Evidence map›Paper›PMID 31788233›Full record

Trial reportJournal of global health2019

Use of mobile technology by frontline health workers to promote reproductive, maternal, newborn and child health and nutrition: a cluster randomized controlled Trial in Bihar, India.

Suzan L Carmichael, Kala Mehta, Sridhar Srikantiah, Tanmay Mahapatra, Indrajit Chaudhuri, Ramkrishnan Balakrishnan, Sharad Chaturvedi, Hina Raheel, Evan Borkum, Shamik Trehan and 12 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 7 pooled it
12.3field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 7 syntheses or guidelines pooled it, 71 citations in OpenAlex.

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  6. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
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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

22 authors at 4 institutions in 2 countries.

Suzan L CarmichaelDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Kala MehtaDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Sridhar SrikantiahCARE India, Patna, India.
Tanmay MahapatraCARE India, Patna, India.
Indrajit ChaudhuriCARE India, Patna, India.
Ramkrishnan BalakrishnanCARE India, Patna, India.
Sharad ChaturvediCARE India, Patna, India.
Hina RaheelDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Evan BorkumMathematica Policy Research, Princeton, New Jersey, USA.
Shamik TrehanMathematica Policy Research, Princeton, New Jersey, USA.
Yingjie WengQuantitative Sciences Unit, Department of Medicine, Stanford University, Stanford, California, USA.
Rajani KaimalQuantitative Sciences Unit, Department of Medicine, Stanford University, Stanford, California, USA.
Anitha SivasankaranMathematica Policy Research, Princeton, New Jersey, USA.
Swetha SridharanMathematica Policy Research, Princeton, New Jersey, USA.
Dana RotzMathematica Policy Research, Princeton, New Jersey, USA.
Usha Kiran TarigopulaIndia Country Office, Bill and Melinda Gates Foundation, Delhi, India.
Debarshi BhattacharyaIndia Country Office, Bill and Melinda Gates Foundation, Delhi, India.
Yamini AtmavilasIndia Country Office, Bill and Melinda Gates Foundation, Delhi, India.
Kevin T PepperDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Anu RangarajanMathematica Policy Research, Princeton, New Jersey, USA.
Gary L DarmstadtDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Ananya Study Group*
Stanford University · USCare India · INMathematica Policy Research · USDr. Reddy's Foundation · IN

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
NCATS NIH HHS UL1 TR003142
6 · The paper itself

Abstract

backgroundmHealth technology holds promise for improving the effectiveness of frontline health workers (FLWs), who provide most health-related primary care services, especially reproductive, maternal, newborn, child health and nutrition services (RMNCHN), in low-resource - especially hard-to-reach - settings. Data are lacking, however, from rigorous evaluations of mHealth interventions on delivery of health services or on health-related behaviors and outcomes.

methodsThe Information Communication Technology-Continuum of Care Service (ICT-CCS) tool was designed for use by community-based FLWs to increase the coverage, quality and coordination of services they provide in Bihar, India. It consisted of numerous mobile phone-based job aids aimed to improve key RMNCHN-related behaviors and outcomes. ICT-CCS was implemented in Saharsa district, with cluster randomization at the health sub-center level. In total, evaluation surveys were conducted with approximately 1100 FLWs and 3000 beneficiaries who had delivered an infant in the previous year in the catchment areas of intervention and control health sub-centers, about half before implementation (mid-2012) and half two years afterward (mid-2014). Analyses included bivariate and difference-in-difference analyses across study groups.

resultsThe ICT-CCS intervention was associated with more frequent coordination of AWWs with ASHAs on home visits and greater job confidence among ASHAs. The intervention resulted in an 11 percentage point increase in FLW antenatal home visits during the third trimester (

conclusionsImportant improvements in FLW home visits and RMNCHN behaviors were achieved. The ICT-CCS tool shows promise for facilitating FLW effectiveness in improving RMNCHN behaviors.

Indexed as

Community Health WorkersTelemedicineChildChild HealthFemaleHealth PromotionHumansIndiaInfant HealthInfant, NewbornMaternal-Child Health ServicesMaternal HealthNutritional StatusPregnancyProgram EvaluationReproductive Health

Identifiers

PMID31788233
PMCPMC6875677
OpenAlexW2990772394

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.