Evidence map›Paper›PMID 32108438›Full record

ArticleMaternal & child nutrition2022

To see, hear, and live: 25 years of the vitamin A programme in Nepal.

Andrew L Thorne-Lyman, Kedar Parajuli, Naveen Paudyal, Stanley Chitekwe, Ram Shrestha, Dibya Laxmi Manandhar, Keith P West

Open access · goldAbstract read
In one paragraph

Article in Maternal & child nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

10 citing papers in PubMed, 13 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

7 authors at 3 institutions in 2 countries.

Andrew L Thorne-LymanCenter for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.ORCID 0000-0001-5917-4126
Kedar ParajuliNutrition Section, Family Welfare Division, Ministry of Health and Population Nepal, Kathmandu, Nepal.
Naveen PaudyalUNICEF Nepal, Kathmandu, Nepal.
Stanley ChitekweUNICEF Nepal, Kathmandu, Nepal.
Ram ShresthaNepali Technical Assistance Group, Kathmandu, Nepal.
Dibya Laxmi ManandharUNICEF Nepal, Kathmandu, Nepal.
Keith P WestCenter for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.ORCID 0000-0001-9458-362X
Johns Hopkins University · USMinistry of Health and Population · NPNLR Nepal · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nepal has a rich history of vitamin A research and a national, biannual preschool vitamin A supplementation (VAS) programme that has sustained high coverage for 25 years despite many challenges, including conflict. Key elements of programme success have included (a) evidence of a 26-30% reduction in child mortality from two, in-country randomized trials; (b) strong political and donor support; (c) positioning local female community health volunteers as key operatives; (d) nationwide community mobilization and demand creation for the programme; and (e) gradual expansion of the programme over a period of several years, conducting and integrating delivery research, and monitoring to allow new approaches to be tested and adapted to available resources. The VAS network has served as a platform for delivering other services, including anthelmintic treatment and screening for acute malnutrition. We estimate that VAS has saved over 45,000 young lives over the past 15 years of attained national coverage. Consumption of vitamin A- and carotenoid-rich foods by children and women nationally remains low, indicating that supplementation is still needed. Current challenges and opportunities to improving vitamin A status include lower VAS coverage among younger children (infants 6-11 months of age), finding ways to increase availability and access to dietary vitamin A sources, and ensuring local programme investments given the recent decentralization of the government.

Indexed as

Vitamin AVitamin A DeficiencyChildChild MortalityChild, PreschoolDietFemaleHumansInfantNepalVitamin Achildhood infectionschild nutritionchild public healthInternational Child Health Nutritionprogramme evaluationvitamin A

Identifiers

PMID32108438
PMCPMC8770656
OpenAlexW3008997921

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.