Evidence map›Paper›PMID 30101576›Full record

Trial reportMaternal & child nutrition2019

Complementary feeding practices among rural Bangladeshi mothers: Results from WASH Benefits study.

Kaniz Jannat, Stephen P Luby, Leanne Unicomb, Mahbubur Rahman, Peter J Winch, Sarker M Parvez, Kishor K Das, Elli Leontsini, Pavani K Ram, Christine P Stewart

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 pooled it
2.9field-weighted citation impact, top 9% 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.

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

22 citing papers in PubMed, 6 syntheses or guidelines pooled it, 27 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

10 authors at 5 institutions in 2 countries.

Kaniz JannatEnvironmental Intervention Unit, Infectious Disease Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.ORCID 0000-0002-2993-1955
Stephen P LubyMedicine - Med/Infectious Diseases, Stanford University, Stanford, California.
Leanne UnicombEnvironmental Intervention Unit, Infectious Disease Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Mahbubur RahmanEnvironmental Intervention Unit, Infectious Disease Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Peter J WinchDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.ORCID 0000-0001-8569-5507
Sarker M ParvezEnvironmental Intervention Unit, Infectious Disease Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Kishor K DasEnvironmental Intervention Unit, Infectious Disease Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Elli LeontsiniDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Pavani K RamDepartment of Epidemiology and Environmental Health, University at Buffalo, Buffalo, New York.
Christine P StewartDepartment of Nutrition, University of California Davis, Davis, California.
International Centre for Diarrhoeal Disease Research · BDJohns Hopkins University · USStanford Medicine · USUniversity at Buffalo, State University of New York · USUniversity of California, Davis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inappropriate complementary feeding contributes to linear growth faltering in early childhood. Behaviour change interventions have been effective at improving practice, but few studies have investigated the effects of multicomponent integrated interventions. We conducted a cluster-randomized controlled trial in rural Bangladesh in which geographic clusters were randomized into seven arms: water treatment (W), sanitation (S), handwashing (H), water, sanitation, and handwashing (WSH), improved nutrition with infant and young child feeding messages and lipid-based nutrient supplementation for 6- to 24-month olds (N), N+WSH, and control. The objective of this paper was to examine the independent and combined effects of interventions on indicators of complementary feeding. Approximately 1 and 2 years after initiation of the intervention, research assistants surveyed mothers about infant feeding practices. Complementary feeding was examined using the World Health Organization indicators of infant and young child feeding practices. We used Poisson regression models to estimate prevalence ratios and linear regression models for prevalence differences with clustered sandwich estimators to adjust for clustering. A total of 4,718 households from 720 clusters were surveyed at year 1 and 4,667 at year 2. The children in the nutrition arms had a higher prevalence of meeting the minimum dietary diversity score compared with controls (year 1: N: 66.4%; N+WSH: 65.0% vs. C:32.4%; year 2: N: 91.5%; N+WSH: 91.6% vs. C:77.7%). Children in the nutrition arms received diverse food earlier than the children in control arm. In addition, the average consumption of lipid-based nutrient supplementation was >90% in each follow-up. Nutrition-specific interventions could be integrated with nutrition-sensitive interventions such as WSH without compromising the uptake of the nutrition intervention.

Indexed as

Infant Nutritional Physiological PhenomenaBangladeshChild, PreschoolDietFemaleFollow-Up StudiesHand DisinfectionHumansInfantMaleMothersRural PopulationSanitationSurveys and Questionnaires

Identifiers

PMID30101576
PMCPMC6519265
OpenAlexW2886828617

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.