Evidence map›Paper›PMID 32131922›Full record

ArticlePublic health nutrition2021

Role of home visits by volunteer community health workers: to improve the coverage of micronutrient powders in rural Bangladesh.

Haribondhu Sarma, Mduduzi Nn Mbuya, Md Tariqujjaman, Mahfuzur Rahman, Sufia Askari, Rudaba Khondker, Sabiha Sultana, Shaima Arzuman Shahin, Thomas J Bossert, Cathy Banwell and 3 more

Abstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Iron supplementation in children to prevent deficiency and anaemia: A qualitative synthesis.African journal of primary health care & family medicine · 2025
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  10. [Effect of Information Communication on Micronutrient Powders (orSichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 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

13 authors.

Haribondhu SarmaNutrition and Clinical Services Division, icddr,b, Dhaka1212, Bangladesh.ORCID 0000-0003-1553-8498
Mduduzi Nn MbuyaGlobal Alliance for Improved Nutrition, Dhaka1212, Bangladesh.
Md TariqujjamanNutrition and Clinical Services Division, icddr,b, Dhaka1212, Bangladesh.ORCID 0000-0002-0172-9501
Mahfuzur RahmanNutrition and Clinical Services Division, icddr,b, Dhaka1212, Bangladesh.
Sufia AskariChild Health and Development, The Children's Investment Fund Foundation, LondonW1S 2FT, UK.
Rudaba KhondkerGlobal Alliance for Improved Nutrition, Dhaka1212, Bangladesh.
Sabiha SultanaGlobal Alliance for Improved Nutrition, Dhaka1212, Bangladesh.
Shaima Arzuman ShahinHealth Nutrition and Population, BRAC, Dhaka1212, Bangladesh.
Thomas J BossertDepartment of Global Health and Population, The Harvard T.H. Chan School of Public Health, Boston, MA02115, USA.
Cathy BanwellResearch School of Population Health, The Australian National University, Canberra, ACT 2601, Australia.
Lynnette M NeufeldGlobal Alliance for Improved Nutrition, Dhaka1212, Bangladesh.
Tahmeed AhmedNutrition and Clinical Services Division, icddr,b, Dhaka1212, Bangladesh.
Catherine D'EsteResearch School of Population Health, The Australian National University, Canberra, ACT 2601, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe assessed the role of home visits by Shasthya Shebika (SS) - female volunteer community health workers (CHWs) - in improving the distribution of micronutrient powder (MNP), and explored the independent effects of caregiver-provider interaction on coverage variables.

designWe used data from three cross-sectional surveys undertaken at baseline (n 1927), midline (n 1924) and endline (n 1540) as part of an evaluation of a home fortification programme. We defined an exposure group as one that had at least one SS visit to the caregiver's household in the 12 months preceding the survey considering three outcome variables - message (ever heard), contact (ever used) and effective coverage (regular used) of MNP. We performed multiple logistic regressions to explore the determinants of coverage, employed an 'interaction term' and calculated an odds ratio (OR) to assess the modifying effect of SS's home visits on coverage. SETTINGS: Sixty-eight sub-districts from ten districts of Bangladesh.

participantsChildren aged 6-59 months and their caregivers.

resultsA home visit from an SS positively impacts message coverage at both midline (ratio of OR 1·70; 95 % CI 1·25, 2·32; P < 0·01) and endline (ratio of OR 3·58; 95 % CI 2·22, 5·78; P < 0·001), and contact coverage both at midline (ratio of OR 1·48; 95 % CI 1·06, 2·07; P = 0·021) and endline (ratio of OR 1·74; 95 % CI 1·23, 2·47; P = 0·002). There was no significant effect of a SS's home visit on effective coverage.

conclusionsThe households visited by BRAC's volunteer CHWs have better message and contact coverage among the children aged 6-59 months.

Indexed as

House CallsMicronutrientsBangladeshChildCommunity Health WorkersCross-Sectional StudiesFemaleHumansPowdersVolunteersMicronutrientsPowdersCoverageHome fortificationHome visitMicronutrient powderVolunteer community health workers

Identifiers

PMID32131922
PMCPMC8042577

What OpenQuestion holds

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LicenceCC BY
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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.