Evidence map›Paper›PMID 38012644›Full record

Trial reportInternational breastfeeding journal2023

"It has changed my life": unconditional cash transfers and personalized infant feeding support- a feasibility intervention trial among women living with HIV in western Kenya.

Emily L Tuthill, Ann E Maltby, Belinda C Odhiambo, Thomas J Hoffmann, Maureen Nyaura, Rosemary Shikari, Craig R Cohen, Sheri D Weiser

Registry-linked trialOpen access · goldAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International breastfeeding journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05219552 (Understanding the Role of Food Insecurity and Depression in Non-adherence to Option B+ Among Perinatal Kenyan Women Living With HIV), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 13% 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.

NCT05219552 nacompletednot on this map

Understanding the Role of Food Insecurity and Depression in Non-adherence to Option B+ Among Perinatal Kenyan Women Living With HIV: A Syndemics Approach

TypeinterventionalSponsorUniversity of California, San FranciscoRan2022 to 2023Enrolled40ConditionsMental Health Issue, Hiv, Breastfeeding, ExclusiveArmspersonalized lactation support
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Review
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

8 authors at 2 institutions in 1 country.

Emily L TuthillDepartment of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA, USA. emily.g.tuthill@gmail.com.
Ann E MaltbyDepartment of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA, USA.
Belinda C OdhiamboGlobal Programs for Research and Training, University of California San Francisco, Kisumu, Kenya.
Thomas J HoffmannDepartment of Epidemiology and Biostatistics, and Office of Research School of Nursing, University of California San Francisco, San Francisco, CA, USA.
Maureen NyauraGlobal Programs for Research and Training, University of California San Francisco, Kisumu, Kenya.
Rosemary ShikariAmbercare Medical Centre and Mamatoto Childbirth and Breastfeeding Educative Services, Kisumu, Kenya.
Craig R CohenDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA.
Sheri D WeiserDivision of HIV, Infectious Disease, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USUnity Health System · US

Funding

Understanding the role of food insecurity and depression in non-adherence to Option B+ among perinatal Kenyan women living with HIV: a Syndemics approach supplementK23MH116807 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TUTHILL, EMILY · 2018 to 2022
$1.0M
Mentoring and Empowerment in the Context of HIV Care for At-Risk PopulationsK24DA037034 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSON, MALLORY O · 2014 to 2018
$918k
NIDA NIH HHS K24 DA037034NIMH NIH HHS K23 MH116807
6 · The paper itself

Abstract

backgroundThe syndemic effects of poverty, food insecurity and living with HIV are recognized as global health priorities, including through the United Nations Sustainability Goals 1, 2 and 3. Today, women and girls account for 63% of all new HIV infections in eastern and southern Africa, including Kenya. Pregnant and postpartum women living with HIV in this setting face unique challenges including increased financial insecurity as women leave the work force to care for their newborn infants. This contributes to poverty, food scarcity and stress.

methodsTo address financial insecurity, improve infant feeding and reduce stress among mothers living with HIV in this setting, we developed a multilevel intervention, Supporting Healthy Mothers, consisting of 10 monthly unconditional cash transfers (10,000 KES, ~$75 USD/month) and personalized infant feeding support from pregnancy to 7 months postpartum. We conducted a non-randomized feasibility trial of this intervention among women engaged in HIV care in Kisumu, Kenya. From February 23, 2022 to March 23, 2022, we enrolled a total of 40 women who were 20-35 weeks pregnant-20 women to the intervention group at a public clinic, and 20 women to the control group at a similar clinic. Our aim was to assess feasibility, acceptability, and the potential impact of the intervention on food security, infant feeding and maternal mental health.

resultsAnalyzing data from all 40 participants, we found a significant reduction in food insecurity scores from baseline for the intervention group when compared to the control group at 6 weeks and 6 months postpartum (p = 0.0008 and p < 0.0001, respectively). Qualitative exit interviews with intervention group participants confirmed women felt more financially secure and had newly acquired practical knowledge and skills related to infant feeding. Women found the two intervention components highly acceptable and described an overall positive impact on wellbeing.

conclusionsThe Supporting Healthy Mothers intervention has potential to positively impact women across the perinatal period and beyond by increasing financial security and supporting women to overcome infant feeding challenges and should be assessed in larger trials.

trial registrationSupporting Healthy Mothers was registered with ClinicalTrials.gov Protocol Registration and Results System, initially published on February 1, 2022. CLINICALTRIALS: gov ID: NCT05219552 Protocol ID: K23MH116807.

Indexed as

HIV InfectionsBreast FeedingFeasibility StudiesFemaleHumansInfantInfant, NewbornKenyaMothersPregnancyExclusive breastfeedingFinancial insecurityFood insecurityHIVKenyaUnconditional cash transfers

Identifiers

PMID38012644
PMCPMC10680175
OpenAlexW4389057341

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.