Evidence map›Paper›PMID 31133067›Full record

ArticleTrials2019

Protocol for the cost-consequence and equity impact analyses of a cluster randomised controlled trial comparing three variants of a nutrition-sensitive agricultural extension intervention to improve maternal and child dietary diversity and nutritional status in rural Odisha, India (UPAVAN trial).

Hassan Haghparast-Bidgoli, Jolene Skordis, Helen Harris-Fry, Sneha Krishnan, Meghan O'Hearn, Abhinav Kumar, Ronali Pradhan, Naba Kishore Mishra, Avinash Upadhyay, Shibananth Pradhan and 6 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
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

16 authors at 6 institutions in 4 countries.

Hassan Haghparast-BidgoliUniversity College London, Institute for Global Health, 30 Guilford Street, London, WC1N 1EH, UK. h.haghparast-bidgoli@ucl.ac.uk.ORCID http://orcid.org/0000-0001-6365-2944
Jolene SkordisUniversity College London, Institute for Global Health, 30 Guilford Street, London, WC1N 1EH, UK.
Helen Harris-FryLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT,, UK.
Sneha KrishnanLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT,, UK.
Meghan O'HearnTufts University, Friedman School of Nutrition Science and Policy, 150 Harrison Avenue, Boston, MA, 02111, USA.
Abhinav KumarDigital Green, S-26 to 28, 3rd Floor, Green Park Extension Market, New Delhi, 110016, India.
Ronali PradhanDigital Green, S-26 to 28, 3rd Floor, Green Park Extension Market, New Delhi, 110016, India.
Naba Kishore MishraVARRAT (Voluntary Association for Rural Reconstruction and Appropriate Technology), Boulakani Baradang, Mahakalpara Kendrapad, Odisha, 754224, India.
Avinash UpadhyayDigital Green, S-26 to 28, 3rd Floor, Green Park Extension Market, New Delhi, 110016, India.
Shibananth PradhanVARRAT (Voluntary Association for Rural Reconstruction and Appropriate Technology), Boulakani Baradang, Mahakalpara Kendrapad, Odisha, 754224, India.
Amit Kumar OjhaEkjut, 556 B-Ward No 17-Potka, Chakradharpur, Jharkhand, 833102, India.
Sarah CunninghamHarvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115,, USA.
Shibanand RathEkjut, 556 B-Ward No 17-Potka, Chakradharpur, Jharkhand, 833102, India.
Tom PalmerUniversity College London, Institute for Global Health, 30 Guilford Street, London, WC1N 1EH, UK.
Peggy Koniz-BooherStrengthening Partnerships, Results, and Innovations in Nutrition Globally, JSI Research and Training Institute, Inc., 1616 Fort Myer Drive 16th Floor, Arlington, VA, 22209, USA.
Suneetha KadiyalaLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT,, UK.
University of London · GBEkjut · INUniversity College London · GBHarvard University · USInstitute of Child Health · GRTufts University · US

Funding

Bill and Melinda Gates Foundation OPP1136656
6 · The paper itself

Abstract

backgroundUndernutrition causes around 3.1 million child deaths annually, around 45% of all child deaths. India has one of the highest proportions of maternal and child undernutrition globally. To accelerate reductions in undernutrition, nutrition-specific interventions need to be coupled with nutrition-sensitive programmes that tackle the underlying causes of undernutrition. This paper describes the planned economic evaluation of the UPAVAN trial, a four-arm, cluster randomised controlled trial that tests the nutritional and agricultural impacts of an innovative agriculture extension platform of women's groups viewing videos on nutrition-sensitive agriculture practices, coupled with a nutrition-specific behaviour-change intervention of videos on nutrition, and a participatory learning and action approach.

methodsThe economic evaluation of the UPAVAN interventions will be conducted from a societal perspective, taking into account all costs incurred by the implementing agency (programme costs), community and health care providers, and participants and their households, and all measurable outcomes associated with the interventions. All direct and indirect costs, including time costs and donated goods, will be estimated. The economic evaluation will take the form of a cost-consequence analysis, comparing incremental costs and incremental changes in the outcomes of the interventions, compared with the status quo. Robustness of the results will be assessed through a series of sensitivity analyses. In addition, an analysis of the equity impact of the interventions will be conducted. DISCUSSION: Evidence on the cost and cost-effectiveness of nutrition-sensitive agriculture interventions is scarce. This limits understanding of the costs of rolling out or scaling up programs. The findings of this economic evaluation will provide useful information for different multisectoral stakeholders involved in the planning and implementation of nutrition-sensitive agriculture programmes.

trial registrationISRCTN65922679 . Registered on 21 December 2016.

Indexed as

AgricultureNutritional StatusAdolescentAdultCluster AnalysisCost-Benefit AnalysisDietHumansIndiaMalnutritionMiddle AgedOutcome Assessment, Health CarePublic HealthRandomized Controlled Trials as TopicRural PopulationYoung AdultCost-consequence analysisDietary diversityIndiaMaternal and child nutritionNutrition-sensitive agricultureParticipatory learning and actionWomen’s groups

Identifiers

PMID31133067
PMCPMC6537168
OpenAlexW2947189817

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.