseases 1331·56 (1095·91–1625·94) 1227·62 (953·12–1582·71) 1693·13 (1249·58–2210·45) 1269·74 (912·09–1954·72) 1492·25 (1132·75–1986·18) 1171·79 (852·79–1648·64) 1400·83 (1101·59–1750·50) 1282·17 (959·15–1731·43) 1250·89 (1002·00–1549·27) 1451·64 (1072·82–2016·43) 1612·03 (1281·65–1974·90) 1119·70 (857·99–1431·60) Congenital birth defects 735·83 (447·45–1200·08) 294·29 (148·31–529·45) 583·05 (363·12–963·96) 866·04 (441·58–1475·29) 1023·60 (524·59–1778·98) 614·30 (370·17–995·81) 444·15 (286·90–696·67) 607·49 (374·86–972·76) 689·72 (427·97–1142·24) 862·47 (474·74–1444·55) 745·48 (429·23–1259·86) 552·78 (362·72–840·05) Diabetes 706·24 (606·76–813·68) 781·49 (643·35–962·41) 948·96 (782·94–1140·39) 609·84 (478·05–767·44) 822·09 (655·85–1010·38) 641·84 (496·93–804·18) 758·63 (610·59–934·72) 722·81 (567·26–908·61) 676·10 (557·15–807·10) 730·31 (576·84–909·92) 858·25 (705·57–1039·85) 727·59 (589·30–884·16) YLDs All causes 10 802·18 (8088·52–13 958·50) 10 425·76 (7851·91–13 353·63) 11 290·94 (8406·90–14 586·17) 10 674·64 (7935·83–13 944·33) 10 773·61 (8074·54–13 898·43) 11 053·29 (8287·48–14 208·54) 11 340·23 (8536·87–14 745·69) 10 943·17 (8202·74–14 065·21) 10 788·48 (8029·18–13 971·66) 11 507·02 (8592·43–14 929·86) 10 810·59 (8100·11–14 049·02) 10 640·49 (8034·05–13 798·20) Depressive disorders 808·70 (562·26–1115·11) 815·88 (565·46–1131·74) 784·23 (545·69–1097·05) 809·00 (558·62–1110·67) 796·47 (554·36–1096·28) 803·15 (559·64–1104·89) 802·73 (557·59–1097·05) 803·37 (557·81–1115·31) 815·62 (566·05–1125·68) 775·50 (538·06–1064·77) 807·20 (560·90–1108·03) 805·12 (560·02–1111·36) Low back pain 700·06 (491·31–935·19) 636·61 (446·46–858·78) 676·16 (475·66–911·80) 693·74 (489·41–929·96) 699·34 (489·67–938·81) 650·50 (456·87–872·68) 697·75 (492·01–936·59) 649·95 (457·22–872·70) 714·15 (502·15–955·39) 680·59 (478·97–918·01) 708·70 (496·05–948·98) 696·20 (491·44–939·63) Age-related and other hearing loss 552·70 (377·77–779·89) 497·84 (339·19–705·42) 570·96 (390·61–803·10) 556·77 (381·14–783·62) 555·14 (380·23–783·62) 522·77 (355·95–735·71) 534·19 (363·88–753·38) 521·43 (356·40–732·51) 555·32 (382·38–785·18) 581·23 (399·65–815·78) 548·43 (375·68–766·77) 546·33 (378·45–764·55) Gynaecological diseases 470·78 (322·13–659·38) 481·29 (328·21–675·50) 455·22 (312·70–644·82) 469·82 (319·18–658·88) 449·66 (306·39–628·28) 470·41 (321·92–661·86) 495·18 (337·64–693·84) 460·07 (315·67–644·58) 466·96 (319·69–653·75) 465·32 (319·97–653·11) 474·78 (326·61–668·56) 481·39 (328·00–672·86) Blindness and vision loss 420·96 (303·10–568·56) 377·40 (269·11–513·85) 345·37 (246·90–475·25) 398·11 (287·31–538·57) 340·08 (243·35–466·43) 460·07 (326·94–618·74) 433·44 (309·91–586·76) 480·91 (345·92–648·06) 398·76 (285·04–540·94) 361·65 (257·49–494·55) 561·13 (399·88–752·72) 373·54 (265·27–508·91) Dietary iron deficiency 396·03 (261·75–579·23) 270·78 (170·88–410·00) 677·33 (445·84–1002·21) 279·26 (178·41–425·24) 295·35 (188·69–443·84) 655·76 (428·15–947·89) 384·96 (237·99–575·77) 498·52 (309·93–740·57) 419·97 (271·37–623·79) 880·51 (584·83–1267·92) 317·82 (203·95–467·85) 363·84 (229·32–542·94) Headache disorders 353·16 (95·74–736·24) 356·48 (95·10–742·66) 361·15 (100·71–741·56) 354·09 (94·52–733·63) 366·38 (103·59–758·09) 369·69 (106·00–758·05) 371·41 (104·49–770·89) 368·03 (105·07–769·93) 353·14 (94·41–734·78) 359·97 (101·68–735·93) 341·02 (92·98–711·45) 371·54 (104·53–763·61) Anxiety disorders 331·14 (230·89–451·16) 337·91 (236·50–467·10) 323·11 (222·71–450·05) 331·25 (227·31–458·40) 327·69 (228·42–452·45) 332·80 (232·93–452·71) 333·21 (231·46–459·70) 331·18 (228·85–454·05) 331·21 (231·77–452·36) 321·53 (223·56–443·42) 331·60 (231·11–453·17) 333·77 (234·71–463·46) Neonatal disorders 307·52 (235·31–386·04) 415·97 (324·17–521·25) 343·94 (261·06–430·83) 296·22 (222·38–381·17) 244·58 (178·20–320·99) 320·54 (242·03–415·85) 332·68 (253·74–416·02) 311·07 (232·47–396·07) 316·12 (236·97–400·83) 294·52 (225·09–375·65) 278·85 (207·04–362·21) 340·95 (264·91–428·56) Diabetes 273·67 (189·12–376·26) 304·60 (208·84–414·09) 329·58 (226·31–454·22) 252·09 (172·30–347·55) 305·70 (209·15–416·91) 272·21 (184·97–375·16) 286·69 (197·43–390·81) 294·59 (199·71–403·99) 267·03 (183·63–366·12) 292·86 (200·32–401·45) 301·49 (206·14–415·61) 275·06 (188·07–377·79) DALYs All causes 40?990·33 (36?897·07–45?655·97) 35?013·73 (30?677·01–39 789·77) 51?937·77 (45 903·75–58 657·52) 40?301·67 (35?840·43–45?093·49) 51?020·53 (44?712·40–58?120·70) 38 976·71 (34 231·93–44 244·43) 42 763·26 (37 387·28–48 345·43) 39?966·38 (34?978·88–45?495·80) 38?782·03 (34?594·62–43?761·05) 49?185·09 (43?088·93–55?654·39) 43?701·09 (38?844·18–49?315·40) 37?076·01 (32?498·49–42?007·13) Neonatal disorders 4243·53 (3407·87–5383·87) 1560·86 (1184·97–2048·87) 3678·11 (2912·53–4714·01) 4560·10 (3632·64–5842·72) 5038·75 (3911·71–6573·12) 3919·01 (3014·94–5092·33) 3135·40 (2420·92–4068·21) 3882·25 (2963·08–5013·78) 4278·97 (3442·66–5377·99) 4640·71 (3725·92–5857·79) 4242·27 (3354·08–5420·30) 3075·10 (2470·85–3937·54) Diarrhoeal diseases 2898·12 (2035·97–3973·63) 883·62 (519·22–1368·20) 3238·45 (2060·54–4572·55) 3096·17 (1847·57–4883·50) 