Evidence map›Paper›PMID 27101379›Full record

Trial reportPloS one2016

Effect of Village Health Team Home Visits and Mobile Phone Consultations on Maternal and Newborn Care Practices in Masindi and Kiryandongo, Uganda: A Community-Intervention Trial.

Richard Mangwi Ayiasi, Patrick Kolsteren, Vincent Batwala, Bart Criel, Christopher Garimoi Orach

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02084680 (A Community Trial to Measure the Effect of Individual Prenatal Education With Mobile Phone Consultations Offered to Pregnant Women in Masindi and Kiryandongo, Western Uganda), which is not on this map. Cited by 36 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 12 pooled it
9.2field-weighted citation impact, top 3% 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.

NCT02084680 naunknown statusnot on this map

A Community Trial to Measure the Effect of Individual Prenatal Education With Mobile Phone Consultations Offered to Pregnant Women in Masindi and Kiryandongo, Western Uganda

TypeinterventionalSponsorMakerere UniversityRan2013 to 2015Enrolled1ConditionsPregnancyArmscommunity health workers
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 12 syntheses or guidelines pooled it, 87 citations in OpenAlex.

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  5. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 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

5 authors at 3 institutions in 2 countries.

Richard Mangwi AyiasiMakerere University, School of Public Health, College of Health Sciences, P.O Box 7072, Kampala, Uganda.
Patrick KolsterenInstitute of Tropical Medicine, Nationalestraat 150, B 2000 Antwerp, Belgium.
Vincent BatwalaMbarara University of Science and Technology, P.O Box 1410, Mbarara, Uganda.
Bart CrielInstitute of Tropical Medicine, Nationalestraat 150, B 2000 Antwerp, Belgium.
Christopher Garimoi OrachMakerere University, School of Public Health, College of Health Sciences, P.O Box 7072, Kampala, Uganda.
Instituut voor Tropische Geneeskunde · BEMakerere University · UGMbarara University of Science and Technology · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe World Health Organisation recommends home visits conducted by Community Health Workers (in Uganda known as Village Health Teams--VHTs) in order to improve maternal and newborn health. This study measured the effect of home visits combined with mobile phone consultations on maternal and newborn care practices.

methodIn a community intervention trial design 16 health centres in Masindi and Kiryandongo districts, Uganda were randomly and equally allocated to one of two arms: control and intervention arms. Eight control health centres received the usual maternal and newborn educational messages offered by professional health workers and eight intervention health centres that received an intervention package for maternal care and essential newborn care practices. In the intervention arm VHTs made two prenatal and one postnatal home visit to households. VHTs were provided with mobile phones to enable them make regular telephone consultations with health workers at the health centre serving the catchment area. The primary outcome was health facility delivery. Other outcomes included antenatal attendances, birth preparedness, cord and thermal care and breastfeeding practices. Analysis was by intention-to-treat.

resultsA total of 1385 pregnant women were analysed: 758 and 627 in the control and intervention arms respectively. Significant post-intervention differences were: delivery place [adjusted Odds Ratio aOR: 17.94(95%CI: 6.26-51.37); p<0.001], cord care [aOR: 3.05(95%CI: 1.81-5.12); p<0.001] thermal care [aOR: 7.58(95%CI: 2.52-22.82); p<0.001], and timely care-seeking for newborn illness [aOR: 4.93(95%CI: 1.59-15.31); p = 0.006].

conclusionVHTs can have an effect in promoting proper cord and thermal care for the newborn and improve timely care-seeking for health facility delivery and newborn illness, because they could answer questions and refer patients correctly. However, VHTs should be supported by professional health workers through the use of mobile phones.

trial registrationClinicalTrials.gov NCT02084680.

Indexed as

Cell PhoneHouse CallsPostnatal CarePrenatal CareAdolescentAdultBreast FeedingDelivery, ObstetricFemaleHumansInfant, NewbornPregnancyRural Health ServicesUgandaYoung Adult

Identifiers

PMID27101379
PMCPMC4839625
OpenAlexW2336873939

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.