Evidence map›Paper›PMID 29984348›Full record

ReviewCurrent developments in nutrition2018

Infant and Young Child Feeding (IYCF) Practices Improved in 2 Districts in Nepal during the Scale-Up of an Integrated IYCF and Micronutrient Powder Program.

Lindsey M Locks, Pradiumna Dahal, Rajkumar Pokharel, Nira Joshi, Naveen Paudyal, Ralph D Whitehead, Stanley Chitekwe, Zuguo Mei, Bikash Lamichhane, Aashima Garg and 1 more

Abstract readReview
In one paragraph

Review in Current developments in nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed, 1 synthesis or guideline 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

11 authors.

Lindsey M LocksHarvard TH Chan School of Public Health, Boston, MA.
Pradiumna DahalUNICEF, Kathmandu, Nepal.
Rajkumar PokharelNepal Ministry of Health and Population, Kathmandu, Nepal.
Nira JoshiNew ERA, Kathmandu, Nepal.
Naveen PaudyalUNICEF, Kathmandu, Nepal.
Ralph D WhiteheadCDC, Atlanta, GA.
Stanley ChitekweUNICEF, Kathmandu, Nepal.
Zuguo MeiCDC, Atlanta, GA.
Bikash LamichhaneNepal Ministry of Health and Population, Kathmandu, Nepal.
Aashima GargUNICEF Headquarters, New York, NY.
Maria Elena JefferdsCDC, Atlanta, GA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree-quarters of the ≥50 programs that use micronutrient powders (MNPs) integrate MNPs into infant and young child feeding (IYCF) programs, with limited research on impacts on IYCF practices.

objectiveThis study assessed changes in IYCF practices in 2 districts in Nepal that were part of a post-pilot scale-up of an integrated IYCF-MNP program.

methodsThis analysis used cross-sectional surveys (

resultsThe prevalence of minimum dietary diversity (MDD) and minimum acceptable diet (MAD) was significantly higher at endline than at baseline. In analyses from endline, compared with mothers who never received FCHV counseling, only mothers in the frequent FCHV-IYCF counseling group were more likely to report feeding the minimum meal frequency (MMF) and MAD, with no difference for the infrequent FCHV-IYCF counseling group in these indicators. HW-IYCF counseling was not associated with these indicators. Mothers who received MNPs from their FCHV were more likely to report initiating solid foods at 6 mo and feeding the child the MDD, MMF, and MAD compared with mothers who did not, adjusting for HW- and FCHV-IYCF counseling and demographic covariates.

conclusionsIncorporating MNPs into the Nepal IYCF program did not harm IYCF and may have contributed to improvements in select practices. Research that uses experimental designs should verify whether integrated IYCF-MNP programs can improve IYCF practices.

Indexed as

complementary feedingdietary diversityhome-based fortificationinfant and young child feedingmicronutrient powderspoint-of-use fortification

Identifiers

PMID29984348
PMCPMC6022604

What OpenQuestion holds

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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.