Evidence map›Paper›PMID 37910483›Full record

ArticlePLOS digital health2023

Assessing a digital technology-supported community child health programme in India using the Social Return on Investment framework.

Manasi Patil, Athar Qureshi, Elina Naydenova, Anand Bang, Jay Halbert, Maarten De Vos, Poornima Nair, Madhumita Patil, Melissa M Medvedev

Open access · goldAbstract read
In one paragraph

Article in PLOS digital health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 17% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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

9 authors at 6 institutions in 4 countries.

Manasi PatilFeebris Ltd, Saffron Walden, United Kingdom.ORCID https://orcid.org/0000-0003-2174-7448
Athar QureshiChetana's Institute of Management and Research, Bandra East, Mumbai, India.
Elina NaydenovaFeebris Ltd, Saffron Walden, United Kingdom.
Anand BangSociety for Education, Action and Research in Community Health, Shodhgram, Chatgaon, Dhanora, Gadchiroli, Maharashtra, India.
Jay HalbertDepartment of Pediatrics, Maidstone and Tunbridge Wells NHS Trust, Royal Tunbridge Wells, Tunbridge Wells, United Kingdom.
Maarten De VosKellogg College, University of Oxford, Park Town, Oxford, United Kingdom.
Poornima NairApnalaya, B/9-103 New Jaiphalwadi SRA Co-op Hsg Society, Tardeo, Mumbai, India.
Madhumita PatilChetana's Institute of Management and Research, Bandra East, Mumbai, India.
Melissa M MedvedevDepartment of Pediatrics, University of California San Francisco, San Francisco, California, United States of America.
Krishi Vigyan Kendra, Ghatkhed Amravati · INMaidstone and Tunbridge Wells NHS Trust · GBSociety for Nutrition Education and Health Action · INSRCC Children’s Hospital · INUniversity of California, San Francisco · USUniversity of Oxford · GB

Funding

The OMWaNA Study: Operationalizing kangaroo Mother care among clinically unstable low birth Weight Neonates in AfricaK23HD092611 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MEDVEDEV, MELISSA MORGAN · 2018 to 2023
$948k
NICHD NIH HHS K23 HD092611
6 · The paper itself

Abstract

An estimated 5.0 million children aged under 5 years died in 2020, with 82% of these deaths occurring in sub-Saharan Africa and southern Asia. Over one-third of Mumbai's population has limited access to healthcare, and child health outcomes are particularly grave among the urban poor. We describe the implementation of a digital technology-based child health programme in Mumbai and evaluate its holistic impact. Using an artificial intelligence (AI)-powered mobile health platform, we developed a programme for community-based management of child health. Leveraging an existing workforce, community health workers (CHW), the programme was designed to strengthen triage and referral, improve access to healthcare in the community, and reduce dependence on hospitals. A Social Return on Investment (SROI) framework is used to evaluate holistic impact. The programme increased the proportion of illness episodes treated in the community from 4% to 76%, subsequently reducing hospitalisations and out-of-pocket expenditure on private healthcare providers. For the total investment of Indian Rupee (INR) 2,632,271, the social return was INR 34,435,827, delivering an SROI ratio of 13. The annual cost of the programme per child was INR 625. Upskilling an existing workforce such as CHWs, with the help of AI-driven decision- support tools, has the potential to extend capacity for critical health services into community settings. This study provides a blueprint for evaluating the holistic impact of health technologies using evidence-based tools like SROI. These findings have applicability across income settings, offering clear rationale for the promotion of technology-supported interventions that strengthen healthcare delivery.

Identifiers

PMID37910483
PMCPMC10619782
OpenAlexW4388126283

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.