Evidence map›Paper›PMID 32090721›Full record

ArticlePublic health nutrition2020

Strategies to address anaemia among pregnant and lactating women in India: a formative research study.

Pamela A Williams, Jon Poehlman, Katelin Moran, Mariam Siddiqui, Ishu Kataria, Anna Merlyn Rego, Purnima Mehrotra, Neela Saldanha

Open access · greenAbstract read
In one paragraph

Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

14 citing papers in PubMed, 34 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

8 authors at 2 institutions in 2 countries.

Pamela A WilliamsRTI International, Social Policy, Health and Economics Research Unit, 3040 E. Cornwallis Road, PO Box 12194, Research Triangle Park, NC27709-2194, USA.
Jon PoehlmanRTI International, Social Policy, Health and Economics Research Unit, 3040 E. Cornwallis Road, PO Box 12194, Research Triangle Park, NC27709-2194, USA.
Katelin MoranRTI International, Social Policy, Health and Economics Research Unit, 3040 E. Cornwallis Road, PO Box 12194, Research Triangle Park, NC27709-2194, USA.
Mariam SiddiquiRTI International India, 6th Floor, Commercial Tower of Novotel-Pullman Hotel, Aerocity Hospitality District, IGI Airport 110037, New Delhi, India.
Ishu KatariaRTI International India, 6th Floor, Commercial Tower of Novotel-Pullman Hotel, Aerocity Hospitality District, IGI Airport 110037, New Delhi, India.
Anna Merlyn RegoCentre for Social and Behaviour Change, Ashoka University, Rajiv Gandhi Education City, Sonipat, Haryana131029, India.
Purnima MehrotraCentre for Social and Behaviour Change, Ashoka University, Rajiv Gandhi Education City, Sonipat, Haryana131029, India.
Neela SaldanhaCentre for Social and Behaviour Change, Ashoka University, Rajiv Gandhi Education City, Sonipat, Haryana131029, India.
Ashoka University · INRTI International · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOver half of pregnant women in India are affected by anaemia, which can lead to premature birth, low birth weight and maternal and child mortality. Using formative research, we aimed to understand social and cultural factors around iron and folic acid (IFA) supplement provision and adherence to identify potential strategies for improving adherence and behaviours to prevent and treat anaemia among pregnant and lactating Indian women.

designIn-depth interviews and focus group discussions with women and key informant interviews with health officials and workers.

settingFour districts in two Indian states: Allahabad and Bara Banki districts in Uttar Pradesh and Chikkballapura and Mandya districts in Karnataka.

participantsPregnant and lactating women (n 65) and district officials and community health workers (n 14).

resultsMost women were aware of anaemia but did not understand its seriousness and consequences. All women received IFA supplements (predominantly for free), but many were not adherent because of side effects; lack of information from healthcare providers on the causes of anaemia, its seriousness and solutions and low social support. To address anaemia, women were most confident in their ability to prepare and eat healthier foods but lacked control over resources such as appropriate food availability.

conclusionsBased on the findings, we recommend multicomponent interventions to train healthcare providers, address systemic barriers and involve family members to support IFA supplement adherence and dietary changes. Future research will determine which strategies are most effective to reduce the burden of anaemia in India among pregnant and lactating women.

Indexed as

Patient ComplianceAdultAnemiaAnemia, Iron-DeficiencyCommunity Health WorkersDietDietary SupplementsFemaleFocus GroupsFolic AcidHealth Knowledge, Attitudes, PracticeHumansIndiaInterviews as TopicIronIron, DietaryFolic AcidIronIron, DietaryAnaemiaBehaviour changeCommunicationIndiaMalnutrition

Identifiers

PMID32090721
PMCPMC10200659
OpenAlexW3008462480

What OpenQuestion holds

Textmetadata
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.