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1. Antenatal multiple micronutrient supplements versus iron‐folic acid supplements and birth outcomes: Analysis by gestational age assessment method

Author

Gomes, Filomena, Askari, Sufia, Black, Robert E, Christian, Parul, Dewey, Kathryn G, Mwangi, Martin N, Rana, Ziaul, Reed, Sarah, Shankar, Anuraj H, Smith, Emily R, and Tumilowicz, Alison

Subjects
Paediatrics, Reproductive Medicine, Biomedical and Clinical Sciences, Clinical Research, Infant Mortality, Prevention, Nutrition, Preterm, Low Birth Weight and Health of the Newborn, Perinatal Period - Conditions Originating in Perinatal Period, Pediatric, 3.3 Nutrition and chemoprevention, Prevention of disease and conditions, and promotion of well-being, Reproductive health and childbirth, Good Health and Well Being, Female, Humans, Infant, Newborn, Pregnancy, Birth Weight, Dietary Supplements, Folic Acid, Gestational Age, Iron, Micronutrients, Pregnancy Outcome, Premature Birth, Prospective Studies, birth outcomes, gestational age assessment, iron and folic acid supplements, multiple micronutrient supplements, nutrition, pregnancy, ultrasound, Nutrition and Dietetics, Nutrition & Dietetics, Nutrition and dietetics, Midwifery
Abstract

Meta-analyses consistently have found that antenatal multiple micronutrient supplementation (MMS) compared with iron and folic acid (IFA) alone reduce adverse birth outcomes. In 2020, the World Health Organization (WHO) placed a conditional recommendation for MMS and requested additional trials using ultrasounds to establish gestational age, because the evidence on low birthweight (LBW), preterm birth and small for gestational age (SGA) was considered inconsistent. We conducted meta-analyses to determine if the effects of MMS on LBW, preterm birth and SGA differed by gestational age assessment method. Using data from the 16 trials in the WHO analyses, we calculated the effect estimates of MMS versus IFA on birth outcomes (generic inverse variance method and random effects model) stratified by method of gestational age assessment: ultrasound, prospective collection of the date of last menstrual period (LMP) and confirmation of pregnancy by urine test and recall of LMP. The effects of MMS versus IFA on birthweight, preterm birth and SGA appeared consistent across subgroups with no evidence of subgroup differences (p > 0.05). When limited to the seven trials that used ultrasound, the beneficial effects of MMS were demonstrated: risk ratios of 0.87 (95% confidence interval [CI] 0.78-0.97) for LBW, 0.90 (95% CI, 0.79-1.03) for preterm birth and 0.9 (95% CI, 0.83-0.99) for SGA. Sensitivity analyses indicated consistency in the results. These results, together with recent analyses demonstrating comparable effects of MMS (vs. IFA) on maternal anaemia outcomes, strengthen the evidence to support a transition from IFA to MMS programmes in low- and middle-income countries.

Published
2023

2. What more can be done? Prioritizing the most promising antenatal interventions to improve birth weight.

Author

Koivu, Annariina, Haapaniemi, Tiia, Askari, Sufia, Bhandari, Nita, Black, Robert, Chico, R, Dewey, Kathryn, Duggan, Christopher, Klein, Nigel, Kumar, Somesh, Lawn, Joy, Manji, Karim, Näsänen-Gilmore, Pieta, Salasibew, Mihretab, Semrau, Katherine, Ashorn, Ulla, and Ashorn, Per

Subjects
Antenatal care (ANC), Child Health and Nutrition Research Initiative (CHNRI) method, Low birth weight (LBW), Low- and middle-income countries (LMICs), Preterm birth (PTB), Priority-setting, Infant, Newborn, Infant, Child, Pregnancy, Female, Humans, Birth Weight, Infant, Low Birth Weight, Prenatal Care, Pregnancy Complications, Nutritional Status
Abstract

BACKGROUND: Low birth weight (LBW) is associated with neonatal mortality and sequelae of lifelong health problems; prioritizing the most promising antenatal interventions may guide resource allocation and improve health outcomes. OBJECTIVE: We sought to identify the most promising interventions that are not yet included in the policy recommendations of the World Health Organization (WHO) but could complement antenatal care and reduce the prevalence of LBW and related adverse birth outcomes in low- and middle-income settings. METHODS: We utilized an adapted Child Health and Nutrition Research Initiative (CHNRI) prioritization method. RESULTS: In addition to procedures already recommended by WHO for the prevention of LBW, we identified six promising antenatal interventions that are not currently recommended by WHO with an indication for LBW prevention, namely: (1) provision of multiple micronutrients; (2) low-dose aspirin; (3) high-dose calcium; (4) prophylactic cervical cerclage; (5) psychosocial support for smoking cessation; and (6) other psychosocial support for targeted populations and settings. We also identified seven interventions for further implementation research and six interventions for efficacy research. CONCLUSION: These promising interventions, coupled with increasing coverage of currently recommended antenatal care, could accelerate progress toward the global target of a 30% reduction in the number of LBW infants born in 2025 compared to 2006-10.

