Evidence map›Paper›PMID 32128033›Full record

ArticleMalawi medical journal : the journal of Medical Association of Malawi2019

A quantitative cross-sectional survey of psychosocial stimulation and counselling interventions at nutritional rehabilitation units in Southern Malawi.

Allison I Daniel, Kate Chidzalo, Isabel Potani, Wieger Voskuijl, Melissa Gladstone, Meta van den Heuvel, Mike Bwanali, Emmie Mbale, Robert H J Bandsma

Open access · diamondAbstract read
In one paragraph

Article in Malawi medical journal : the journal of Medical Association of Malawi, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 46% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

9 authors at 1 institution in 2 countries.

Allison I DanielCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Kate ChidzaloDepartment of Paediatrics, College of Medicine, University of Malawi, Blantyre, Malawi.
Isabel PotaniDepartment of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Wieger VoskuijlThe Childhood Acute Illness & Nutrition Network (CHAIN), Blantyre, Malawi.
Melissa GladstoneDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.
Meta van den HeuvelCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Mike BwanaliDepartment of Paediatrics, College of Medicine, University of Malawi, Blantyre, Malawi.
Emmie MbaleDepartment of Paediatrics, College of Medicine, University of Malawi, Blantyre, Malawi.
Robert H J BandsmaCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Hospital for Sick Children · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inpatient treatment at nutritional rehabilitation units (NRUs) is needed for children who have severe acute malnutrition (SAM) and acute illness, loss of appetite, or severe oedema. World Health Organization guidelines state that nutritional counselling should be done with primary caregivers at NRUs. These recommendations also include psychosocial stimulation interventions to improve developmental outcomes in children with SAM. However, there is limited information about the delivery of these types of interventions for caregivers and children in NRU settings. The primary objective of this research was therefore to obtain data about NRU resources, activities, and protocols relevant to psychosocial stimulation and counselling interventions during inpatient treatment of children with SAM. Methods: A cross-sectional survey was administered by interview at all 16 NRUs in seven districts in Southern Malawi. Participants were health workers, nurses, and nutritionists employed at the respective NRUs. Results: The response rate was 100% across NRUs. Half of participants said that psychosocial stimulation interventions are conducted at their respective NRUs, yet none of the NRUs have protocols for delivery of these interventions. Furthermore, 7/16 (44%) NRUs have no resources for psychosocial stimulation including play materials. Thirteen of 16 (81%) participants said that they feel this type of intervention is very important and 3/16 (19%) participants said that this somewhat important for children with SAM. All NRUs provide counselling to caregivers about breastfeeding and nutrition; 15/16 (94%) also give counselling about water, sanitation and hygiene. Conclusions: Ultimately, results from this survey highlighted that there is a need to invest in comprehensive interventions to improve developmental and nutritional outcomes in these vulnerable children requiring admission to NRUs.

Indexed as

CounselingPsychosocial Support SystemsChildChild, PreschoolCommunity Health ServicesCommunity Health WorkersCross-Sectional StudiesFemaleHealth SurveysHumansInpatientsInterviews as TopicMalawiMaleNursesNutritional Statuschild developmentCommunity-based Management of Acute Malnutrition (CMAM)nutritional rehabilitation unit (NRU)psychosocial stimulationsevere acute malnutrition (SAM)

Identifiers

PMID32128033
PMCPMC7036430
OpenAlexW3003748354

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.