Evidence map›Paper›PMID 38689304›Full record

ArticleTrials2024

Targeting strategies of antenatal balanced energy and protein supplementation in Addis Ababa, Ethiopia: study protocol for a randomized effectiveness study.

Dongqing Wang, Tigest Shifraw, Janaina Calu Costa, Semira Abdelmenan, Sitota Tsegaye, Yoseph Berhane, Hanna Gulema, Hanna Berhane, Nebiyou Fasil, Firehiwot Workneh and 6 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06125860 (Targeting Strategies of Antenatal Balanced Energy and Protein Supplementation in Addis Ababa, Ethiopia), which is not on this map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06125860 nacompletednot on this map

Targeting Strategies of Antenatal Balanced Energy and Protein Supplementation in Addis Ababa, Ethiopia

TypeinterventionalSponsorHarvard School of Public Health (HSPH)Ran2023 to 2026Enrolled7,851ConditionsSmall for Gestational Age at Delivery, Gestational Weight Gain, Stillbirth, Preterm BirthArmsTargeted BEP based on baseline nutritional status, Targeted BEP based on baseline nutritional status and monthly GWG monitoring, Universal BEP
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. 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

16 authors.

Dongqing Wang *Department of Global and Community Health, College of Public Health, George Mason University, Fairfax, VA, USA.
Tigest Shifraw *Department of Reproductive Health and Population, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Janaina Calu CostaDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, 665 Huntington Avenue, Building 1, Room 1108, Boston, MA, 02115, USA.
Semira AbdelmenanDepartment of Epidemiology and Biostatistics, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Sitota TsegayeDepartment of Nutrition and Behavioral Sciences, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Yoseph BerhaneDepartment of Epidemiology and Biostatistics, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Hanna GulemaDepartment of Global Health and Health Policy, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Hanna BerhaneDepartment of Nutrition and Behavioral Sciences, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Nebiyou FasilDepartment of Global Health and Health Policy, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Firehiwot WorknehDepartment of Epidemiology and Biostatistics, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Workagegnhu TarekegnDepartment of Nutrition and Behavioral Sciences, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Molin WangDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Nicolas A MenziesDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, 665 Huntington Avenue, Building 1, Room 1108, Boston, MA, 02115, USA.
Alemayehu WorkuDepartment of Epidemiology and Biostatistics, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Yemane Berhane *Department of Reproductive Health and Population, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Wafaie W Fawzi *Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, 665 Huntington Avenue, Building 1, Room 1108, Boston, MA, 02115, USA. mina@hsph.harvard.edu.

Funding

Bill and Melinda Gates Foundation INV-042705
6 · The paper itself

Abstract

backgroundAntenatal balanced energy and protein (BEP) supplements have well-documented benefits for pregnancy outcomes. However, considerable practical gaps remain in the effective and cost-effective delivery of antenatal BEP supplements at scale in low- and middle-income countries.

methodsA randomized effectiveness study will be conducted in two sub-cities of Addis Ababa, Ethiopia, to evaluate the effectiveness, cost-effectiveness, and implementation of different targeting strategies of antenatal BEP supplements. Pregnant women aged 18 to 49, with a gestational age of 24 weeks or less, and attending antenatal visits in one of the nine study health facilities are eligible for enrollment. In six of the health facilities, participants will be randomized to one of three study arms: control (Arm 1), targeted BEP provision based on baseline nutritional status (Arm 2), and targeted BEP supplementation based on baseline nutritional status and monthly gestational weight gain (GWG) monitoring (Arm 3). In the remaining three facilities, participants will be assigned to universal BEP provision (Arm 4). Participants in Arms 2 and 3 will receive BEP supplements if they have undernutrition at enrollment, as defined by a baseline body mass index less than 18.5 kg/m DISCUSSION: This study will inform global recommendations and operational guidelines for the effective and cost-effective delivery of antenatal BEP supplements. The targeted approaches have the potential for broader scale-up in Ethiopia and other low-resource settings with a high burden of undernutrition among pregnant women.

trial registrationClinicalTrials.gov registration number: NCT06125860. Registered November 9, 2023.

Indexed as

Cost-Benefit AnalysisDietary ProteinsDietary SupplementsNutritional StatusPrenatal CareRandomized Controlled Trials as TopicAdolescentAdultEnergy IntakeEthiopiaFemaleGestational Weight GainHumansMaternal Nutritional Physiological PhenomenaMiddle AgedMulticenter Studies as TopicDietary ProteinsAntenatal nutritionBalanced energy and protein supplementationEffectiveness studyEthiopiaFood supplementationGestational weight gainStudy protocol

Identifiers

PMID38689304
PMCPMC11059725

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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.