Evidence map›Paper›PMID 25853511›Full record

Trial reportPloS one2015

The Maternal and Child Health (MCH) handbook in Mongolia: a cluster-randomized, controlled trial.

Rintaro Mori, Naohiro Yonemoto, Hisashi Noma, Tumendemberel Ochirbat, Emma Barber, Gochoo Soyolgerel, Yasuhide Nakamura, Oyun Lkhagvasuren

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 6 pooled it
–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

30 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Are Parent-Held Child Health Records a Valuable Health Intervention? A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2019
    Pooled it
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  6. Giving women their own case notes to carry during pregnancy.The Cochrane database of systematic reviews · 2015
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  17. Preschool-children's height, trend, and causes: Japanese national surveys 1990-2010.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2022
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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

8 authors.

Rintaro MoriDepartment of Health Policy, National Center for Child Health and Development, Tokyo, Japan.
Naohiro YonemotoDepartment of Psychopharmacology, National Center of Neurology and Psychiatry, Tokyo, Japan.
Hisashi NomaDepartment of Data Science, The Institute of Statistical Mathematics, Tokyo, Japan.
Tumendemberel OchirbatDepartment of Global Health Policy, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Emma BarberDepartment of Health Policy, National Center for Child Health and Development, Tokyo, Japan.
Gochoo SoyolgerelMedical Care Policy Implementation and Coordination, Ministry of Health, Ulaanbaatar, Mongolia.
Yasuhide NakamuraDepartment of International Collaboration, Graduate School of Human Sciences, Osaka University, Osaka, Japan.
Oyun LkhagvasurenFaculty of Health Science, Simon Fraser University, Vancouver, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effectiveness of the Maternal and Child Health (MCH) handbook in Mongolia to increase antenatal clinic attendance, and to enhance health-seeking behaviors and other health outcomes.

methodsA cluster randomized trial was conducted using the translated MCH handbook in Bulgan, Mongolia to assess its effectiveness in promoting antenatal care attendance. Pregnant women were recruited from 18 randomly allocated districts using shuffled, sealed envelopes. The handbook was implemented immediately for women at their first antenatal visit in the intervention group, and nine months later in the control group. The primary outcome was the number of antenatal care visits of all women residing in the selected districts. Cluster effects were adjusted for using generalized estimation equation. Masking was not possible among care providers, pregnant women and assessors.

findingsNine districts were allocated to the intervention group and the remainder to the control group. The intervention group (253 women) attended antenatal clinics on average 6•9 times, while the control group (248 women) attended 6•2 times. Socioeconomic status affected the frequency of clinic attendance: women of higher socioeconomic status visited antenatal clinics more often. Pregnancy complications were more likely to be detected among women using the handbook.

conclusionThe MCH handbook promotes continuous care and showed an increase in antenatal visits among the intervention group. The intervention will help to identify maternal morbidities during pregnancy and promote health-seeking behaviors.

trial registrationUMIN Clinical Trial Registry UMIN000001748.

Indexed as

WritingAdultAmbulatory CareChildChild HealthCluster AnalysisFemaleHealth BehaviorHumansInfantInfant HealthMaternal HealthMongoliaPregnancy

Identifiers

PMID25853511
PMCPMC4390384

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.