Evidence map›Paper›PMID 39334156›Full record

Trial reportBMC public health2024

Integrating early child development into an existing health and nutrition program: evidence from a cluster-randomized controlled trial.

Caitlin Hemlock, Emanuela Galasso, Ann M Weber, Tsirery Christian Randriamiarisoa, Mathilde Col, Maria Dieci, Lisy Ratsifandrihamanana, Lia C H Fernald

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05129696 (Integrating Early Stimulation and Play at Scale), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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.

NCT05129696 nacompletednot on this map

Integrating Early Stimulation and Play at Scale: "MAHAY Mikolo", a Multi-arm Cluster-randomized Controlled Trial

TypeinterventionalSponsorUniversity of California, BerkeleyRan2021 to 2025Enrolled8,150ConditionsEarly Childhood DevelopmentArmsTreatment (T), Treatment + (T+)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

Caitlin HemlockSchool of Public Health, University of California Berkeley, Berkeley, CA, USA. chemlock@uw.edu.
Emanuela GalassoDevelopment Research Group, The World Bank, Washington, DC, USA.
Ann M WeberSchool of Public Health, University of Nevada Reno, Reno, NV, USA.
Tsirery Christian RandriamiarisoaDepartment of Philosophy, University of Antananarivo, Antananarivo, Madagascar.
Mathilde ColParis School of Economics, Paris, France.
Maria DieciDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Lisy RatsifandrihamananaCentre Médico-Educatif 'Les Orchidées Blanches', Antananarivo, Madagascar.
Lia C H FernaldSchool of Public Health, University of California Berkeley, Berkeley, CA, USA.

Funding

INTERDISCIPLINARY TRAINING IN DEMOGRAPHYT32HD007275 · NICHD · UNIVERSITY OF CALIFORNIA BERKELEY · PI FEEHAN, DENNIS MICHAEL · 1985 to 2025
$5.3M
Effects of geospatial factors and health worker characteristics on child health: implications for interventions in low-resource settingsF31HD105418 · NICHD · UNIVERSITY OF CALIFORNIA BERKELEY · PI HEMLOCK, CAITLIN · 2021 to 2023
$83k
NICHD NIH HHS F31 HD105418NICHD NIH HHS T32 HD007275NIH HHS F31HD105418
6 · The paper itself

Abstract

introductionIn low-resource settings, introducing child health programs into community services may compete for caregiver time. We analyzed the impact of a new early childhood development (ECD) program in rural Madagascar on family attendance at other health services and of adding at-home play materials on program attendance.

methodsWe randomized 75 communities where community health workers (CHWs) implement an existing child health and nutrition program (Projet d'Amélioration des Résultats Nutritionnels or PARN), the status quo. We offered two 6-month cycles of 12 ECD sessions to eligible caregiver-child dyads (6-30 months) in 25 sites [T]; we added take-home play materials in Cycle 2 to 25 sites [T+]. We used differences-in-differences with administrative data to analyze the effect of offering ECD sessions on monthly PARN attendance (T+/T vs. C) among age-eligible children and the impact of toy boxes/libraries on monthly ECD session attendance (T + vs. T). We used random intercept models to analyze characteristics associated with program registration.

resultsWe analyzed data for 9,408 dyads; 30% and 32% registered for the program in Cycle 1 and 2 (respectively). On average, CHWs delivered 11.4 sessions (SD: 1.5). Children from wealthier households who already attended PARN sessions were more likely to register, and we found no effect of T or T + on PARN attendance. Adding play materials did not affect monthly ECD session attendance. Children from more populated sites were less likely to participate in both ECD and PARN sessions.

conclusionsIntegrating new services for ECD into the health system was feasible and did not reduce dyad participation in existing services. Investment in health services in more populated areas is needed to provide coverage to all eligible children. Novel strategies should be explored to engage the most vulnerable children in new and existing health services.

trial registrationAEA Social Science Registry (AEARCTR-0004704) on November 15, 2019 (prospective registration) and ClinicalTrials.gov (NCT05129696) on November 22, 2021 (retrospective registration).

Indexed as

Child DevelopmentChild Health ServicesChild, PreschoolCluster AnalysisCommunity Health WorkersDelivery of Health Care, IntegratedFemaleHumansInfantMadagascarMaleProgram EvaluationRural PopulationEarly child developmentEarly stimulationImplementation scienceMadagascarPlay materialsProgram scalingProgram take-up

Identifiers

PMID39334156
PMCPMC11428953

What OpenQuestion holds

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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.