Evidence map›Paper›PMID 23435303›Full record

Trial reportAIDS (London, England)2013

Outcomes of home visits for pregnant mothers and their infants: a cluster randomized controlled trial.

Ingrid M le Roux, Mark Tomlinson, Jessica M Harwood, Mary J O'Connor, Carol M Worthman, Nokwanele Mbewu, Jacqueline Stewart, Mary Hartley, Dallas Swendeman, W Scott Comulada and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 16 pooled it
20.6field-weighted citation impact, top 1% of its field
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

95 citing papers in PubMed, 16 syntheses or guidelines pooled it, 170 citations in OpenAlex.

  1. Pooled it
  2. Breastfeeding interventions for preventing postpartum depression.The Cochrane database of systematic reviews · 2025
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  7. Schedules for home visits in the early postpartum period.The Cochrane database of systematic reviews · 2021
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35 more citing papers are in PubMed but not listed here.

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

12 authors at 5 institutions in 2 countries.

Ingrid M le RouxPhilani Maternal, Child Health and Nutrition Project, Cape Town, South Africa.
Mark Tomlinson
Jessica M Harwood
Mary J O'Connor
Carol M Worthman
Nokwanele Mbewu
Jacqueline Stewart
Mary Hartley
Dallas Swendeman
W Scott Comulada
Robert E Weiss
Mary Jane Rotheram-Borus
University of California, Los Angeles · USStellenbosch University · ZAEmory University · USFamilies USA · USFielding Graduate University · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RAPHAEL J LANDOVITZ · 1997 to 2026
$53.5M
Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ANTON, PETER A · 1991 to 2018
$39.9M
Neighborhood Alcohol & HIV Prevention in South African TownshipsR01AA017104 · NIAAA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROTHERAM-BORUS, MARY JANE · 2007 to 2011
$3.8M
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1TR000124NIAAA NIH HHS 1R01AA017104NIAAA NIH HHS R01 AA017104NIAID NIH HHS 5P30AI028697NIAID NIH HHS P30 AI028697NIMH NIH HHS MH58107NIMH NIH HHS P30 MH058107
6 · The paper itself

Abstract

objectiveTo evaluate the effect of home visits by community health workers (CHWs) on maternal and infant well being from pregnancy through the first 6 months of life for women living with HIV (WLH) and all neighborhood mothers. DESIGN AND

methodsIn a cluster randomized controlled trial in Cape Town townships, neighborhoods were randomized within matched pairs to either standard care, comprehensive healthcare at clinics (n=12 neighborhoods; n=169 WLH; n=594 total mothers); or Philani Intervention Program, home visits by CHWs in addition to standard care (PIP; n=12 neighborhoods; n=185 WLH; n=644 total mothers). Participants were assessed during pregnancy (2% refusal) and reassessed at 1 week (92%) and 6 months (88%) postbirth. We analyzed PIP's effect on 28 measures of maternal and infant well being among WLH and among all mothers using random effects regression models. For each group, PIP's overall effectiveness was evaluated using a binomial test for correlated outcomes.

resultsSignificant overall benefits were found in PIP compared to standard care among WLH and among all participants. Secondarily, compared to standard care, PIP WLH were more likely to complete tasks to prevent vertical transmission, use one feeding method for 6 months, avoid birth-related medical complications, and have infants with healthy height-for-age measurements. Among all mothers, compared to standard care, PIP mothers were more likely to use condoms consistently, breastfeed exclusively for 6 months, and have infants with healthy height-for-age measurements.

conclusionPIP is a model for countries facing significant reductions in HIV funding whose families face multiple health risks.

Indexed as

AdultAmbulatory CareAnti-HIV AgentsCommunity Health WorkersFemaleHIV InfectionsHome Care ServicesHouse CallsHumansInfantInfectious Disease Transmission, VerticalMaternal Health ServicesMaternal WelfareMothersPregnancySouth AfricaAnti-HIV Agents

Identifiers

PMID23435303
PMCPMC3904359
OpenAlexW2014120925

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.