Evidence map›Paper›PMID 28058772›Full record

ArticleMaternal & child nutrition2017

Suaahara in Nepal: An at-scale, multi-sectoral nutrition program influences knowledge and practices while enhancing equity.

Kenda Cunningham, Akriti Singh, Pooja Pandey Rana, Laura Brye, Silvia Alayon, Karin Lapping, Bindu Gautam, Carol Underwood, Rolf D W Klemm

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Maternal & child nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03926689 (Evaluating the Impact of Sending SMS Messages to Increase Egg Consumption Among Children One 1-2 Years of Age, a Cluster-randomized Controlled Trial in Kanchanpur, Nepal), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.5field-weighted citation impact, top 7% 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.

NCT03926689 nacompletednot on this mapstarted 2019, after this paper: background citation

Evaluating the Impact of Sending SMS Messages to Increase Egg Consumption Among Children One 1-2 Years of Age, a Cluster-randomized Controlled Trial in Kanchanpur, Nepal

TypeinterventionalSponsorHelen Keller InternationalRan2019 to 2021Enrolled3,301ConditionsDietary HabitsArmsSMS messages, Standard SII SBCC
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 37 citations in OpenAlex.

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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

9 authors at 5 institutions in 2 countries.

Kenda CunninghamSuaahara/Helen Keller International, Kathmandu, Nepal.
Akriti SinghTufts University, Boston, Massachusetts, USA.
Pooja Pandey RanaSuaahara/Helen Keller International, Kathmandu, Nepal.
Laura BryeSuaahara/Helen Keller International, Kathmandu, Nepal.
Silvia AlayonSave the Children, Washington, D.C., USA.
Karin LappingSave the Children, Washington, D.C., USA.
Bindu GautamSuaahara/Save the Children, Kathmandu, Nepal.
Carol UnderwoodJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Rolf D W KlemmJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Helen Keller International Nepal · NPSave the Children · USHelen Keller International · USJohns Hopkins University · USTufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The burden of undernutrition in South Asia is greater than anywhere else. Policies and programmatic efforts increasingly address health and non-health determinants of undernutrition. In Nepal, one large-scale integrated nutrition program, Suaahara, aimed to reduce undernutrition among women and children in the 1,000-day period, while simultaneously addressing inequities. In this study, we use household-level process evaluation data (N = 480) to assess levels of exposure to program inputs and levels of knowledge and practices related to health, nutrition, and water, sanitation, and hygiene (WASH). We also assess Suaahara's effect on the differences between disadvantaged (DAG) and non-disadvantaged households in exposure, knowledge, and practice indicators. All regression models were adjusted for potential confounders at the child-, maternal-, and household levels, as well as clustering. We found a higher prevalence of almost all exposure and knowledge indicators and some practice indicators in Suaahara areas versus comparison areas. A higher proportion of DAG households in Suaahara areas reported exposure, were knowledgeable, and practiced optimal behaviors related to nearly all maternal and child health, nutrition, and WASH indicators than DAG households in non-Suaahara areas and sometimes even than non-DAG households in Suaahara areas. Moreover, differences in some of these indicators between DAG and non-DAG households were significantly smaller in Suaahara areas than in comparison areas. These results indicate that large-scale integrated interventions can influence nutrition-related knowledge and practices, while simultaneously reducing inequities.

Indexed as

Health EducationHealth Knowledge, Attitudes, PracticeChild, PreschoolFamily CharacteristicsFemaleGrowth DisordersHumansHygieneInfantMaleMalnutritionNepalNutritional StatusProgram EvaluationSanitationequityNepalnutritionSuaahara

Identifiers

PMID28058772
PMCPMC6866152
OpenAlexW2567869612

What OpenQuestion holds

Textmetadata
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.