Evidence map›Paper›PMID 34551744›Full record

Trial reportBMC pregnancy and childbirth2021

Enhancing nutrition knowledge and dietary diversity among rural pregnant women in Malawi: a randomized controlled trial.

Lillian Ziyenda Katenga-Kaunda, Penjani Rhoda Kamudoni, Gerd Holmboe-Ottesen, Heidi E Fjeld, Ibrahimu Mdala, Zumin Shi, Per Ole Iversen

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
6.1field-weighted citation impact, top 3% 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.

NCT03136393 nacompletednot on this map

A Protocol for a Cluster Randomized Controlled Trial Measuring the Effect of Dietary Counseling During Pregnancy on Infant Birthweight in Nankumba, Mangochi District, Malawi

TypeinterventionalSponsorUniversity of OsloRan2015 to 2017Enrolled300ConditionsMaternal Exposure During PregnancyArmsCommunity based dietary counselling, Community based antenatal counselling
NCT07003971 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Investigation of the Effectiveness of Social Media-Based Support in Developing Healthy Lifestyle Behaviors in Pregnancy

TypeinterventionalSponsorIstanbul University - CerrahpasaRan2025 to 2026Enrolled96ConditionsSocial Media in Developing Healthy Lifestyle Behaviours in Pregnant WomenArmscounselling, Control
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 59 citations in OpenAlex.

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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

7 authors at 3 institutions in 3 countries.

Lillian Ziyenda Katenga-KaundaMalawi Government, Health and Social Services, Mzuzu City Council, Mzuzu, Malawi.
Penjani Rhoda KamudoniDepartment of Community Medicine and Global Health, University of Oslo, Oslo, Norway.
Gerd Holmboe-OttesenDepartment of Community Medicine and Global Health, University of Oslo, Oslo, Norway.
Heidi E FjeldDepartment of Community Medicine and Global Health, University of Oslo, Oslo, Norway.
Ibrahimu MdalaDepartment of Community Medicine and Global Health, University of Oslo, Oslo, Norway.
Zumin ShiQU Health, Qatar University, Doha, Qatar.
Per Ole IversenDepartment of Nutrition, University of Oslo, Oslo, Norway. p.o.iversen@medisin.uio.no.
University of Oslo · NOOslo University Hospital · NOQatar University · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn many sub-Saharan African countries, such as Malawi, antenatal care (ANC) services do not deliver sufficient nutrition awareness to improve adequate dietary intake in pregnancy. We therefore compared the effects of supplementary nutrition education and dietary counselling with routine ANC service on nutrition knowledge and dietary intakes among Malawian pregnant women.

methodsWe used data from a two-armed cluster randomised controlled trial (RCT) of which the intervention group received supplementary nutrition education, dietary counselling and routine ANC services whereas the controls received only routine ANC services. The RCT was conducted in 10 control and 10 intervention villages in Mangochi, Southern Malawi and included pregnant women between their 9

resultsAmong 257 pregnant women enrolled to the RCT, 195 (76%) were available for the current study. The supplementary nutrition education and counselling led to significant improvements in nutrition knowledge, dietary diversity and nutrition behaviour in the intervention group compared with controls. Most women from both study groups had a moderate consumption of diversified foods at study end-point. A significant positive association between nutrition knowledge and consumption of a diversified diet was only observed in the intervention group.

conclusionsNutrition knowledge and dietary diversity improved in both study groups, but higher in the intervention group. Increased nutrition knowledge was associated with improved dietary diversity only in the intervention women, who also improved their nutrition perceptions and behaviour. Antenatal nutrition education needs strengthening to improve dietary intakes in pregnancy in this low resource-setting.

trial registrationClinical trials.gov ID: NCT03136393 (registered on 02/05/2017).

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentAdultCounselingDietFemaleHealth EducationHumansMalawiNutritional SciencesPregnancyPregnant PeoplePrenatal CareSurveys and QuestionnairesYoung AdultDietEducationFoodsPregnancy

Identifiers

PMID34551744
PMCPMC8456581
OpenAlexW3199050788

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.