Evidence map›Paper›PMID 35295194›Full record

ArticleEnvironmental research letters : ERL [Web site]2022

Use, cost-effectiveness, and end user perspectives of a home solar lighting intervention in rural Uganda: a mixed methods, randomized controlled trial.

Radhika Sundararajan, Helen D'Couto, Joseph Mugerwa, Mellon Tayebwa, Nicholas Lam, Eli Wallach, Matthew Wiens, Matthew Ponticiello, Debbi Stanistreet, Alexander C Tsai and 6 more

Open access · goldAbstract read
In one paragraph

Article in Environmental research letters : ERL [Web site], 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 46% 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

7 citing papers in PubMed, 12 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

16 authors at 6 institutions in 4 countries.

Radhika SundararajanDepartment of Emergency Medicine, Weill Cornell Medicine, 525 East 68 street, New York, New York, 10065 USA.
Helen D'CoutoMassachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts, 02114 USA.
Joseph MugerwaMbarara University of Science and Technology, PO Box 1410, Mbarara, Uganda.
Mellon TayebwaMbarara University of Science and Technology, PO Box 1410, Mbarara, Uganda.
Nicholas LamSchatz Energy Research Center, Humboldt University, 1 Harpst Street, Arcata, California USA.
Eli WallachSchatz Energy Research Center, Humboldt University, 1 Harpst Street, Arcata, California USA.
Matthew WiensUniversity of British Columbia, 2329 West Mall, Vancouver, British Columbia Canada.
Matthew PonticielloWeill Cornell Center for Global Health, 402 East 67 Street, New York, New York 10065 USA.
Debbi StanistreetRoyal College of Surgeons in Ireland, 123 Saint Stephen's Green, Saint Peter's, Dublin, Ireland.
Alexander C TsaiMassachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts, 02114 USA.
Jose VallarinoDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, Massachusetts, 02115 USA.
Joseph G AllenDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, Massachusetts, 02115 USA.
Daniel MuyanjaMbarara University of Science and Technology, PO Box 1410, Mbarara, Uganda.
Mark G ShrimeRoyal College of Surgeons in Ireland, 123 Saint Stephen's Green, Saint Peter's, Dublin, Ireland.
Edwin NuwagiraMbarara University of Science and Technology, PO Box 1410, Mbarara, Uganda.
Peggy S LaiMassachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts, 02114 USA.
Mbarara University of Science and Technology · UGHarvard University · USCal Poly Humboldt · USCornell University · USRoyal College of Surgeons in Ireland · IEMassachusetts General Hospital · US

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
Social Networks, HIV Stigma, and the HIV Care Cascade in Rural UgandaR01MH113494 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI TSAI, ALEXANDER C · 2017 to 2021
$3.2M
Endotoxin, the airway transcriptome, and obstructive lung diseaseK23ES023700 · NIEHS · MASSACHUSETTS GENERAL HOSPITAL · PI LAI, PEGGY SUE · 2013 to 2017
$764k
NIEHS NIH HHS K23 ES023700NIEHS NIH HHS P30 ES000002NIMH NIH HHS R01 MH113494
6 · The paper itself

Abstract

Energy poverty is prevalent in resource-limited settings, leading households to use inefficient fuels and appliances that contribute to household air pollution. Randomized controlled trials of household energy interventions in low and middle income countries have largely focused on cooking services. Less is known about the adoption and impact of clean lighting interventions. We conducted an explanatory sequential mixed methods study as part of a randomized controlled trial of home solar lighting systems in rural Uganda in order to identify contextual factors determining the use and impact of the solar lighting intervention. We used sensors to track usage, longitudinally assessed household lighting expenditures and health-related quality of life, and performed cost-effectiveness analyses. Qualitative interviews were conducted with all 80 trial participants and coded using reflexive thematic analysis. Uptake of the intervention solar lighting system was high with daily use averaging 8.23 ± 5.30 hours per day. The intervention solar lighting system increased the EQ5D index by 0.025 [95% CI 0.002 - 0.048] and led to an average monthly reduction in household lighting costs by -1.28 [-2.52, -0.85] US dollars, with higher savings in users of fuel-based lighting. The incremental cost-effectiveness ratio for the solar lighting intervention was $2025.72 US dollars per quality adjusted life year (QALY) gained making the intervention cost-effective when benchmarked against the gross domestic product (GDP) per capita in Uganda. Thematic analysis of qualitative data from individual interviews showed that solar lighting was transformative and associated with numerous benefits that fit within a Social Determinants of Health (SDOH) framework. The benefits included improved household finances, improved educational performance of children, increased household safety, improved family and community cohesion, and improved perceived household health. Our findings suggest that household solar lighting interventions may be a cost-effective approach to improve health-related quality of life by addressing SDOH.

Identifiers

PMID35295194
PMCPMC8923618
OpenAlexW3216666073

What OpenQuestion holds

Textmetadata
LicenceTDM
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.