Evidence map›Paper›PMID 35902199›Full record

ArticleBMJ open2022

Why India is struggling to feed their young children? A qualitative analysis for tribal communities.

Monica Lakhanpaul, Susrita Roy, Lorna Benton, Marie Lall, Rajesh Khanna, Virendra Kumar Vijay, Sanjay Sharma, Logan Manikam, Neha Santwani, Hanimi Reddy and 7 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. 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

17 authors at 4 institutions in 2 countries.

Monica LakhanpaulDepartment of Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, University College London, London, UK m.lakhanpaul@ucl.ac.uk.ORCID 0000-0002-9855-2043
Susrita RoySave The Children, Gurugram, India.
Lorna BentonDepartment of Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, University College London, London, UK.
Marie LallInstitute of Education, University College London, London, UK.
Rajesh KhannaSave The Children, Gurugram, India.
Virendra Kumar VijayIndian Institute of Technology Delhi, New Delhi, India.
Sanjay SharmaSave the Children, Rajasthan State Programme Office, Jaipur, India.
Logan ManikamDepartment of Epidemiology and Public Health, University College London Institute of Epidemiology and Health Care, London, UK.
Neha SantwaniSave The Children, Gurugram, India.
Hanimi ReddySave The Children, Gurugram, India.
Hemant ChaturvediSave the Children, Rajasthan, India.
Shereen AllahamDepartment of Epidemiology and Public Health, University College London Institute of Epidemiology and Health Care, London, UK.ORCID 0000-0003-0275-3228
Satya Prakash PattanaikSave the Children, Rajasthan State Programme Office, Jaipur, India.
Tol SinghSave the Children, Rajasthan, India.
Pramod PandyaSave the Children, Rajasthan, India.
Priyanka DangSave The Children, Gurugram, India.
Priti ParikhEngineering for International Development Centre, Bartlett School of Sustainable Construction, University College London Faculty of the Built Environment, London, UK.ORCID 0000-0002-1086-4190
University College London · GBGreat Ormond Street Hospital · GBIndian Institute of Technology Delhi · INLondon International Development Centre · GB

Funding

Medical Research Council MR/P024114/1
6 · The paper itself

Abstract

objectiveThis interdisciplinary qualitative study aims to explore the health, education, engineering and environment factors impacting on feeding practices in rural India. The ultimate goal of the Participatory Approach for Nutrition in Children: Strengthening Health Education Engineering and Environment Linkages project is to identify challenges and opportunities for improvement to subsequently develop socioculturally appropriate, tailored, innovative interventions for the successful implementation of appropriate infant and young child feeding (IYCF) practices locally.

designQualitative research method, involving five phases: (1) identification of local feeding practices; (2) identification of the local needs and opportunities for children aged 6-24 months; and (3-5) analysis of the gathered qualitative data, intervention design, review and distribution.

settingNine villages in two community development blocks, that is, Ghatol and Kushalgarh, located in the Banswara district in Rajasthan, India.

participants68 participants completed semistructured interviews or focus group discussions including: mothers, grandmothers, auxiliary nurse midwife, Anganwadi worker, ASHA Sahyogini, school teachers and local elected representative. PHENOMENON OF INTEREST: IYCF practices and the factors associated with it. ANALYSIS: Thematic analysis.

resultsOur results could be broadly categorised into two domains: (1) the current practices of IYCF and (2) the key drivers and challenges of IYCF. We explicate the complex phenomena and emergent model focusing on: mother's role and autonomy, knowledge and attitude towards feeding of young children, availability of services and resources that shape these practices set against the context of agriculture and livelihood patterns and its contribution to availability of food as well as on migration cycles thereby affecting the lives of 'left behind', and access to basic health, education and infrastructure services.

conclusionsThis interdisciplinary and participatory study explored determinants impacting feeding practices across political, village and household environments. These results shaped the process for cocreation of our context-specific intervention package.

Indexed as

Feeding BehaviorGrandparentsBreast FeedingChildChild, PreschoolFemaleHumansIndiaInfantInfant Nutritional Physiological PhenomenaMothersNutritional Statuscommunity child healthnutrition & dieteticspublic health

Identifiers

PMID35902199
PMCPMC9341212
OpenAlexW4288455180

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.