Evidence map›Paper›PMID 29103400›Full record

ArticlePublic health nutrition2018

Improving maternal, infant and young child nutrition in Nepal via peer mobilization.

Akriti Singh, Rolf D W Klemm, Gary Mundy, Pooja Pandey Rana, Bhim Pun, Kenda Cunningham

Registry-linked trialOpen access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Public health nutrition, 2018. 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 10 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 5 pooled it
1.1field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 5 syntheses or guidelines pooled it, 15 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

6 authors at 4 institutions in 3 countries.

Akriti Singh1Friedman School of Nutrition Science & Policy,Tufts University,150 Harrison Avenue,Boston,MA 02111,USA.
Rolf D W Klemm2Helen Keller International,Washington,DC,USA.
Gary Mundy4Helen Keller International,Phnom Penh,Cambodia.
Pooja Pandey Rana5Helen Keller International,Kathmandu,Nepal.
Bhim Pun5Helen Keller International,Kathmandu,Nepal.
Kenda Cunningham5Helen Keller International,Kathmandu,Nepal.
Helen Keller International Nepal · NPHelen Keller International · USPhnom Penh International University · KHTufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of a peer facilitator (PF) approach for improving mothers' knowledge and practices relating to maternal and child nutrition.

designA quasi-experimental design nested within a large-scale integrated nutrition programme, Suaahara, in Nepal. Suaahara interventions were implemented in all study sites, but peer facilitators were used in only half of the study sites.

settingRural, disadvantaged villages in three districts of Nepal: Bhojpur, Bajhang and Rupandehi. SUBJECTS: Mothers of children aged 6-23·9 months (n 1890).

resultsDifferences over time between comparison (C) and intervention (I) groups show that the PF approach had a significant positive impact on several indicators of mothers' knowledge and practices relating to maternal and child nutrition: (i) knowing that fruits and vegetables are good for children 6-23·9 months (C: -0·7, I: 10·6; P=0·03); (ii) child dietary diversity (C: 0·02, I: 0·04; P=0·02); (iii) child minimum dietary diversity (≥4 of 7 food groups; (C: 6·9, I: 16·0; P=0·02); (iv) maternal dietary diversity (C: 0·1, I: 0·4; P=0·01); and (v) maternal minimum dietary diversity (≥4 food groups; C: 3·6, I: 14·0; P=0·03). Additionally, exposure to a PF three or more times in the past 6 months was positively associated with a small improvement in maternal (β=0·06, P=0·04) and child (β=0·06, P=0·02) dietary diversity scores. Improvements were not observed in maternal health-seeking behaviours such as number of antenatal care visits.

conclusionsPeer mobilization is a potential approach for improving health- and nutrition-related knowledge and behaviours among women in hard-to-reach communities of Nepal.

Indexed as

DietFeeding BehaviorHealth Knowledge, Attitudes, PracticeInfant HealthMothersPeer GroupAdultChild HealthFemaleHealth BehaviorHealth PromotionHumansInfantMaternal-Child Health ServicesMaternal HealthNepalChild nutritionHard-to-reachInfant and young child feedingMaternal nutritionPeer mobilization

Identifiers

PMID29103400
PMCPMC10261017
OpenAlexW2767738788

What OpenQuestion holds

Textmetadata
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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.