Evidence map›Paper›PMID 40685160›Full record

Observational studyBMJ global health2025

Evaluation of a multicomponent child development intervention delivered through the government health system: a feasibility study.

Jesmin Sultana, Helen O Pitchik, Abul Kasham Shoab, Tarique Md Nurul Huda, Rezaul Hasan, Fahmida Akter, Tania Jahir, Md Khobair Hossain, Jyoti Bhushan Das, Md Ruhul Amin and 12 more

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04111016 (Exploring the Feasibility of Implementing an Integrated Nutrition, Early Childhood Development and WASH), 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
–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.

NCT04111016 completednot on this map

Exploring the Feasibility of Implementing an Integrated Nutrition, Early Childhood Development and WASH (RINEW) Intervention Through the Government Health System: A Pilot Study

TypeobservationalSponsorStanford UniversityRan2019 to 2020Enrolled2,823ConditionsEarly Childhood DevelopmentArmsIntegrated child stimulation, nutrition, lead, arsenic, WASH intervention
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

22 authors.

Jesmin SultanaEnvironmental Health and WASH, Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.ORCID http://orcid.org/0000-0003-4600-3568
Helen O PitchikDivision of Epidemiology, University of California Berkeley School of Public Health, Berkeley, California, USA hpitchik@berkeley.edu.ORCID http://orcid.org/0000-0002-5665-0884
Abul Kasham ShoabEnvironmental Health and WASH, Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Tarique Md Nurul HudaDepartment of Public Health, Qassim University, Buraydah, Saudi Arabia.ORCID http://orcid.org/0000-0002-9934-0739
Rezaul HasanEnvironmental Health and WASH, Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Fahmida AkterUniversity of South Carolina, Columbia, South Carolina, USA.
Tania JahirNursing and Health Sciences, University of Galway, Galway, Ireland.ORCID http://orcid.org/0000-0002-5021-1370
Md Khobair HossainInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Jyoti Bhushan DasEnvironmental Health and WASH, Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Md Ruhul AminEnvironmental Health and WASH, Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Farzana YeasminEnvironmental Health and WASH, Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Rizwana KhanInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Jenna E ForsythStanford University, Stanford, California, USA.ORCID http://orcid.org/0000-0003-1888-3967
Laura H KwongDivision of Environmental Health Sciences, University of California Berkeley School of Public Health, Berkeley, California, USA.
Jahangir RashidCommunity Based Health Care, Directorate General of Health Services, Ministry of Health and Family Welfare, Dhaka, Bangladesh.
Sabina AshrafeeNational Newborn Health Program and Integrated Management of Childhood Illness, Directorate General of Health Services, Government of the People's Republic of Bangladesh Ministry of Health and Family Welfare, Dhaka, Bangladesh.
Mahbubur RahmanEnvironmental Health and WASH, Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Malay K MridhaCenter for Non-communicable Diseases and Nutrition, BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Fahmida TofailNutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Peter J WinchJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0001-8569-5507
Stephen P LubyStanford University, Stanford, California, USA.
Lia C H FernaldDivision of Community Health Sciences, School of Public Health, University of California Berkeley School of Public Health, Berkeley, California, USA.

Funding

Evaluating multicomponent interventions to optimize health and development for children and adolescents living in povertyK99HD114882 · NICHD · UNIVERSITY OF CALIFORNIA BERKELEY · PI PITCHIK, HELEN OSBORNE · 2024 to 2025
$236k
NICHD NIH HHS K99 HD114882
6 · The paper itself

Abstract

introductionSmall efficacy trials have demonstrated that multicomponent interventions can improve early child development. We evaluated the large-scale delivery of a multicomponent intervention delivered by government health workers throughout a rural subdistrict in northwestern Bangladesh.

methodsWe evaluated a group-based, multicomponent intervention with a curriculum covering responsive parenting, caregivers' mental health, lead exposure prevention strategies at the household level, water, sanitation, hygiene and nutrition. Group sessions were held throughout a rural subdistrict of Bangladesh (August 2019-March 2020). A longitudinal sample of caregivers (n=517) of children 6-24 months was assessed at baseline and endline (primary cohort), and 1179 additional caregivers were assessed only at endline (supplementary cross-sectional). Outcomes were the variety of child play activities and materials, number of books, caregiver depressive symptoms and nutrition and lead knowledge. For primary analyses, we used difference-in-difference.

resultsOver half (n=276, 53%) of the cohort participants attended any of the 16 intervention sessions and of these, 83% (228) attended 2+. Caregivers attending 2+ sessions, compared with ≤1 session, had more play materials (adjusted mean difference: 0.58; 95% CI: 0.30, 0.85) and were more likely to have any children's books (adjusted prevalence difference (aPD): 0.26; 95% CI: 0.18, 0.34), to have heard of lead (aPD: 0.13; 95% CI: 0.07, 0.19) or to know how to avoid harm from lead (unadjusted PD: 0.13; 95% CI: 0.08, 0.17). These findings were similar to those from the supplementary cross-sectional analysis. There were no differences in caregiver depressive symptoms in either analysis. More child play activities and nutrition knowledge were associated with attendance in the cross-sectional sample.

conclusionsA multicomponent child development intervention delivered by government health workers increased the presence of children's toys and books and caregiver knowledge of lead in families who attended two or more sessions. Further adaptation and alternative delivery methods are likely to improve the reach and the breadth of impacts. TRIAL REGISTRATION NUMBER: NCT04111016.

Indexed as

CaregiversChild DevelopmentAdultBangladeshChild, PreschoolCross-Sectional StudiesFeasibility StudiesFemaleHumansInfantLead PoisoningLongitudinal StudiesMaleProgram EvaluationRural PopulationChild healthEpidemiologyGlobal HealthIntervention studyNutrition

Identifiers

PMID40685160
PMCPMC12278126

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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.