Published
2023

3. Food Systems Innovation Hubs in Low- and Middle-Income Countries

Author

Beesabathuni, Kalpana, Kraemer, Klaus, Askari, Sufia, Lingala, Srujith, Bajoria, Madhavika, Bloem, Martin, Gavin-Smith, Breda, Hamirani, Hamid, Kumari, Priyanka, Milan, Anne, Tshering, Puja, van Zutphen, Kesso Gabrielle, Woltering, Kris, von Braun, Joachim, editor, Afsana, Kaosar, editor, Fresco, Louise O., editor, and Hassan, Mohamed Hag Ali, editor

Published
2023
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4. What more can be done? Prioritizing the most promising antenatal interventions to improve birth weight

Author

Awoyemi, Toluwalase, Ayede, Adejumoke I., Bastola, Kalpana, Bhutta, Zulfiqar A., Blencowe, Hannah, Christian, Parul, David, Anna, Hunter, Patricia, Isojärvi, Jaana, Katz, Joanne, De Costa, Ayesha, Erchick, Daniel J., Gibson, Sarah, Goncalves, Bronner P., Gravett, Michael G., Hadji, Maryam, Hazel, Elizabeth, Hofmeyr, G Justus, Kozuki, Naoko, Lee, Anne CC., Magge, Hema, Manasyan, Albert, Mohiddin, Abdulrahman, Morrison, Melissa, Muthiani, Yvonne, Nabwera, Helen, Nakimuli, Annettee, Okong, Pius, Prendergast, Andrew J., Simon, Jonathon, Temmerman, Marleen, Yan, Jian, Koivu, Annariina M., Haapaniemi, Tiia, Askari, Sufia, Bhandari, Nita, Black, Robert E., Chico, R. Matthew, Dewey, Kathryn G., Duggan, Christopher P., Klein, Nigel, Kumar, Somesh, Lawn, Joy E., Manji, Karim, Näsänen-Gilmore, Pieta K., Salasibew, Mihretab, Semrau, Katherine E.A., Ashorn, Ulla, and Ashorn, Per

Published
2023
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5. Small babies, big risks: global estimates of prevalence and mortality for vulnerable newborns to accelerate change and improve counting

