Evidence map›Paper›PMID 28784142›Full record

Trial reportTrials2017

To evaluate if increased supervision and support of South African Government health workers' home visits improves maternal and child outcomes: study protocol for a randomized control trial.

Mary Jane Rotheram-Borus, Karl Le Roux, Ingrid M Le Roux, Joan Christodoulou, Christina Laurenzi, Nokwanele Mbewu, Mark Tomlinson

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02957799 (A Randomized Controlled Trial to Improve the South African Government's Community Health Workers' Capacities to Deliver Evidence-based Interventions for Optimizing HIV Outcomes and Reducing Its Comorbidities), which is not on this map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 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.

NCT02957799 phase2 / phase3unknown statusnot on this map

A Randomized Controlled Trial to Improve the South African Government's Community Health Workers' Capacities to Deliver Evidence-based Interventions for Optimizing HIV Outcomes and Reducing Its Comorbidities

TypeinterventionalSponsorUniversity of California, Los AngelesRan2017 to 2023Enrolled840ConditionsHIV, Partner Violence, Malnutrition, Alcohol Use/AbuseArmsAccountable Condition, Control Condition
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Schedules for home visits in the early postpartum period.The Cochrane database of systematic reviews · 2021
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. 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

7 authors.

Mary Jane Rotheram-BorusDepartment of Psychiatry & Biobehavioral Sciences, Semel Institute, University of California, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024, USA. mrotheram@mednet.ucla.edu.
Karl Le RouxZithulele Hospital, P Bag X504, Mqanduli, 5080, South Africa.
Ingrid M Le RouxPhilani Maternal, Child Health and Nutrition Project, Elonwabeni, PO Box 40188, 7791, Cape Town, South Africa.
Joan ChristodoulouDepartment of Psychiatry & Biobehavioral Sciences, Semel Institute, University of California, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA, 90024, USA.
Christina LaurenziDepartment of Psychology, Stellenbosch University, Private Bag X1, Matieland, 7602, South Africa.
Nokwanele MbewuPhilani Maternal, Child Health and Nutrition Project, Elonwabeni, PO Box 40188, 7791, Cape Town, South Africa.
Mark TomlinsonDepartment of Psychology, Stellenbosch University, Private Bag X1, Matieland, 7602, South Africa.

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KITCHEN, SCOTT G · 1991 to 2018
$39.9M
An RCT to Improve the South African Government's Community Health Workers' Capacities to Deliver Evidence-based Interventions for Optimizing HIV Outcomes and Reducing its ComorbiditiesR01MH111391 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROTHERAM-BORUS, MARY JANE · 2016 to 2020
$2.8M
The Global Partnership for AIDS Behavioral Research: South Africa and U.S.R24AA022919 · NIAAA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROTHERAM-BORUS, MARY JANE · 2013 to 2017
$2.4M
Post-doctoral HIV Research Training Program for HIV Combination PreventionT32MH109205 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROTHERAM-BORUS, MARY JANE · 2016 to 2020
$2.3M
NCATS NIH HHS UL1 TR001881NIAAA NIH HHS R24 AA022919NIAID NIH HHS P30 AI028697NIMH NIH HHS R01 MH111391NIMH NIH HHS T32 MH109205
6 · The paper itself

Abstract

backgroundConcurrent epidemics of HIV, depression, alcohol abuse, and partner violence threaten maternal and child health (MCH) in South Africa. Although home visiting has been repeatedly demonstrated efficacious in research evaluations, efficacy disappears when programs are scaled broadly. In this cluster randomized controlled trial (RCT), we examine whether the benefits of ongoing accountability and supervision within an existing government funded and implemented community health workers (CHW) home visiting program ensure the effectiveness of home visiting. METHODS/

designIn the deeply rural, Eastern Cape of South Africa, CHW will be hired by the government and will be initially trained by the Philani Programme to conduct home visits with all pregnant mothers and their children until the children are 2 years old. Eight clinics will be randomized to receive either (1) the Accountable Care Condition in which additional monitoring and accountability systems that Philani routinely uses are implemented (4 clinics, 16 CHW, 450 households); or (2) a Standard Care Condition of initial Philani training, but with supervision and monitoring being delivered by local government structures and systems (4 clinics, 21 CHW, 450 households). In the Accountable Care Condition areas, the CHW's mobile phone reports, which are time-location stamped, will be monitored and data-informed supervision will be provided, as well as monitoring growth, medical adherence, mental health, and alcohol use outcomes. Interviewers will independently assess outcomes at pregnancy at 3, 6, 15, and 24 months post-birth. The primary outcome will be a composite score of documenting maternal HIV/TB testing, linkage to care, treatment adherence and retention, as well as child physical growth, cognitive functioning, and child behavior and developmental milestones. DISCUSSION: The proposed cluster RCT will evaluate whether routinely implementing supervision and accountability procedures and monitoring CHWs' over time will improve MCH outcomes over the first 2 years of life.

trial registrationClinicalTrials.gov registration #NCT02957799 , registered on October 26, 2016.

Indexed as

Government RegulationHouse CallsAge FactorsAlcoholismAttitude of Health PersonnelBreast FeedingChild DevelopmentChild HealthChild Health ServicesChild, PreschoolCommunity Health WorkersFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansInfantHIVInfantsMaternal healthMothersPerinatal healthPregnancySouth Africa

Identifiers

PMID28784142
PMCPMC5547508

What OpenQuestion holds

Textmetadata
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.