Evidence map›Paper›PMID 33425330›Full record

ArticleJournal of global health2020

Health impact of self-help groups scaled-up statewide in Bihar, India.

Kala M Mehta, Laili Irani, Indrajit Chaudhuri, Tanmay Mahapatra, Janine Schooley, Sridhar Srikantiah, Safa Abdalla, Victoria C Ward, Suzan L Carmichael, Jason Bentley and 10 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02726230 (Bihar Family Health Initiative), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.2field-weighted citation impact, top 6% 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.

NCT02726230 nacompletednot on this map

Bihar Family Health Initiative (Ananya)

TypeinterventionalSponsorUniversity of California, San DiegoRan2012 to 2014Enrolled27,633ConditionsMaternal and Child HealthArmsAnanya
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 15 citations in OpenAlex.

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  9. Learning fromJournal of global health · 2020
    Review
  10. Impact of theJournal of global health · 2020
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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

20 authors at 7 institutions in 2 countries.

Kala M MehtaDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Laili IraniPopulation Council, New Delhi, India.
Indrajit ChaudhuriProject Concern International, Delhi, India and San Diego, California, USA.
Tanmay MahapatraCARE India, Patna, India.
Janine SchooleyProject Concern International, Delhi, India and San Diego, California, USA.
Sridhar SrikantiahCARE India, Patna, India.
Safa AbdallaDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Victoria C WardDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Suzan L CarmichaelDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Jason BentleyQuantitative Sciences Unit, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA.
Andreea CreangaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Jess WilhelmDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Usha Kiran TarigopulaBill and Melinda Gates Foundation, Delhi, India.
Debarshi BhattacharyaBill and Melinda Gates Foundation, Delhi, India.
Yamini AtmavilasBill and Melinda Gates Foundation, Delhi, India.
Priya NandaBill and Melinda Gates Foundation, Delhi, India.
Yingjie WengQuantitative Sciences Unit, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA.
Kevin T PepperDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Gary L DarmstadtDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Ananya Study Group
Stanford University · USGates Foundation · USCare India · INJohns Hopkins University · USProject Concern International · USPopulation Council Institute · INUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to assess the impact of self-help groups (SHGs) and subsequent scale-up on reproductive, maternal, newborn, child health, and nutrition (RMNCHN) and sanitation outcomes among marginalised women in Bihar, India from 2014-2017.

methodsWe examined RMNCHN and sanitation behaviors in women who were members of any SHGs compared to non-members, without differentiating between types of SHGs. We analysed annual surveys across 38 districts of Bihar covering 62 690 women who had a live birth in the past 12 months. All analyses utilised data from Community-based Household Surveys (CHS) rounds 6-9 collected in 2014-2017 by CARE India as part of the Bihar Technical Support Program funded by the Bill & Melinda Gates Foundation. We examined 66 RMNCHN and sanitation indicators using survey logistic regression; the comparison group in all cases was age-comparable women from the geographic contexts of the SHG members but who did not belong to SHGs. We also examined links between discussion topics in SHGs and changes in relevant behaviours, and stratification of effects by parity and mother's age.

resultsSHG members had higher odds compared to non-SHG members for 60% of antenatal care indicators, 22% of delivery indicators, 70% of postnatal care indicators, 50% of nutrition indicators, 100% of family planning and sanitation indicators and no immunisation indicators measured. According to delivery platform, most FLW performance indicators (80%) had increased odds, followed by maternal behaviours (57%) and facility care and outreach service delivery (22%) compared to non-SHG members. Self-report of discussions within SHGs on specific topics was associated with increased related maternal behaviours. Younger SHG members (<25 years) had attenuated health indicators compared to older group members (≥25 years), and women with more children had more positive indicators compared to women with fewer children.

conclusionsSHG membership was associated with improved RMNCHN and sanitation indicators at scale in Bihar, India. Further work is needed to understand the specific impacts of health layering upon SHGs. Working through SHGs is a promising vehicle for improving primary health care. STUDY REGISTRATION: ClinicalTrials.gov number NCT02726230.

Indexed as

Child HealthInfant HealthMaternal HealthSelf-Help GroupsAdultFamily Planning ServicesFemaleHealth EducationHealth StatusHumansIndiaInfant, NewbornMaleNutritional StatusPregnancyReproductive Health

Identifiers

PMID33425330
PMCPMC7761401
OpenAlexW3115739363

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.