Author

Ashorn, Per, Black, Robert E, Lawn, Joy E, Ashorn, Ulla, Klein, Nigel, Hofmeyr, G Justus, Temmerman, Marleen, Askari, Sufia, Ohuma, Eric O, Moller, Ann-Beth, Bradley, Ellen, Chakwera, Samuel, Hussain-Alkhateeb, Laith, Lewin, Alexandra, Okwaraji, Yemisrach B, Retno Mahanani, Wahyu, White Johansson, Emily, Lavin, Tina, Estevez Fernandez, Diana, Gatica Domínguez, Giovanna, de Costa, Ayesha, Cresswell, Jenny A, Krasevec, Julia, Blencowe, Hannah, Requejo, Jennifer, Moran, Allisyn C, Pingray, Veronica, Cormick, Gabriela, Gibbons, Luz, Belizan, José, Guevel, Carlos, Warrilow, Kara, Gordon, Adrienne, Flenady, Vicki, Sexton, Jessica, Lawford, Harriet, Paixao, Enny S., Rocha Falcão, Ila, Lima Barreto, Mauricio, Lisonkova, Sarka, Wen, Qi, Mardones, Francisco, Caulier-Cisterna, Raúl, Acuña, José, Velebil, Petr, Jirova, Jitka, Horváth-Puhó, Erzsébet, Sørensen, Henrik Toft, Sakkeus, Luule, Abuladze, Liili, Gissler, Mika, Moradi-Lakeh, Maziar, Heidarzadeh, Mohammad, Khalili, Narjes, A. Yunis, Khalid, Al Bizri, Ayah, Nakad, Pascale, Devi Karalasingam, Shamala, R Jeganathan, J Ravichandran, binti Baharum, Nurakman, Suárez-Idueta, Lorena, Barranco Flores, Arturo, Gonzalez Roldan, Jesus F, Lopez Alvarez, Sonia, van Dijk, Aimée E., Broeders, Lisa, Huicho, Luis, Quezada Pinedo, Hugo G, Cajachagua-Torres, Kim N, Carrillo-Larco, Rodrigo M, Tarazona Meza, Carla Estefania, Guzman-Vilca, Wilmer Cristobal, Olukade, Tawa O., Ali, Hamdy A., Alyafei, Fawziya, AlQubaisi, Mai, Alturk, Mohamad R, Kim, Ho Yeon, Cho, Geum Joon, Razaz, Neda, Söderling, Jonas, Smith, Lucy K, Kurinczuk, Jennifer J, Matthews, Ruth J, Manktelow, Bradley N, Draper, Elizabeth S, Fenton, Alan C, Lowry, Estelle, Rowland, Neil, Wood, Rachael, Monteath, Kirsten, Pereyra, Isabel, Pravia, Gabriella, Davis, Celina, Clarke, Samantha, Wu, Lee S.F., Yoshida, Sachiyo, Bahl, Rajiv, Grandi, Carlos, Labrique, Alain B, Rashid, Mabhubur, Ahmed, Salahuddin, Roy, Arunangshu D., Haque, Rezwanul, Shaikh, Saijuddin, Baqui, Abdullah H., Saha, Samir K., Khanam, Rasheda, Rahman, Sayedur, Shapiro, Roger, Zash, Rebecca, Silveira, Mariângela F., Buffarini, Romina, Kolsteren, Patrick, Lachat, Carl, Huybregts, Lieven, Roberfroid, Dominique, Zeng, Lingxia, Zhu, Zhonghai, He, Jianrong, Qui, Xiu, Gebreyesus, Seifu H., Tesfamariam, Kokeb, Bekele, Delayehu, Chan, Grace, Baye, Estifanos, Workneh, Firehiwot, Asante, Kwaku P., Boanmah-Kaali, Ellen, Adu-Afarwuah, Seth, Dewey, Kathryn G., Gyaase, Stephaney, Wylie, Blair J., Kirkwood, Betty R., Manu, Alexander, Thulasiraj, Ravilla D, Tielsch, James, Chowdhury, Ranadip, Taneja, Sunita, Babu, Giridhara R, Shriyan, Prafulla, Maleta, Kenneth, Mangani, Charles, Acevedo-Gallegos, Sandra, Rodriguez-Sibaja, Maria J., Khatry, Subarna K., LeClerq, Steven C., Mullany, Luke C., Jehan, Fyezah, Ilyas, Muhammad, Rogerson, Stephen J., Unger, Holger W., Ghosh, Rakesh, Musange, Sabine, Ramokolo, Vundli, Zembe-Mkabile, Wanga, Lazzerini, Marzia, Mohamed, Rishard, Wang, Dongqing, Fawzi, Wafaie W., Minja, Daniel T.R., Schmiegelow, Christentze, Masanja, Honorati, Smith, Emily, Lusingu, John P.A., Msemo, Omari A., Kabole, Fathma M., Slim, Salim N., Keentupthai, Paniya, Mongkolchati, Aroonsri, Kajubi, Richard, Kakuru, Abel, Waiswa, Peter, Walker, Dilys, Hamer, Davidson H., Semrau, Katherine E.A., Chaponda, Enesia B., Chico, R. Matthew, Banda, Bowen, Musokotwane, Kebby, Manasyan, Albert, Pry, Jake M., Chasekwa, Bernard, Humphrey, Jean, Shamim, Abu Ahmed, Christian, Parul, Ali, Hasmot, Klemm, Rolf D.W., Massie, Alan B., Mitra, Maithili, Mehra, Sucheta, Schulze, Kerry J., Shamim, Abu Amed, Sommer, Alfred, Ullah, Barkat, West, Keith P., Jr, Begum, Nazma, Chowdhury, Nabidul Haque, Islam, Shafiqul, Mitra, Dipak Kumar, Quaiyum, Abdul, Diseko, Modiegi, Makhema, Joseph, Cheng, Yue, Guo, Yixin, Yuan, Shanshan, Roro, Meselech, Shikur, Bilal, Goddard, Frederick, Haneuse, Sebastien, Hunegnaw, Bezawit, Berhane, Yemane, Worku, Alemayehu, Kaali, Seyram, Arnold, Charles D., Jack, Darby, Amenga-Etego, Seeba, Hurt, Lisa, Shannon, Caitlin, Soremekun, Seyi, Bhandari, Nita, Martines, Jose, Mazumder, Sarmila, Ana, Yamuna, R, Deepa, Hallamaa, Lotta, Pyykkö, Juha, Lumbreras-Marquez, Mario I., Mendoza-Carrera, Claudia E., Hussain, Atiya, Karim, Muhammad, Kausar, Farzana, Mehmood, Usma, Nadeem, Naila, Nisar, Muhammad Imran, Sajid, Muhammad, Mueller, Ivo, Ome-Kaius, Maria, Butrick, Elizabeth, Sayinzoga, Felix, Mariani, Ilaria, Urassa, Willy, Theander, Thor, Deloron, Phillippe, Nielsen, Birgitte Bruun, Muhihi, Alfa, Noor, Ramadhani Abdallah, Bygbjerg, Ib, Moeller, Sofie Lykke, Aftab, Fahad, Ali, Said M., Dhingra, Pratibha, Dhingra, Usha, Dutta, Arup, Sazawal, Sunil, Suleiman, Atifa, Mohammed, Mohammed, Deb, Saikat, Kamya, Moses R., Nakalembe, Miriam, Mulowooz, Jude, Santos, Nicole, Biemba, Godfrey, Herlihy, Julie M., Mbewe, Reuben K., Mweena, Fern, Yeboah-Antwi, Kojo, Bruce, Jane, Chandramohan, Daniel, Prendergast, Andrew, Idueta, Lorena Suárez, Hazel, Elizabeth, Erchick, Daniel J, Yargawa, Judith, Katz, Joanne, Lee, Anne C C, Diaz, Mike, Salasibew, Mihretab, Hayashi, Chika, and Borghi, Elaine

