Evidence map›Paper›PMID 34934653›Full record

ArticleJournal of family medicine and primary care2021

Implementing a "convergent" framework of action against childhood malnutrition in urban informal settlements of Mumbai: Frontline perspectives.

Sudha Ramani, Rama Sridhar, Sushma Shende, Shreya Manjarekar, Sonali Patil, Shanti Pantvaidya, Armida Fernandez, Anuja Jayaraman

Abstract read
In one paragraph

Article in Journal of family medicine and primary care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Review
  2. Urban Nutrition in the Global South: A Narrative Review of Current Research.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
    Review
  3. 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

8 authors.

Sudha RamaniSNEHA (Society for Nutrition, Education and Health Action), Mumbai, Maharashtra, India.
Rama SridharSNEHA (Society for Nutrition, Education and Health Action), Mumbai, Maharashtra, India.
Sushma ShendeSNEHA (Society for Nutrition, Education and Health Action), Mumbai, Maharashtra, India.
Shreya ManjarekarSNEHA (Society for Nutrition, Education and Health Action), Mumbai, Maharashtra, India.
Sonali PatilSNEHA (Society for Nutrition, Education and Health Action), Mumbai, Maharashtra, India.
Shanti PantvaidyaSNEHA (Society for Nutrition, Education and Health Action), Mumbai, Maharashtra, India.
Armida FernandezSNEHA (Society for Nutrition, Education and Health Action), Mumbai, Maharashtra, India.
Anuja JayaramanSNEHA (Society for Nutrition, Education and Health Action), Mumbai, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThe National Nutrition Mission (POSHAN Abhiyaan) intends to "converge" nutrition-related program components across sectors (nutrition, health, water, and sanitation). In this study, we have examined the perspectives of Anganwadi workers (AWWs), the frontline workers of the Integrated Child Development Services, on working in convergence with the public health sector.

methodsThis exploratory qualitative study was done between June 2018 and June 2019 in two urban informal settlements in Mumbai. We conducted in-depth interviews with 26 AWWs and their supervisors, purposively sampled and diversified in terms of age, education, and years of experience. We used the software NVivo version 12 to aid analysis.

resultsMost AWWs acknowledged that a convergent framework of action between "nutrition" and "health" was likely to be beneficial to the community. However, they also shared that cross-sector convergence was currently limited due to technical unfamiliarity with "health-sector" issues in the frontline, discomfort with data sharing, and lack of meaningful incentives for joint work. Broader organizational challenges such as poor infrastructure and lack of supervision, as well as challenges in the urban context (migration and cultural barriers) further hindered joint activities.

conclusionsThe findings indicate that critical structural gaps in the urban setup of ICDS need to be addressed and AWWs need to be better familiarized with the changing roles expected from them under

Indexed as

Anganwadi workersconvergenceNational Nutrition Missionurban informal settlements

Identifiers

PMID34934653
PMCPMC8653499

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Registered trials

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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.