Evidence map›Paper›PMID 29137500›Full record

Trial reportHealth affairs (Project Hope)2017

Mentor Mothers Program Improved Child Health Outcomes At A Relatively Low Cost In South Africa.

Adriane Wynn, Mary Jane Rotheram-Borus, Arleen A Leibowitz, Thomas Weichle, Ingrid le Roux, Mark Tomlinson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health affairs (Project Hope), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

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

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

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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.

Adriane WynnAdriane Wynn ( adriane.wynn@g.ucla.edu ) is associate director of the policy core, Center for HIV Identification, Prevention, and Treatment Services, at the University of California, Los Angeles (UCLA).
Mary Jane Rotheram-BorusMary Jane Rotheram-Borus is director of the Jane and Terry Semel Institute for Neuroscience and Human Behavior, Global Center for Children and Families, at UCLA.
Arleen A LeibowitzArleen A. Leibowitz is a professor emerita in the Department of Public Policy, School of Public Affairs, at UCLA, and director of the policy core at the Center for HIV Identification, Prevention, and Treatment Services.
Thomas WeichleThomas Weichle is a senior statistician at the Semel Institute for Neuroscience and Human Behavior, Global Center for Children and Families, at UCLA.
Ingrid le RouxIngrid le Roux is medical director of Philani, in Cape Town, South Africa.
Mark TomlinsonMark Tomlinson is a professor of psychology at Stellenbosch University, in South Africa.

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Sung-Jae Lee · 1997 to 2026
$53.5M
Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ZACK, JEROME A. · 1991 to 2018
$39.9M
University of California Launching Future Leaders in Global Health Research Training ProgramD43TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRAIG R COHEN, Sung-Jae Lee · 2017 to 2026
$14.7M
Training Program in Substance Use, HIV and Related InfectionsT32DA023356 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Natasha Martin, Steffanie A Strathdee · 2007 to 2026
$7.8M
Neighborhood Alcohol & HIV Prevention in South African TownshipsR01AA017104 · NIAAA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROTHERAM-BORUS, MARY JANE · 2007 to 2011
$3.8M
FIC NIH HHS D43 TW009343NCATS NIH HHS UL1 TR000124NIAAA NIH HHS R01 AA017104NIAID NIH HHS P30 AI028697NIDA NIH HHS T32 DA023356NIMH NIH HHS P30 MH058107
6 · The paper itself

Abstract

In light of South Africa's high prenatal HIV prevalence and infant mortality rate, a cluster randomized controlled trial was conducted to evaluate an intervention called Philani+, which used community health workers (known as Mentor Mothers) to deliver pre- and postnatal home visits in Cape Town, South Africa, to improve maternal and child health. We assessed the costs and benefits of this intervention and made comparisons with other scenarios that depicted increased capacity and provision of nurse-delivered care. The recurrent cost of the twenty-four-month intervention was US$80,001. The major health outcomes analyzed were differences in the proportion of infants who were low birthweight, stunted, and suboptimally breastfed between intervention and control groups. Each case of low birthweight averted cost US$2,397; of stunted growth, US$2,454; and of suboptimal breastfeeding, US$1,618. Employment of community health workers was cost saving compared to that of nurses. Philani+ improved child health at a relatively low cost, considering the health system costs associated with low birthweight and undernutrition. The model could be suitable for replication in low-resource settings to improve child health in other countries.

Indexed as

Child HealthCommunity Health WorkersHouse CallsMentorsMothersAdolescentAdultChildCost-Benefit AnalysisFemaleHumansInfantInfant, NewbornPostnatal CarePregnancyPrenatal CareCost of Health CareHIVMaternal And Child HealthSouth Africa

Identifiers

PMID29137500
PMCPMC6382468

What OpenQuestion holds

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Registered trials

None linked

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.