Evidence map›Paper›PMID 34312155›Full record

ArticleBMJ global health2021

Implementing health communication tools at scale: mobile audio messaging and paper-based job aids for front-line workers providing community health education to mothers in Bihar, India.

Victoria Ward, Safa Abdalla, Hina Raheel, Yingjie Weng, Anna Godfrey, Priyanka Dutt, Radharani Mitra, Padmapriya Sastry, Sara Chamberlain, Melissa Shannon and 4 more

Registry-linked trialAbstract read
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In one paragraph

Article in BMJ global health, 2021. 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

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

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

Victoria WardDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-2283-4052
Safa AbdallaDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Hina RaheelDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Yingjie WengQuantitaitve Sciences Unit, Department of Medicine, Stanford University, Stanford, California, USA.
Anna GodfreyBBC Action Media, London, UK.
Priyanka DuttBBC Media Action, New Delhi, Delhi, India.
Radharani MitraBBC Media Action, New Delhi, Delhi, India.
Padmapriya SastryBBC Media Action, New Delhi, Delhi, India.
Sara ChamberlainBBC Media Action, New Delhi, Delhi, India.
Melissa ShannonBBC Action Media, London, UK.
Kala MehtaDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Jason BentleyQuantitaitve Sciences Unit, Department of Medicine, Stanford University, Stanford, California, USA.
Gary L Darmstadt MdDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA gdarmsta@stanford.edu.ORCID 0000-0002-7522-5824
Ananya Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAs part of an investment by the Bill & Melinda Gates Foundation to support the Government of Bihar to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) statewide, BBC Media Action implemented multiple communication tools to support front-line worker (FLW) outreach. We analyse the impacts of a package of mHealth audio messaging and paper-based job aids used by FLWs during government-sponsored village health, sanitation and nutrition days (VHSNDs) on knowledge and practices of childbearing women across the RMNCHN continuum of care.

methodsData from two surveys collected between July and September 2016 were analysed using logistic regression to compare health-related knowledge and behaviours between women who had been exposed at VHSNDs to the mHealth GupShup Potli (GSP) audio recordings or interpersonal communication (IPC) tools versus those who were unexposed.

resultsExposure to GSP recordings (n=2608) was associated with improved knowledge across all continuum-of-care domains, as well as improved health-related behaviours in some domains. The odds of having taken iron-folic acid (IFA) tablets were significantly higher in exposed women (OR 1.5, 95% CI 1.1 to 2.2), as was contraceptive use (OR 2.0, 95% CI 1.2 to 3.2). There were no differences in birth preparedness or complementary feeding practices between groups. Exposure to IPC paper-based tools (n=2002) was associated with a twofold increased odds of IFA consumption (OR 2.3, 95% CI 1.7 to 3.2) and contraceptive use (OR 1.8, 95% CI 1.2 to 2.8). Women exposed to both tools were generally at least twice as likely to subsequently discuss the messages with others.

conclusionBBC Media Action's mHealth audio messaging job aids and paper-based IPC tools were associated with improved knowledge and practices of women who were exposed to them across multiple domains, suggesting their important potential for improving health outcomes for beneficiaries at scale in low-resource settings. TRIAL REGISTRATION NUMBER: NCT02726230.

Indexed as

Health CommunicationMothersChildFemaleHealth EducationHumansIndiaInfant HealthInfant, Newbornchild healthmaternal healthpaediatricsprevention strategiespublic health

Identifiers

PMID34312155
PMCPMC8728373

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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.