JSI staff regularly publish their research and results from work in peer-reviewed journals. This section provides a brief abstract with a link to the journal where you can read more and either download or order the article, depending on the journal.
Upscaling Participatory Action and Videos for Agriculture and Nutrition (UPAVAN) trial comparing three variants of a nutrition-sensitive agricultural extension intervention to improve maternal and child nutritional outcomes in rural Odisha, India: study protocol for a cluster randomised controlled trial in Trials, 2018, 19:176
Maternal and child under-nutrition have adverse consequences for pregnancy outcomes and child morbidity and mortality. This study reports on a four-arm cluster randomised controlled trial in Odisha, India. Interventions included an agricultural extension platform of women’s groups viewing and discussing videos on nutrition-sensitive agriculture (NSA) practices, and follow-up visits to women at home to encourage the adoption of new practices shown in the videos; women’s groups viewing and discussing videos on NSA and nutrition-specific practices, with follow-up visits; and women’s groups viewing and discussing videos on NSA and nutrition-specific practices combined with a cycle of Participatory Learning and Action meetings, with follow-up visits. All arms, including the control, receive basic nutrition training from government community frontline workers. Primary outcomes, assessed at baseline and 32 months after the start of the interventions.
This paper contributes evidence on the impacts of NSA extension through participatory, low-cost, video-based approaches on maternal and child nutrition and on whether integration with nutrition-specific goals and enhanced participatory approaches can increase these impacts.
Authors: Suneetha KadiyalaEmail, Audrey Prost, Helen Harris-Fry, Meghan O’Hearn, Ronali Pradhan, Shibananth Pradhan, Naba Kishore Mishra, Suchitra Rath, Nirmala Nair, Shibanand Rath, Prasantha Tripathy, Sneha Krishnan, Peggy Koniz-Booher, Heather Danton, Diana Elbourne, Joanna Sturgess, Emma Beaumont, Hassan Haghparast-Bidgoli, Jolene Skordis-Worrall, Satyanarayan Mohanty, Avinash Upadhay and Elizabeth Allen
Jeopardizing quality at the frontline of healthcare: prevalence and risk factors for disrespect and abuse during facility-based childbirth in Ethiopia in Health Policy and Planning, Volume 33, Issue 3, 1 April 2018
Disrespect and abuse (D&A) experiences by women during facility-based childbirth has gained global recognition as a threat to eliminating preventable maternal mortality and morbidity.
This study aimed to quantify the frequency and categories of D&A experienced by women in four health centers in two rural regions of Ethiopia for the purposes of developing a community-led intervention. Experiences of women who delivered in these facilities were captured by direct observation of client-provider interaction and exit interview at time of discharge. During exit interviews, 21% of respondents reported at least one occurrence of D&A. Failure to ask woman for preferred birth position most commonly observed during client-provider interactions. Complications during childbirth and time of delivery were significantly associated with reported D&A. Addressing D&A in health centers in Ethiopia will require a shift in priorities towards improving the experience and quality of care, a sustained effort to improve health care centers' infrastructure and greater support of the rural health workforce.
Authors: Kathleen Banks, Ali Karim, Hannah Ratcliffe, Wultea Betemariam, Ana Langer
Review of differentiated approaches to antiretroviral therapy distribution in Journal of AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV, February 2018
In response to global trends of maximizing the number of patients receiving antiretroviral therapy (ART), this review summarizes literature describing differentiated models of ART distribution at facility and community levels in order to highlight promising strategies and identify evidence gaps. Findings suggest that differentiated models of ART distribution contribute to higher retention, lower attrition, and less loss to follow-up (LTFU). These models also reduced patient wait time, travel costs, and time lost from work for drug pick-up. Facility- and community-level ART distribution models have the potential to extend treatment availability, enable improved access and adherence among people living with HIV (PLHIV), and facilitate retention in treatment and care. Gaps remain in understanding the desirability of these models for PLHIV, and the need for more information the negative and positive impacts of stigma, and identifying models to reach traditionally marginalized groups such as key populations and youth. Replicating differentiated care so efforts can reach more PLHIV will be critical to scaling these approaches across varying contexts.
Authors: Nicole Davis, Natasha Kanagat, Melissa Sharer, Sabrina Eagan, Jennifer Pearson & Ugochukwu “Ugo” Amanyeiwe