Evidence map›Paper›PMID 25886587›Full record

Trial reportBMC public health2015

Participatory women's groups and counselling through home visits to improve child growth in rural eastern India: protocol for a cluster randomised controlled trial.

Nirmala Nair, Prasanta Tripathy, Harshpal S Sachdev, Sanghita Bhattacharyya, Rajkumar Gope, Sumitra Gagrai, Shibanand Rath, Suchitra Rath, Rajesh Sinha, Swati Sarbani Roy and 10 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
2.7field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 5 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Pooled it
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  5. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
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  18. Maternal Complications during Pregnancy and Risk Factors for Stunting.Iranian journal of nursing and midwifery research
    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

20 authors at 2 institutions in 1 country.

Nirmala NairEkjut, Chakradharpur, Jharkhand, India. nirmala.ekjut@gmail.com.
Prasanta TripathyEkjut, Chakradharpur, Jharkhand, India. prasanta.ekjut@gmail.com.
Harshpal S SachdevSitaram Bhartia Institute of Science and Research, New Delhi, India. hpssachdev@gmail.com.
Sanghita BhattacharyyaPublic Health Foundation of India, New Delhi, India. sanghita@phfi.org.
Rajkumar GopeEkjut, Chakradharpur, Jharkhand, India. rajkumar.ekjut@gmail.com.
Sumitra GagraiEkjut, Chakradharpur, Jharkhand, India. sumitra.ekjut@gmail.com.
Shibanand RathEkjut, Chakradharpur, Jharkhand, India. shibanand.ekjut@gmail.com.
Suchitra RathEkjut, Chakradharpur, Jharkhand, India. suchitra.ekjut@gmail.com.
Rajesh SinhaEkjut, Chakradharpur, Jharkhand, India. rajesh.ekjut@gmail.com.
Swati Sarbani RoyEkjut, Chakradharpur, Jharkhand, India. swati.ekjut@gmail.com.
Suhas ShewaleEkjut, Chakradharpur, Jharkhand, India. suhas.p.shewale@gmail.com.
Vijay SinghEkjut, Chakradharpur, Jharkhand, India. vijay.ekjut@gmail.com.
Aradhana SrivastavaPublic Health Foundation of India, New Delhi, India. aradhana@phfi.org.
Hemanta PradhanEkjut, Chakradharpur, Jharkhand, India. hemanta.ekjut@gmail.com.
Anthony CostelloInstitute for Global Health, University College London, 30 Guilford Street, London, WC1N 1EH, United Kingdom. anthony.costello@ucl.ac.uk.
Andrew CopasMRC Clinical Trials Unit at University College London, London, UK. a.copas@ucl.ac.uk.
Jolene Skordis-WorrallInstitute for Global Health, University College London, 30 Guilford Street, London, WC1N 1EH, United Kingdom. j.skordis-worrall@ucl.ac.uk.
Hassan Haghparast-BidgoliInstitute for Global Health, University College London, 30 Guilford Street, London, WC1N 1EH, United Kingdom. h.haghparast-bidgoli@ucl.ac.uk.
Naomi SavilleInstitute for Global Health, University College London, 30 Guilford Street, London, WC1N 1EH, United Kingdom. n.saville@ucl.ac.uk.
Audrey ProstInstitute for Global Health, University College London, 30 Guilford Street, London, WC1N 1EH, United Kingdom. audrey.prost@ucl.ac.uk.
Ekjut · INSitaram Bhartia Institute of Science and Research · IN

Funding

Medical Research Council MR/K007270/1Wellcome TrustWellcome Trust 099708/Z/12/Z
6 · The paper itself

Abstract

backgroundChild stunting (low height-for-age) is a marker of chronic undernutrition and predicts children's subsequent physical and cognitive development. Around one third of the world's stunted children live in India. Our study aims to assess the impact, cost-effectiveness, and scalability of a community intervention with a government-proposed community-based worker to improve growth in children under two in rural India.

methodsThe study is a cluster randomised controlled trial in two rural districts of Jharkhand and Odisha (eastern India). The intervention tested involves a community-based worker carrying out two activities: (a) one home visit to all pregnant women in the third trimester, followed by subsequent monthly home visits to all infants aged 0-24 months to support appropriate feeding, infection control, and care-giving; (b) a monthly women's group meeting using participatory learning and action to catalyse individual and community action for maternal and child health and nutrition. Both intervention and control clusters also receive an intervention to strengthen Village Health Sanitation and Nutrition Committees. The unit of randomisation is a purposively selected cluster of approximately 1000 population. A total of 120 geographical clusters covering an estimated population of 121,531 were randomised to two trial arms: 60 clusters in the intervention arm receive home visits, group meetings, and support to Village Health Sanitation and Nutrition Committees; 60 clusters in the control arm receive support to Committees only. The study participants are pregnant women identified in the third trimester of pregnancy and their children (n = 2520). Mothers and their children are followed up at seven time points: during pregnancy, within 72 hours of delivery, and at 3, 6, 9, 12 and 18 months after birth. The trial's primary outcome is children's mean length-for-age Z scores at 18 months. Secondary outcomes include wasting and underweight at all time points, birth weight, growth velocity, feeding, infection control, and care-giving practices. Additional qualitative and quantitative data are collected for process and economic evaluations. DISCUSSION: This trial will contribute to evidence on effective strategies to improve children's growth in India.

trial registrationISRCTN register 51505201 ; Clinical Trials Registry of India number 2014/06/004664.

Indexed as

House CallsAdultChild DevelopmentChild Nutrition DisordersChild, PreschoolCommunity Health WorkersCost-Benefit AnalysisCounselingFemaleHumansIndiaInfantInfant, NewbornMaternal-Child Health CentersMothersNutritional Status

Identifiers

PMID25886587
PMCPMC4410595
OpenAlexW2020769099

What OpenQuestion 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 OpenQuestion graph.