Evidence map›Paper›PMID 35698901›Full record

ArticleMaternal & child nutrition2022

Process of developing models of maternal nutrition interventions integrated into antenatal care services in Bangladesh, Burkina Faso, Ethiopia and India.

Tina Sanghvi, Phuong Hong Nguyen, Sebanti Ghosh, Maurice Zafimanjaka, Tamirat Walissa, Robert Karama, Zeba Mahmud, Manisha Tharaney, Jessica Escobar-Alegria, Elana Landes Dhuse and 1 more

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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 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

11 authors at 6 institutions in 4 countries.

Tina SanghviAlive & Thrive Initiative, FHI Solutions, Washington, District of Columbia, USA.
Phuong Hong NguyenPoverty, Health and Nutrition Division, International Food Policy Research Institute, Washington, District of Columbia, USA.ORCID 0000-0003-3418-1674
Sebanti GhoshAlive & Thrive Initiative, FHI Solutions, New Delhi, India.
Maurice ZafimanjakaAlive & Thrive Initiative, FHI Solutions, Ouagadougou, Burkina Faso.
Tamirat WalissaAlive & Thrive Initiative, FHI Solutions, Addis Ababa, Ethiopia.
Robert KaramaAlive & Thrive Initiative, FHI Solutions, Ouagadougou, Burkina Faso.
Zeba MahmudAlive & Thrive Initiative, FHI Solutions, Dhaka, Bangladesh.
Manisha TharaneyAlive & Thrive Initiative, FHI Solutions, Abidjan, Cote d'Ivoire.
Jessica Escobar-AlegriaAlive & Thrive Initiative, FHI Solutions, Washington, District of Columbia, USA.
Elana Landes DhuseAlive & Thrive Initiative, FHI Solutions, Washington, District of Columbia, USA.
Sunny S 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 · USThrive · USUniversité Joseph Ki-Zerbo · BFInstitut Pasteur de Côte d'Ivoire · CIInternational Trachoma Initiative · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Integrating nutrition interventions into antenatal care (ANC) requires adapting global recommendations to fit existing health systems and local contexts, but the evidence is limited on the process of tailoring nutrition interventions for health programmes. We developed and integrated maternal nutrition interventions into ANC programmes in Bangladesh, Burkina Faso, Ethiopia and India by conducting studies and assessments, developing new tools and processes and field testing integrated programme models. This paper elucidates how we used information and data to contextualize a package of globally recommended maternal nutrition interventions (micronutrient supplementation, weight gain monitoring, dietary counselling and counselling on breastfeeding) and describes four country-specific health service delivery models. We developed a Theory of Change to illustrate common barriers and strategies for strengthening nutrition interventions during ANC. We used multiple information sources including situational assessments, formative research, piloting and pretesting results, supply assessments, stakeholder meetings, household and service provider surveys and monitoring data to design models of maternal nutrition interventions. We developed detailed protocols for implementing maternal nutrition interventions; reinforced staff capacity, nutrition counselling, monitoring systems and community engagement processes; and addressed micronutrient supplement supply bottlenecks. Community-level activities were essential for complementing facility-based services. Routine monitoring data, rapid assessments and information from intensified supervision were important during the early stages of implementation to improve the feasibility and scalability of models. The lessons from addressing maternal nutrition in ANC may serve as a guide for tackling missed opportunities for nutrition within health services in other contexts.

Indexed as

MicronutrientsPrenatal CareBangladeshBurkina FasoEthiopiaFemaleHumansPregnancyMicronutrientsANCcounsellingintegrated health servicesmaternal nutritionmicronutrient supplementspregnancy weight gain

Identifiers

PMID35698901
PMCPMC9480954
OpenAlexW4282842821

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.