Evidence map›Paper›PMID 34952592›Full record

Trial reportInternational journal for equity in health2021

Health equity impact of community-initiated kangaroo mother care: a randomized controlled trial.

Tarun Shankar Choudhary, Sarmila Mazumder, Øystein Ariansen Haaland, Sunita Taneja, Rajiv Bahl, Jose Martines, Maharaj Kishan Bhan, Kjell Arne Johansson, Halvor Sommerfelt, Nita Bhandari and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal for equity in 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 NCT02653534 (Impact of Promoting Community Initiated Kangaroo Mother Care), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT02653534 nacompletednot on this map

Impact of Promoting Community Initiated Kangaroo Mother Care (KMC) for Low Birth Weight Infants

TypeinterventionalSponsorSociety for Applied StudiesRan2015 to 2018Enrolled8,402ConditionsLow-Birth-WeightArmsKangaroo Mother Care
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

11 authors.

Tarun Shankar ChoudharySociety for Applied Studies, Centre for Health Research and Development, New Delhi, India. tarun.choudhary@uib.no.ORCID 0000-0003-0093-8341
Sarmila MazumderSociety for Applied Studies, Centre for Health Research and Development, New Delhi, India.
Øystein Ariansen HaalandDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Sunita TanejaSociety for Applied Studies, Centre for Health Research and Development, New Delhi, India.
Rajiv BahlDepartment of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland.
Jose MartinesCentre for Intervention Science in Maternal and Child Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Maharaj Kishan BhanIndian Institute of Technology, New Delhi, India.
Kjell Arne JohanssonCentre for Intervention Science in Maternal and Child Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Halvor SommerfeltCentre for Intervention Science in Maternal and Child Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Nita BhandariSociety for Applied Studies, Centre for Health Research and Development, New Delhi, India.
Ole F NorheimCentre for Intervention Science in Maternal and Child Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundKangaroo mother care (KMC) can substantially enhance overall survival of low birthweight babies. In a large randomized controlled trial, we recently showed that supporting mothers to provide community initiated KMC (ciKMC) can reduce mortality among infants up to 180 days of life by 25% (hazard ratio (HR) 0.75). With the current analysis, we aimed to explore if ciKMC promotion leads to increased inequity in survival.

methodsIn the trial we randomized 8402 low birthweight babies to a ciKMC (4480 babies) and a control (3922 babies) arm, between 2015 and 2018 in Haryana, India. We estimated the difference in concentration indices, which measure inequality, between babies in the ciKMC and control arms for survival until 180 days of life. Further, we compared the effect of ciKMC promotion across subgroups defined by socioeconomic status, caste, maternal literacy, infant's sex, and religion.

resultsOur intervention did not increase survival inequity, as the concentration index in the ciKMC arm of the trial was 0.05 (95% CI -0.07 to 0.17) lower than in the control arm. Survival impact was higher among those belonging to the lower two wealth quintiles, those born to illiterate mothers and those belonging to religions other than Hindu.

conclusionsWe found that ciKMC promotion did not increase inequity in survival associated with wealth. The beneficial impact of ciKMC tended to be larger among vulnerable groups. Supporting mothers to provide KMC at home to low birthweight babies will not increase and could indeed reduce inequities in infant survival.

trial registrationClinicalTrials.gov, NCT02653534 . Registered January 12, 2016-Retrospectively registered.

Indexed as

Health EquityKangaroo-Mother Care MethodFemaleHumansInfant, Low Birth WeightInfant, NewbornMothersParturitionPregnancyCommunityEquityInfantKangaroo Mother CareNeonatalRandomized controlled trial

Identifiers

PMID34952592
PMCPMC8709992

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.