Evidence map›Paper›PMID 33832950›Full record

SynthesisBMJ global health2021

Delivering nutrition interventions to women and children in conflict settings: a systematic review.

Shailja Shah, Zahra Ali Padhani, Daina Als, Mariella Munyuzangabo, Michelle F Gaffey, Wardah Ahmed, Fahad J Siddiqui, Sarah Meteke, Mahdis Kamali, Reena P Jain and 4 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
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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

14 authors at 2 institutions in 5 countries.

Shailja ShahCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0003-2329-5027
Zahra Ali PadhaniDivision of Women and Child Health, Aga Khan University, Karachi, Pakistan.ORCID 0000-0003-4777-7565
Daina AlsCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Mariella MunyuzangaboCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Michelle F GaffeyCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Wardah AhmedDivision of Women and Child Health, Aga Khan University, Karachi, Pakistan.
Fahad J SiddiquiCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Sarah MetekeCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Mahdis KamaliCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Reena P JainCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0001-7004-5093
Amruta RadhakrishnanCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Anushka AtaullahjanCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Jai K DasDivision of Women and Child Health, Aga Khan University, Karachi, Pakistan.
Zulfiqar A BhuttaCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada Zulfiqar.bhutta@sickkids.ca.
Great Ormond Street Hospital · GBAga Khan University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow/middle-income countries (LMICs) face triple burden of malnutrition associated with infectious diseases, and non-communicable diseases. This review aims to synthesise the available data on the delivery, coverage, and effectiveness of the nutrition programmes for conflict affected women and children living in LMICs.

methodsWe searched MEDLINE, Embase, CINAHL, and PsycINFO databases and grey literature using terms related to conflict, population, and nutrition. We searched studies on women and children receiving nutrition-specific interventions during or within five years of a conflict in LMICs. We extracted information on population, intervention, and delivery characteristics, as well as delivery barriers and facilitators. Data on intervention coverage and effectiveness were tabulated, but no meta-analysis was conducted.

resultsNinety-one pubblications met our inclusion criteria. Nearly half of the publications (n=43) included population of sub-Saharan Africa (n=31) followed by Middle East and North African region. Most publications (n=58) reported on interventions targeting children under 5 years of age, and pregnant and lactating women (n=27). General food distribution (n=34), micronutrient supplementation (n=27) and nutrition assessment (n=26) were the most frequently reported interventions, with most reporting on intervention delivery to refugee populations in camp settings (n=63) and using community-based approaches. Only eight studies reported on coverage and effectiveness of intervention. Key delivery facilitators included community advocacy and social mobilisation, effective monitoring and the integration of nutrition, and other sectoral interventions and services, and barriers included insufficient resources, nutritional commodity shortages, security concerns, poor reporting, limited cooperation, and difficulty accessing and following-up of beneficiaries. DISCUSSION: Despite the focus on nutrition in conflict settings, our review highlights important information gaps. Moreover, there is very little information on coverage or effectiveness of nutrition interventions; more rigorous evaluation of effectiveness and delivery approaches is needed, including outside of camps and for preventive as well as curative nutrition interventions. PROSPERO REGISTRATION NUMBER: CRD42019125221.

Indexed as

LactationPovertyAfrica South of the SaharaChildChild, PreschoolFemaleHumansMiddle EastPregnancychild healthnutrition

Identifiers

PMID33832950
PMCPMC8039262
OpenAlexW3147305861

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.