Evidence map›Paper›PMID 39937794›Full record

ArticleBMJ global health2024

Assessing progress on the coverage of interventions in the first 1000 days in India: role of national programs.

Rasmi Avula, Phuong Hong Nguyen, Anita Christopher, Soyra Gune, Neena Bhatia, Alka Chauhan, L K Dwivedi, Avani Kapur, Sarang Pedgaonkar, Ritwik Shukla and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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. 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

13 authors.

Rasmi AvulaNutrition, Diet and Health Unit, International Food Policy Research Institute, Washington, District of Columbia, USA R.Avula@cgiar.org.ORCID http://orcid.org/0000-0003-0066-6964
Phuong Hong NguyenNutrition, Diet and Health Unit, International Food Policy Research Institute, Washington, District of Columbia, USA.ORCID http://orcid.org/0000-0003-3418-1674
Anita ChristopherNutrition, Diet and Health Unit, International Food Policy Research Institute, New Delhi, India.
Soyra GuneNutrition, Diet and Health Unit, International Food Policy Research Institute, New Delhi, India.
Neena BhatiaLady Irwin College, New Delhi, India.
Alka ChauhanNutrition, Diet and Health Unit, International Food Policy Research Institute, New Delhi, India.
L K DwivediInternational Institute of Population Sciences, Mumbai, Maharashtra, India.
Avani KapurCentre for Policy Research, New Delhi, India.ORCID http://orcid.org/0000-0002-7652-4543
Sarang PedgaonkarInternational Institute of Population Sciences, Mumbai, Maharashtra, India.
Ritwik ShuklaCenter for Policy Research, Denver, Colorado, USA.
Suman ChakrabartiNutrition, Diet and Health Unit, International Food Policy Research Institute, New Delhi, India.
Shri Kant SinghInternational Institute of Population Sciences, Mumbai, Maharashtra, India.
Purnima MenonNutrition, Diet and Health Unit, International Food Policy Research Institute, Washington, District of Columbia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh coverage of nutrition-specific interventions is critical to meet global nutrition targets, and it is imperative to understand how to attain it. We examined trends and inequalities in the coverage of interventions in India and the role of the National Nutrition Mission (NNM) in achieving improvements.

methodsWe conducted trends and equity analysis of 30 interventions using two rounds of National Family Health Survey data (2015-2016, n=1 78 874, and 2019-2021, n=1 70 697). We also compared coverage between states that received incentives and monitoring under NNM and those that did not. We reviewed programme documents and grey literature to construct a policy timeline to trace pathways to coverage improvement and consulted with stakeholders to confirm interpretation of findings.

findingsBetween 2016 and 2021, coverage improved significantly for nearly all interventions (~1-22 percentage points (pp) during pregnancy, ~7-20 pp during delivery/postpartum and~5-17 pp during early childhood). Improvements in coverage were higher among the poor and in rural areas compared with the rich and in urban areas, respectively; wealth and residence gaps narrowed for most interventions. These improvements could be traced to community mobilisation, technology and monitoring under NNM. Improvements in coverage of growth monitoring and counselling were higher in states that received additional incentives and monitoring under NNM. Stakeholders concurred that the improvements in coverage were likely driven by NNM.

interpretationFocused policy attention and programmatic efforts improved coverage and reduced inequities indicating an inclusive approach. Persistent coverage gaps for certain interventions require further inquiry.

Indexed as

National Health ProgramsNutrition PolicyChild, PreschoolFemaleHumansIndiaInfantInfant, NewbornPregnancyHealth systemsIndiaMaternal health

Identifiers

PMID39937794
PMCPMC11667467

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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.