Evidence map›Paper›PMID 42129982›Full record

ArticleBMJ open2026

Exploring the interplay of family dynamics and pregnancy supplement adherence among married women of reproductive age: a qualitative study from rural Bangladesh.

Pragna Paramita Mondal, Mary de Boer, Atiya Rahman, Nazrana Khaled, Eleonor Zavala, Rezwanul Haque, Hasmot Ali, Towfida Jahan Siddiqua, Kaosar Afsana, Parul Christian and 2 more

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

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05576207 (Balanced Energy and Protein), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05576207 nacompletednot on this map

Balanced Energy and Protein (BEP) Supplementation Research in Bangladesh (JiVitA-BEP IR)

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2022 to 2025Enrolled3,390ConditionsFetal Growth Retardation, Low Birth Weight, Preterm Birth, Gestational Weight GainArmsBalanced energy and protein supplement for pregnant women, Multiple Micronutrient Supplement for pregnant women
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Pragna Paramita MondalJames P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Mary de BoerDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA mdeboer5@alumni.jh.edu.ORCID http://orcid.org/0009-0009-6774-7903
Atiya RahmanJames P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Nazrana KhaledJames P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Eleonor ZavalaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Rezwanul HaqueJiVitA Bangladesh, Rangpur, Bangladesh.
Hasmot AliJiVitA Bangladesh, Rangpur, Bangladesh.
Towfida Jahan SiddiquaJiVitA Bangladesh, Rangpur, Bangladesh.
Kaosar AfsanaJames P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Parul ChristianDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Andrew L Thorne-LymanDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Anna KalbarczykDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine how household members, community health research workers (CHRWs) and broader social networks influenced pregnant women's capabilities, opportunities and motivations to consume a daily balanced-energy protein (BEP) supplement or a multiple micronutrient supplement (MMS) in the context of an effectiveness trial in rural Bangladesh.

designIn-depth interviews, group interviews, focus group discussions, thematic analysis using the Capability, Opportunity, Motivation-Behaviour (COM-B) framework.

settingGaibandha, Bangladesh.

participantsWomen (n=32) who had completed participation in the TARGET-BEP randomised trial, their husbands (n=13) and mothers-in-law (n=13), who participated in 13 group interviews, and CHRWs (n=39) who participated in six focus group discussions.

results

conclusionsTo improve antenatal supplement adherence and maternal-infant health in Bangladesh and similar contexts, pregnancy nutrition programmes should move beyond the woman-as-sole-agent paradigm by: (1) co-designing messages for husbands, mothers-in-law, children and neighbours in conversation with effective community health workers, such as those working in the TARGET-BEP trial; (2) equipping community health workers with flexible, family-engaging counselling strategies; and (3) complementing women's education gains with gender-transformative and family-inclusive interventions. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov NCT05576207.

Indexed as

Dietary SupplementsMicronutrientsPatient ComplianceAdultBangladeshDietary ProteinsFamily SupportFemaleFocus GroupsHumansMotivationPregnancyQualitative ResearchRural PopulationSocial SupportSpousesDietary ProteinsMicronutrientsNutritionPregnancyPUBLIC HEALTH

Identifiers

PMID42129982
PMCPMC13182426

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.