Evidence map›Paper›PMID 33880645›Full record

Trial reportEuropean journal of nutrition2021

Effectiveness of management of severe acute malnutrition (SAM) through community health workers as compared to a traditional facility-based model: a cluster randomized controlled trial.

Imtiaz Hussain, Atif Habib, Shabina Ariff, Gul Nawaz Khan, Arjumand Rizvi, Suhail Channar, Abid Hussain, Shahid Fazal, Deepak Kumar, Jose Luis Alvarez and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06287827 (Evaluation of the Treatment of Moderate and Severe Acute Malnutrition in Outpatient Care Services in Venezuela), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 40% 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.

NCT06287827 completednot on this mapstarted 2024, after this paper: background citation

Evaluation of the Treatment of Moderate and Severe Acute Malnutrition in Outpatient Care Services in Venezuela: a Multicentric and Prospective Cohort Research

TypeobservationalSponsorUNICEF - VenezuelaRan2024 to 2024Enrolled299ConditionsAcute Malnutrition in Childhood, Wasting, Child MalnutritionArmsSimplified protocol, Standard protocol
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. 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

13 authors at 1 institution in 1 country.

Imtiaz HussainDepartment of Pediatric and Child Health, Associate Director Center of Excellence in Women and Child Health, Aga Khan University, Stadium Road, Karachi, 74800, Pakistan.
Atif HabibDepartment of Pediatric and Child Health, Associate Director Center of Excellence in Women and Child Health, Aga Khan University, Stadium Road, Karachi, 74800, Pakistan.
Shabina AriffDepartment of Pediatric and Child Health, Associate Director Center of Excellence in Women and Child Health, Aga Khan University, Stadium Road, Karachi, 74800, Pakistan.
Gul Nawaz KhanDepartment of Pediatric and Child Health, Associate Director Center of Excellence in Women and Child Health, Aga Khan University, Stadium Road, Karachi, 74800, Pakistan.
Arjumand RizviDepartment of Pediatric and Child Health, Associate Director Center of Excellence in Women and Child Health, Aga Khan University, Stadium Road, Karachi, 74800, Pakistan.
Suhail ChannarDepartment of Pediatric and Child Health, Associate Director Center of Excellence in Women and Child Health, Aga Khan University, Stadium Road, Karachi, 74800, Pakistan.
Abid HussainDepartment of Pediatric and Child Health, Associate Director Center of Excellence in Women and Child Health, Aga Khan University, Stadium Road, Karachi, 74800, Pakistan.
Shahid FazalAction Against Hunger, Islamabad, Pakistan.
Deepak KumarDepartment of Pediatric and Child Health, Associate Director Center of Excellence in Women and Child Health, Aga Khan University, Stadium Road, Karachi, 74800, Pakistan.
Jose Luis AlvarezAction Against Hunger, London, UK.
Saul GuerreroAction Against Hunger, Islamabad, Pakistan.
Angeline GrantAction Against Hunger, Islamabad, Pakistan.
Sajid Bashir SoofiDepartment of Pediatric and Child Health, Associate Director Center of Excellence in Women and Child Health, Aga Khan University, Stadium Road, Karachi, 74800, Pakistan. sajid.soofi@aku.edu.ORCID http://orcid.org/0000-0003-4192-8406
Aga Khan University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe compared the impact of management of severe acute malnutrition (SAM) by lady health workers (LHWs) at a community level with the standard CMAM program provided at the health facility.

methodsA two-arm cluster randomised controlled trial was conducted in a rural district in sindh Pakistan. The primary outcome was recovery from SAM and secondary outcomes were relapse, defaulter and mortality rate.

resultsA total of 829 children were recruited in the trial (430 in intervention and 399 in control groups). No significant difference was noted in recovery rate between the intervention and control groups (79.2% vs 85.6%, p = 0.276). Similarly, no significant differences were noted in relapse (p = 0.757), weight gain (p = 0.609), deaths (p = 0.775) and defaulter rate (p = 0.324) across the groups. Compliance of RUTF was significantly higher in the control group (93%) than in the intervention group (87%), p < 0.000.

conclusionOur results showed no impact of SAM treatment on performance indicators of CMAM (recovery, relapse, death and default) between the standard CMAM programme performed at the health facility by the government and NGO staff and the programme performed at health house level by the LHWs in Pakistan. We recommend further robust trials in other settings to confirm our results.

Indexed as

MalnutritionSevere Acute MalnutritionChildCommunity Health WorkersHumansInfantNeoplasm Recurrence, LocalRural PopulationWeight GainCommunity-based managementHealth facility managementLHWsRUTFSevere acute malnutrition

Identifiers

PMID33880645
OpenAlexW3155828310

What OpenQuestion holds

Textmetadata
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.