Evidence map›Paper›PMID 28479635›Full record

ArticleBulletin of the World Health Organization2017

Evaluation of a social franchising and telemedicine programme and the care provided for childhood diarrhoea and pneumonia, Bihar, India.

Manoj Mohanan, Soledad Giardili, Veena Das, Tracy L Rabin, Sunil S Raj, Jeremy I Schwartz, Aparna Seth, Jeremy D Goldhaber-Fiebert, Grant Miller, Marcos Vera-Hernández

Abstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Does the market reward quality? Evidence from India.International journal of health economics and management · 2023
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  12. Review
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  16. Bringing Health Care Closer to People - A Review of Various Telemedicine Models under the National Health Mission in India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
  17. Awareness among Pediatricians Regarding National Telemedicine Guidelines during the COVID-19 Pandemic: A Survey.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    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

10 authors.

Manoj MohananSanford School of Public Policy, Duke University, 302 Towerview Drive, 128 Rubenstein Hall, Durham, North Carolina, NC 27708, United States of America (USA).
Soledad GiardiliDepartment of Economics, Queen Mary University of London, London, England.
Veena DasDepartment of Anthropology, Johns Hopkins University, Baltimore, USA.
Tracy L RabinDepartment of Internal Medicine, Yale University School of Medicine, New Haven, USA.
Sunil S RajIndian Institute of Public Health, New Delhi, India.
Jeremy I SchwartzDepartment of Internal Medicine, Yale University School of Medicine, New Haven, USA.
Aparna SethSambodhi Research and Communications Pvt. Ltd., New Delhi, India.
Jeremy D Goldhaber-FiebertCenter for Health Policy and Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, USA.
Grant MillerCenter for Health Policy and Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, USA.
Marcos Vera-HernándezDepartment of Economics, University College London, London, England.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
CORE--PROGRAM DEVELOPMENTP30AG017253 · NIA · STANFORD UNIVERSITY · PI BHATTACHARYA, JAY · 1999 to 2019
$5.8M
NCATS NIH HHS UL1 TR001863NIA NIH HHS P30 AG017253
6 · The paper itself

Abstract

objectiveTo evaluate the impact on the quality of the care provided for childhood diarrhoea and pneumonia in Bihar, India, of a large-scale, social franchising and telemedicine programme - the World Health Partners' Sky Program.

methodsWe investigated changes associated with the programme in the knowledge and performance of health-care providers by carrying out 810 assessments in a representative sample of providers in areas where the programme was and was not implemented. Providers were assessed using hypothetical patient vignettes and the standardized patient method both before and after programme implementation, in 2011 and 2014, respectively. Differences in providers' performance between implementation and nonimplementation areas were assessed using multivariate difference-in-difference linear regression models.

findingsThe programme did not significantly improve health-care providers' knowledge or performance with regard to childhood diarrhoea or pneumonia in Bihar. There was a persistent large gap between knowledge of appropriate care and the care actually delivered.

conclusionSocial franchising has received attention globally as a model for delivering high-quality care in rural areas in the developing world but supporting data are scarce. Our findings emphasize the need for sound empirical evidence before social franchising programmes are scaled up.

Indexed as

Health Knowledge, Attitudes, PracticeAdultChild, PreschoolClinical CompetenceDeveloping CountriesDiarrheaFemaleGlobal HealthHealth PersonnelHumansIndiaInservice TrainingMaleMiddle AgedPneumoniaQuality of Health Care

Identifiers

PMID28479635
PMCPMC5418816

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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.