Evidence map›Paper›PMID 34816602›Full record

ArticleMaternal & child nutrition2022

Gaps in the implementation and uptake of maternal nutrition interventions in antenatal care services in Bangladesh, Burkina Faso, Ethiopia and India.

Tina Sanghvi, Phuong H Nguyen, Manisha Tharaney, Sebanti Ghosh, Jessica Escobar-Alegria, Zeba Mahmud, Tamirrat Walissa, Maurice Zafimanjaka, Sunny Kim

Open access · goldAbstract read
In one paragraph

Article in Maternal & child nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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  20. Using FIGO Nutrition Checklist counselling in pregnancy: A review to support healthcare professionals.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
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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

9 authors at 2 institutions in 1 country.

Tina SanghviAlive & Thrive Initiative, FHI Solutions, Washington, District of Columbia, USA.
Phuong H NguyenPoverty, Health and Nutrition Division, International Food Policy Research Institute, Washington, District of Columbia, USA.ORCID 0000-0003-3418-1674
Manisha TharaneyAlive & Thrive Initiative, FHI Solutions, Washington, District of Columbia, USA.
Sebanti GhoshAlive & Thrive Initiative, FHI Solutions, Washington, District of Columbia, USA.
Jessica Escobar-AlegriaAlive & Thrive Initiative, FHI Solutions, Washington, District of Columbia, USA.
Zeba MahmudAlive & Thrive Initiative, FHI Solutions, Washington, District of Columbia, USA.
Tamirrat WalissaAlive & Thrive Initiative, FHI Solutions, Washington, District of Columbia, USA.
Maurice ZafimanjakaAlive & Thrive Initiative, FHI Solutions, Washington, District of Columbia, USA.
Sunny KimPoverty, Health and Nutrition Division, International Food Policy Research Institute, Washington, District of Columbia, USA.ORCID 0000-0003-3960-3354
Family Health International 360 · USInternational Food Policy Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antenatal care (ANC) is the largest health platform globally for delivering maternal nutrition interventions (MNIs) to pregnant women. Yet, large missed opportunities remain in nutrition service delivery. This paper examines how well evidence-based MNIs were incorporated in national policies and programs in Bangladesh, Burkina Faso, Ethiopia and India. We compared the nutrition content of ANC protocols against global recommendations. We used survey data to elucidate the coverage of micronutrient supplementation, weight gain monitoring, dietary and breastfeeding counselling. We reviewed literature, formative research and program assessments to identify barriers and enabling factors of service provision and maternal nutrition practices. Nutrition information in national policies and protocols was often fragmented, incomplete and did not consistently follow global recommendations. Nationally representative data on MNIs in ANC was inadequate, except for iron and folic acid supplementation. Coverage data from subnational surveys showed similar patterns of strengths and weaknesses. MNI coverage was consistently lower than ANC coverage with the lowest coverage of weight gain monitoring and variable coverage of dietary and breastfeeding counselling. Key common factors associated with coverage were micronutrient supply disruptions; suboptimal counselling on maternal diet, weight gain, and breastfeeding; and limited or no record keeping. Adherence of women to micronutrient supplementation and dietary recommendations was low and associated with late and too few ANC contacts, poor maternal knowledge and self-efficacy, and insufficient family and community support. Models of comprehensive nutrition protocols and health systems that deliver maternal nutrition services in ANC are urgently needed along with national data systems to track progress.

Indexed as

MicronutrientsPrenatal CareBangladeshBurkina FasoEthiopiaFemaleHumansPregnancyWeight GainMicronutrientsantenatal care (ANC)breastfeedingdietary counsellingimplementationmaternal nutritionmicronutrientspregnancy weight gain

Identifiers

PMID34816602
PMCPMC8932725
OpenAlexW3215942526

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.