Evidence map›Paper›PMID 33228667›Full record

ArticleBMC public health2020

Evaluation of a community-based intervention for health and economic empowerment of marginalized women in India.

Shantanu Sharma, Devika Mehra, Faiyaz Akhtar, Sunil Mehra

Abstract readEvaluation Study
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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.

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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

4 authors.

Shantanu SharmaDepartment of Clinical Sciences, Lund University, Skåne University Hospital, S-20502, Malmö, Sweden. shantanusharma145@gmail.com.
Devika MehraMAMTA Health Institute for Mother and Child, B-5, Greater Kailash Enclave-II, Delhi, 110048, India.
Faiyaz AkhtarMAMTA Health Institute for Mother and Child, B-5, Greater Kailash Enclave-II, Delhi, 110048, India.
Sunil MehraMAMTA Health Institute for Mother and Child, B-5, Greater Kailash Enclave-II, Delhi, 110048, India.

Funding

Department for International Development, UK Government GPAF-IMP-046
6 · The paper itself

Abstract

backgroundEmpowered women have improved decision-making capacity and can demand equal access to health services. Community-based interventions based on building women's groups for awareness generation on maternal and child health (MCH) are the best and cost-effective approaches in improving their access to health services. The present study evaluated a community-based intervention aimed at improving marginalized women's awareness and utilization of MCH services, and access to livelihood and savings using the peer-led approach from two districts of India.

methodsWe used peer educators as mediators of knowledge transfer among women and for creating a supportive environment at the household and community levels. The intervention was implemented in two marginalized districts of Uttar Pradesh, namely Banda and Kaushambi. Two development blocks in each of the two districts were selected randomly, and 24 villages in each of the four blocks were selected based on the high percentage of a marginalized population. The evaluation of the intervention involved a non-experimental, 'post-test analysis of the project group' research design, in a mixed-method approach. Data were collected at two points in time, including qualitative interviews at the end line and tracking data of the intervention population (n = 37,324) through an online management information system.

resultsMost of the women in Banda (90%) and Kaushambi (85%) attended at least 60% of the education sessions. Around 39% of women in Banda and 35% of women in Kaushambi registered for the livelihood scheme, and 94 and 80% of them had worked under the scheme in these two places, respectively. Women's awareness about MCH seemed to have increased post-intervention. The money earned after getting work under the livelihood scheme or from daily savings was deposited in the bank account by the women. These savings helped the women investing money at times of need, such as starting their work, in emergencies for the medical treatment of their family members, education of their children, etc.

conclusionPeer-led model of intervention can be explored to improve the combined health and economic outcomes of marginalized women.

Indexed as

Community Health ServicesEmpowermentSocial MarginalizationAdultChildFacilities and Services UtilizationFemaleHealth Knowledge, Attitudes, PracticeHealth PromotionHealth Services AccessibilityHumansIncomeIndiaMaternal-Child Health ServicesPeer GroupPregnancyEmploymentHealth educationHealth servicesImplementation scienceMaternal healthPovertyReproductive health

Identifiers

PMID33228667
PMCPMC7686717

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.