Trial reportThe Lancet. Global health2017
Community resource centres to improve the health of women and children in informal settlements in Mumbai: a cluster-randomised, controlled trial.
Trial report in The Lancet. Global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 9 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
29 citing papers in PubMed, 9 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Framework for systems of pediatric well-care visits: a scoping review.BMC global and public health · 2025Pooled it
- Integrated domestic violence and reproductive health interventions in India: a systematic review.Reproductive health · 2024Pooled it
- Community Engagement in Vaccination Promotion: Systematic Review and Meta-Analysis.JMIR public health and surveillance · 2024Pooled it
- Pooled it
- The effectiveness of interventions on nutrition social behaviour change communication in improving child nutritional status within the first 1000 days: Evidence from a systematic review and meta-analysis.Maternal & child nutrition · 2022Pooled it
- Improving nutritional status among urban poor children in sub-Saharan Africa: An evidence-informed Delphi-based consultation.Maternal & child nutrition · 2021Pooled it
- Community interventions with women's groups to improve women's and children's health in India: a mixed-methods systematic review of effects, enablers and barriers.BMJ global health · 2020Pooled it
- Psychosocial interventions for intimate partner violence in low and middle income countries: A meta-analysis of randomised controlled trials.Journal of global health · 2020Pooled it
- Face-to-face interventions for informing or educating parents about early childhood vaccination.The Cochrane database of systematic reviews · 2018Pooled it
- Decomposing wealth-based inequality in modern reversible contraceptive utilisation in India: evidence from national family health survey, 2019-21.BMC public health · 2026Article
- Health-promoting housing policy in a changing climate: integrating affordability, security, and resilience.Health promotion international · 2026Review
- Article
- Integrating family planning with nutrition and other sexual and reproductive health services in low-income and middle-income countries: findings from a scoping review.BMJ global health · 2025Article
- Community-based participatory research (CBPR) approaches in vaccination promotion: a scoping review.International journal for equity in health · 2024Article
- Analyzing the usage of theories of change for routine immunization programs -- a review of impact evaluations from LMICs.Journal of health, population, and nutrition · 2024Review
- Technologies for strengthening immunization coverage in India: a systematic review.The Lancet regional health. Southeast Asia · 2024Article
- Interventions addressing routine childhood immunization and its behavioral and social drivers.Frontiers in public health · 2024Review
- Socioeconomic inequality in unmet outpatient healthcare needs among people living in urban informal settlements in Sanandaj city, Iran.International journal for equity in health · 2023Article
- Improving Bystander Self-efficacy to Prevent Violence Against Women Through Interpersonal Communication Using Mobile Phone Entertainment Education: Randomized Controlled Trial.JMIR formative research · 2023Article
- Accelerating UN Sustainable Development Goals with AI-Driven Technologies: A Systematic Literature Review of Women's Healthcare.Healthcare (Basel, Switzerland) · 2023Article
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Authors and funding
11 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundAround 105 million people in India will be living in informal settlements by 2017. We investigated the effects of local resource centres delivering integrated activities to improve women's and children's health in urban informal settlements.
methodsIn a cluster-randomised controlled trial in 40 clusters, each containing around 600 households, 20 were randomly allocated to have a resource centre (intervention group) and 20 no centre (control group). Community organisers in the intervention centres addressed maternal and neonatal health, child health and nutrition, reproductive health, and prevention of violence against women and children through home visits, group meetings, day care, community events, service provision, and liaison. The primary endpoints were met need for family planning in women aged 15-49 years, proportion of children aged 12-23 months fully immunised, and proportion of children younger than 5 years with anthropometric wasting. Census interviews with women aged 15-49 years were done before and 2 years after the intervention was implemented. The primary intention-to-treat analysis compared cluster allocation groups after the intervention. We also analysed the per-protocol population (all women with data from both censuses) and assessed cluster-level changes. This study is registered with ISRCTN, number ISRCTN56183183, and Clinical Trials Registry of India, number CTRI/2012/09/003004.
findings12 614 households were allocated to the intervention and 12 239 to control. Postintervention data were available for 8271 women and 5371 children younger than 5 years in the intervention group, and 7965 women and 5180 children in the control group. Met need for family planning was greater in the intervention clusters than in the control clusters (odds ratio [OR] 1·31, 95% CI 1·11-1·53). The proportions of fully immunised children were similar in the intervention and control groups in the intention-to-treat analysis (OR 1·30, 95% CI 0·84-2·01), but were greater in the intervention group when assessed per protocol (1·73, 1·05-2·86). Childhood wasting did not differ between groups (OR 0·92, 95% CI 0·75-1·12), although improvement was seen at the cluster level in the intervention group (p=0·020).
interpretationThis community resource model seems feasible and replicable and may be protocolised for expansion.
fundingWellcome Trust, CRY, Cipla.
Indexed as
Identifiers
What Socratic holds
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 Socratic graph.