3719·35 (2338·40–5472·50) 1709·42 (1023·41–2655·86) 1985·51 (1155·12–2895·64) 1896·61 (1151·37–2918·70) 2852·77 (1992·59–3944·49) 3419·24 (2318·61–4840·49) 3110·23 (2148·20–4327·32) 2090·39 (1346·77–3000·98) Lower respiratory infections 2415·69 (2067·80–2845·72) 1294·60 (1075·94–1572·77) 2837·33 (2338·11–3426·68) 2026·77 (1558·85–2552·84) 3583·45 (2784·79–4520·95) 1842·26 (1415·77–2373·02) 1947·45 (1579·22–2359·05) 2069·93 (1605·95–2631·56) 2445·48 (2052·39–2890·30) 3248·92 (2550·29–4023·32) 2709·11 (2251·06–3261·28) 1988·83 (1603·35–2405·10) Tuberculosis 1853·05 (1539·82–2163·82) 1365·90 (1091·70–1739·66) 4394·22 (3500·95–5424·73) 1827·64 (1334·64–2397·19) 3282·33 (2672·85–3988·04) 1366·14 (1062·32–1718·69) 2230·80 (1742·13–2787·01) 1827·61 (1389·91–2335·15) 1535·95 (1263·04–1869·92) 3281·42 (2478·07–4529·64) 2059·99 (1690·93–2495·88) 1459·48 (1160·08–1813·77) Stroke 1777·86 (1411·33–2139·63) 2288·71 (1939·56–2701·26) 2803·48 (2234·98–3407·61) 1718·41 (1236·20–2180·15) 2424·41 (1880·92–3038·22) 1738·91 (1294·21–2185·32) 2250·63 (1655·91–2814·25) 2023·00 (1549·06–2524·64) 1516·09 (1161·15–1880·54) 2176·19 (1619·33–2760·15) 1821·65 (1445·18–2239·56) 2214·29 (1709·96–2762·43) HIV and AIDS 1699·06 (1423·54–2050·66) 4741·01 (3524·37–6230·74) 3009·81 (1996·96–4377·88) 2064·31 (1522·00–2726·20) 1427·33 (807·87–2364·19) 3639·48 (2268·80–5497·00) 4982·49 (3126·23–7529·25) 2325·68 (1429·12–3748·30) 1242·27 (852·62–1783·85) 2118·08 (1495·38–2961·89) 1023·02 (668·79–1488·18) 1723·00 (990·03–2584·84) Ischaemic heart disease 1579·98 (1184·72–1974·00) 2180·60 (1745·92–2649·50) 2456·51 (1886·94–3173·22) 1522·95 (1064·49–2027·62) 2097·00 (1554·05–2731·21) 1517·08 (1036·11–1987·75) 2025·26 (1449·91–2693·88) 1692·41 (1239·79–2153·44) 1373·85 (973·66–1775·11) 1851·79 (1326·42–2450·78) 1666·45 (1265·22–2134·93) 1746·38 (1234·34–2282·81) Cirrhosis and other chronic liver diseases 1341·44 (1106·26–1637·42) 1238·39 (963·18–1594·02) 1703·31 (1258·23–2219·46) 1279·48 (922·03–1965·74) 1502·28 (1142·48–1994·06) 1181·00 (860·54–1659·72) 1410·27 (1109·31–1758·63) 1291·36 (969·83–1740·35) 1260·50 (1015·22–1559·15) 1461·72 (1084·96–2028·88) 1622·55 (1292·62–1985·18) 1129·05 (866·49–1440·11) Diabetes 979·91 (849·79–1115·68) 1086·09 (916·96–1276·16) 1278·55 (1076·67–1489·03) 861·93 (702·22–1040·72) 1127·80 (932·74–1340·89) 914·06 (750·84–1091·97) 1045·32 (870·92–1233·25) 1017·41 (828·70–1218·99) 943·12 (804·51–1093·68) 1023·16 (845·73–1228·82) 1159·74 (974·45–1365·04) 1002·65 (825·12–1181·70)



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