Evidence map›Paper›PMID 34612491›Full record

Trial reportThe American journal of clinical nutrition2022

Effectiveness of unconditional cash transfers combined with lipid-based nutrient supplement and/or behavior change communication to prevent stunting among children in Pakistan: a cluster randomized controlled trial.

Sajid Bashir Soofi, Shabina Ariff, Gul Nawaz Khan, Atif Habib, Sumra Kureishy, Yasir Ihtesham, Masawar Hussain, Arjumand Rizvi, Muhammad Sajid, Naveed Akbar and 3 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03299218 (Effectiveness of a Programme Comprised of SNF, Cash-based Transfers and BCC to Prevent Stunting Among Children 6-24 Months in Rahim Yar Khan, Punjab, Pakistan), which is not on this map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
1.8field-weighted citation impact, top 17% 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.

NCT03299218 nacompletednot on this map

Effectiveness of a Programme Comprised of SNF, Cash-based Transfers and BCC to Prevent Stunting Among Children 6-24 Months in Rahim Yar Khan, Punjab, Pakistan

TypeinterventionalSponsorAga Khan UniversityRan2017 to 2019Enrolled2,179ConditionsStuntingArmsSNF (Wawamum), Social and behaviour change communication (SBCC), Cash
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 25 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

13 authors at 3 institutions in 2 countries.

Sajid Bashir SoofiDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.ORCID 0000-0003-4192-8406
Shabina AriffDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Gul Nawaz KhanDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Atif HabibDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Sumra KureishyWorld Food Programme, Islamabad, Pakistan.
Yasir IhteshamWorld Food Programme, Islamabad, Pakistan.
Masawar HussainCentre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.
Arjumand RizviCentre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.
Muhammad SajidCentre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.
Naveed AkbarBenazir Income Support Programme, Government of Pakistan, Islamabad, Pakistan.
Cecilia GarzonWorld Food Programme, Islamabad, Pakistan.
Saskia de PeeWorld Food Programme, Rome, Italy.
Zulfiqar A BhuttaCentre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.
Aga Khan University · PKGovernment of Pakistan · PKWorld Food Programme · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Pakistan, the prevalence of stunting among children younger than 5 y has remained above WHO critical thresholds (≥30%) over the past 2 decades.

objectivesWe hypothesized that an unconditional cash transfer (UCT) combined with lipid-based nutrient supplement (LNS) and/or social and behavior change communication (SBCC) will prevent stunting among children 6-23 mo of age.

methodsThis was a 4-arm, community-based cluster randomized controlled trial conducted in the district of Rahim Yar Khan, Pakistan. A total of 1729 children (UCT, n = 434; UCT + SBCC, n = 433; UCT + LNS, n = 430; and UCT + LNS + SBCC, n = 432) were enrolled at 6 mo of age and measured monthly for 18 mo until the age of 24 mo.

resultsAt 24 mo of age, children who received UCT + LNS [rate ratio (RR): 0.85; 95% CI: 0.74, 0.97; P = 0.015) and UCT + LNS + SBCC (RR: 0.86; 95% CI: 0.77, 0.96; P = 0.007) had a significantly lower risk of being stunted compared with the UCT arm. No significant difference was noted among children who received UCT + SBCC (RR: 1.03; 95% CI: 0.91, 1.16; P = 0.675) in the risk of being stunted compared with the UCT arm. The pooled prevalence of stunting among children aged 6-23 mo was 41.7%, 44.8%, 38.5%, and 39.3% in UCT, UCT + SBCC, UCT + LNS, and UCT + LNS + SBCC, respectively. In pairwise comparisons, a significant impact on stunting among children in UCT + LNS (P = 0.029) and UCT + LNS + SBCC (P = <0.001) was noted compared with the UCT arm.

conclusionsUCT combined with LNS and UCT + LNS + SBCC were effective in reducing the prevalence of stunting among children aged 6-23 mo in marginalized populations. UCT + SBCC was not effective in reducing the child stunting prevalence. This trial was registered at clinicaltrials.gov as NCT03299218.

Indexed as

AdultBehavior TherapyCluster AnalysisDietary SupplementsFeeding BehaviorFemaleFood AssistanceGrowth DisordersHumansInfantLipidsMalePakistanPrevalenceLipidschildrenlipid-based nutrient supplementsocial and behavior change communicationstuntingunconditional cash transfer

Identifiers

PMID34612491
PMCPMC8827069
OpenAlexW3202164818

What OpenQuestion holds

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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.