Evidence map›Paper›PMID 30420345›Full record

ArticleBMJ open2018

How well do national and local policies in England relevant to maternal and child health meet the international standard for non-communicable disease prevention? A policy analysis.

Daniel Penn-Newman, Sarah Shaw, Donna Congalton, Sofia Strommer, Taylor Morris, Wendy Lawrence, Debbie Chase, Cyrus Cooper, Mary Barker, Janis Baird and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

12 authors at 6 institutions in 2 countries.

Daniel Penn-NewmanMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Sarah ShawMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Donna CongaltonLiggins Institute, University of Auckland, Auckland, New Zealand.
Sofia StrommerMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Taylor MorrisMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Wendy LawrenceMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Debbie ChasePublic Health, Southampton City Council, Southampton, UK.
Cyrus CooperMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Mary BarkerMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Janis BairdMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Hazel InskipMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Christina VogelMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
MRC Lifecourse Epidemiology Unit · GBNIHR Southampton Biomedical Research Centre · GBUniversity of Southampton · GBMedical Research Council · GBSouthampton City Council · GBUniversity of Auckland · NZ

Funding

Department of Health 10/33/04Department of Health DRF-2011-04-015Department of Health RP-PG-0216-20004Medical Research Council G0400491Medical Research Council G0601019Medical Research Council G106/1077Medical Research Council MC_U147574224Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1015Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/1Medical Research Council MC_UU_12011/2Medical Research Council MC_UU_12011/4
6 · The paper itself

Abstract

objectives(1) To identify national policies for England and local policies for Southampton City that are relevant to maternal and child health. (2) To quantify the extent to which these policies meet the international standards for nutrition and physical activity initiatives set out in the WHO Global Action Plan for the Prevention and Control of Non-Communicable Diseases (WHO Action Plan).

designThe policy appraisal process involved three steps: (1) identifying policy documents relevant to maternal and infant health, (2) developing a policy appraisal framework from the WHO Action Plan, and (3) analysing the policies using the framework.

settingEngland and Southampton City.

participants57 national and 10 local policies.

resultsAcross both national and local policies, priority areas supporting public health processes, such as evidence-based practice, were adopted more frequently than the action-oriented areas targeting maternal and child dietary and physical activity behaviours. However, the policy option managing conflicts of interest was rarely considered in the national policies (12%), particularly in white papers or evidence-based guidelines. For the action-oriented priority areas, maternal health policy options were more frequently considered than those related to child health or strengthening health systems. Complementary feeding guidance (9%) and workforce training in empowerment skills (14%) were the least frequent action-oriented policy options adopted among the national policies. The maternal nutrition-focused and workforce development policy options were least frequent among local policies adopted in 10% or fewer. Macroenvironmental policy options tended to have a lower priority than organisational or individual options among national policies (p=0.1) but had higher priority among local policies (p=0.02).

conclusionsFurther action is needed to manage conflicts of interest and adopt policy options that promote a system-wide approach to address non-communicable diseases caused by poor diet and physical inactivity.

Indexed as

Child HealthDietExerciseHealth PolicyInfant HealthMaternal HealthPolicy MakingEnglandHumansNoncommunicable Diseaseschild healthhealth policymaternal healthnutritionphysical activitypublic health

Identifiers

PMID30420345
PMCPMC6252630
OpenAlexW2901360977

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.