Evidence map›Paper›PMID 35136595›Full record

Trial reportJournal of global health2022

Universal home visits improve male knowledge and attitudes about maternal and child health in Bauchi State, Nigeria: Secondary outcome analysis of a stepped wedge cluster randomised controlled trial.

Anne Cockcroft, Khalid Omer, Yagana Gidado, Muhd Chadi Baba, Amar Aziz, Umaira Ansari, Adamu Ibrahim Gamawa, Rilwanu Mohammed, Salisu Abubakar Galda, Neil Andersson

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.2field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
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  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. How to Engage Men in Preconception Health?: A Scoping Review.Iranian journal of nursing and midwifery research
    Article
  9. Article
  10. 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

10 authors at 3 institutions in 3 countries.

Anne CockcroftCIET-PRAM, Department of Family Medicine, McGill University, Montreal, Canada.
Khalid OmerCentro de Investigácion de Enfermedades Tropicales, Universidad Autónoma de Guerrero, Acapulco, Guerrero, Mexico.
Yagana GidadoFederation of Muslim Women's Associations of Nigeria (FOMWAN), Bauchi, Nigeria.
Muhd Chadi BabaFederation of Muslim Women's Associations of Nigeria (FOMWAN), Bauchi, Nigeria.
Amar AzizCentro de Investigácion de Enfermedades Tropicales, Universidad Autónoma de Guerrero, Acapulco, Guerrero, Mexico.
Umaira AnsariCentro de Investigácion de Enfermedades Tropicales, Universidad Autónoma de Guerrero, Acapulco, Guerrero, Mexico.
Adamu Ibrahim GamawaBauchi State Primary Health Care Development Agency, Bauchi, Nigeria.
Rilwanu MohammedBauchi State Primary Health Care Development Agency, Bauchi, Nigeria.
Salisu Abubakar GaldaToro Local Government Health Authority, Bauchi State, Nigeria.
Neil AnderssonCIET-PRAM, Department of Family Medicine, McGill University, Montreal, Canada.
Universidad Autónoma de Guerrero · MXBauchi State University · NGNigerian University Games Association · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization recommends increased male involvement to improve maternal and newborn health in low- and middle-income countries, but few studies have measured the impact of male-engagement interventions on targeted men. A trial of universal home visits to pregnant women and their spouses in Nigeria improved maternal and child health outcomes. This analysis examines the impact of the visits on male spouses.

methodsIn Toro Local Government Area in Bauchi State, Nigeria, we randomly allocated eight wards into four waves, beginning the intervention at one-year intervals. The intervention comprised two-monthly evidence-based home visits to discuss local risk factors for maternal and child health with all pregnant women and their male spouses. Measured secondary outcomes of the intervention in the men included knowledge about danger signs in pregnancy and childbirth, beliefs about heavy work in pregnancy, discussion with their wives about pregnancy and childbirth, knowledge about causes and intentions about management of childhood diarrhoea, and views about childhood immunisation. The analysis compared outcomes between men in visited wards (intervention group) and pre-intervention wards (control group), using a cluster

resultsThe analysis included 6931 men in the intervention group and 9434 in the control group. More men in the intervention group knew four or more danger signs in pregnancy (risk difference (RD) = 0.186, 95% confidence interval (CI)  = 0.044 to 0.327), and three danger signs in childbirth (RD = 0.091, 95%CI = 0.013 to 0.170), thought pregnant women should reduce heavy work before the third trimester (RD = 0.088, 95% CI = 0.015 to 0.162), and had discussed pregnancy and childbirth with their spouse (RD = 0.157, 95% CI = 0.026 to 0.288). More knew correct management of childhood diarrhoea with fluids and feeding (RD = 0.300, 95% CI = 0.203 to 0.397) and less would give a child medicine to stop diarrhoea (RD = 0.206, 95% CI = 0.125 to 0.287). Socio-economic differences did not explain the effect of the intervention on any of the outcomes.

conclusionUniversal home visits improved knowledge of male spouses about maternal and child health, which could contribute to improved maternal and child outcomes.

trial registrationISRCTN, ISRCTN82954580. 11 August 2017. Retrospectively registered. http://www.isrctn.com/ISRCTN82954580.

Indexed as

Child HealthHouse CallsAttitudeChildFemaleHumansInfant, NewbornMaleNigeriaParturitionPregnancy

Identifiers

PMID35136595
PMCPMC8818298
OpenAlexW4210534236

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.