Published
2023
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7. Small vulnerable newborns—big potential for impact

Author

Okwaraji, Yemisrach, Krasevec, Julia, Bradley, Ellen, Conkle, Joel, Stevens, Gretchen, Gatica, Giovanna, Ohuma, Eric O., Coffey, Chris, Estevez Dominguez, Diana, Blencowe, Hannah, Kimathi, Ben, Moller, Ann Beth, Lewin, Alexandra, Hussain-Alkhateeb, Laith, Dalmiya, Nita, Lawn, Joy E., Borghi, Elaine, Hayashi, Chika, Ashorn, Per, Ashorn, Ulla, Muthiani, Yvonne, Aboubaker, Samira, Askari, Sufia, Bahl, Rajiv, Black, Robert E, Duggan, Christopher P, Hofmeyr, G Justus, Kennedy, Stephen H, Klein, Nigel, Lawn, Joy E, Shiffman, Jeremy, Simon, Jonathon, and Temmerman, Marleen

Published
2023
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11. Impact of market-based home fortification with micronutrient powder on childhood anemia in Bangladesh: a modified stepped wedge design

Author

Sarma, Haribondhu, primary, Rahman, Mahfuzur, additional, Tariqujjaman, Md., additional, Islam, Mohammad Ashraful, additional, Mbuya, Mduduzi N. N., additional, Aaron, Grant J., additional, Askari, Sufia, additional, Harbour, Catherine, additional, Khondker, Rudaba, additional, Bipul, Moniruzzaman, additional, Sultana, Sabiha, additional, Rahman, Mohammad Ashikur, additional, Shahin, Shaima Arzuman, additional, Chowdhury, Morseda, additional, Afsana, Kaosar, additional, Ghosh, Samik, additional, Banwell, Cathy, additional, D’Este, Catherine, additional, Salasibew, Mihretab, additional, Neufeld, Lynnette M., additional, and Ahmed, Tahmeed, additional

Published
2024
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12. Small babies, big risks: global estimates of prevalence and mortality for vulnerable newborns to accelerate change and improve counting

Author

Lawn, Joy E, primary, Ohuma, Eric O, additional, Bradley, Ellen, additional, Idueta, Lorena Suárez, additional, Hazel, Elizabeth, additional, Okwaraji, Yemisrach B, additional, Erchick, Daniel J, additional, Yargawa, Judith, additional, Katz, Joanne, additional, Lee, Anne C C, additional, Diaz, Mike, additional, Salasibew, Mihretab, additional, Requejo, Jennifer, additional, Hayashi, Chika, additional, Moller, Ann-Beth, additional, Borghi, Elaine, additional, Black, Robert E, additional, Blencowe, Hannah, additional, Ashorn, Per, additional, Lawn, Joy E, additional, Ashorn, Ulla, additional, Klein, Nigel, additional, Hofmeyr, G Justus, additional, Temmerman, Marleen, additional, Askari, Sufia, additional, Chakwera, Samuel, additional, Hussain-Alkhateeb, Laith, additional, Lewin, Alexandra, additional, Retno Mahanani, Wahyu, additional, White Johansson, Emily, additional, Lavin, Tina, additional, Estevez Fernandez, Diana, additional, Gatica Domínguez, Giovanna, additional, de Costa, Ayesha, additional, Cresswell, Jenny A, additional, Krasevec, Julia, additional, Moran, Allisyn C, additional, Pingray, Veronica, additional, Cormick, Gabriela, additional, Gibbons, Luz, additional, Belizan, José, additional, Guevel, Carlos, additional, Warrilow, Kara, additional, Gordon, Adrienne, additional, Flenady, Vicki, additional, Sexton, Jessica, additional, Lawford, Harriet, additional, Paixao, Enny S., additional, Rocha Falcão, Ila, additional, Lima Barreto, Mauricio, additional, Lisonkova, Sarka, additional, Wen, Qi, additional, Mardones, Francisco, additional, Caulier-Cisterna, Raúl, additional, Acuña, José, additional, Velebil, Petr, additional, Jirova, Jitka, additional, Horváth-Puhó, Erzsébet, additional, Sørensen, Henrik Toft, additional, Sakkeus, Luule, additional, Abuladze, Liili, additional, Gissler, Mika, additional, Moradi-Lakeh, Maziar, additional, Heidarzadeh, Mohammad, additional, Khalili, Narjes, additional, A. Yunis, Khalid, additional, Al Bizri, Ayah, additional, Nakad, Pascale, additional, Devi Karalasingam, Shamala, additional, R Jeganathan, J Ravichandran, additional, binti Baharum, Nurakman, additional, Suárez-Idueta, Lorena, additional, Barranco Flores, Arturo, additional, Gonzalez Roldan, Jesus F, additional, Lopez Alvarez, Sonia, additional, van Dijk, Aimée E., additional, Broeders, Lisa, additional, Huicho, Luis, additional, Quezada Pinedo, Hugo G, additional, Cajachagua-Torres, Kim N, additional, Carrillo-Larco, Rodrigo M, additional, Tarazona Meza, Carla Estefania, additional, Guzman-Vilca, Wilmer Cristobal, additional, Olukade, Tawa O., additional, Ali, Hamdy A., additional, Alyafei, Fawziya, additional, AlQubaisi, Mai, additional, Alturk, Mohamad R, additional, Kim, Ho Yeon, additional, Cho, Geum Joon, additional, Razaz, Neda, additional, Söderling, Jonas, additional, Smith, Lucy K, additional, Kurinczuk, Jennifer J, additional, Matthews, Ruth J, additional, Manktelow, Bradley N, additional, Draper, Elizabeth S, additional, Fenton, Alan C, additional, Lowry, Estelle, additional, Rowland, Neil, additional, Wood, Rachael, additional, Monteath, Kirsten, additional, Pereyra, Isabel, additional, Pravia, Gabriella, additional, Davis, Celina, additional, Clarke, Samantha, additional, Wu, Lee S.F., additional, Yoshida, Sachiyo, additional, Bahl, Rajiv, additional, Grandi, Carlos, additional, Labrique, Alain B, additional, Rashid, Mabhubur, additional, Ahmed, Salahuddin, additional, Roy, Arunangshu D., additional, Haque, Rezwanul, additional, Shaikh, Saijuddin, additional, Baqui, Abdullah H., additional, Saha, Samir K., additional, Khanam, Rasheda, additional, Rahman, Sayedur, additional, Shapiro, Roger, additional, Zash, Rebecca, additional, Silveira, Mariângela F., additional, Buffarini, Romina, additional, Kolsteren, Patrick, additional, Lachat, Carl, additional, Huybregts, Lieven, additional, Roberfroid, Dominique, additional, Zeng, Lingxia, additional, Zhu, Zhonghai, additional, He, Jianrong, additional, Qui, Xiu, additional, Gebreyesus, Seifu H., additional, Tesfamariam, Kokeb, additional, Bekele, Delayehu, additional, Chan, Grace, additional, Baye, Estifanos, additional, Workneh, Firehiwot, additional, Asante, Kwaku P., additional, Boanmah-Kaali, Ellen, additional, Adu-Afarwuah, Seth, additional, Dewey, Kathryn G., additional, Gyaase, Stephaney, additional, Wylie, Blair J., additional, Kirkwood, Betty R., additional, Manu, Alexander, additional, Thulasiraj, Ravilla D, additional, Tielsch, James, additional, Chowdhury, Ranadip, additional, Taneja, Sunita, additional, Babu, Giridhara R, additional, Shriyan, Prafulla, additional, Maleta, Kenneth, additional, Mangani, Charles, additional, Acevedo-Gallegos, Sandra, additional, Rodriguez-Sibaja, Maria J., additional, Khatry, Subarna K., additional, LeClerq, Steven C., additional, Mullany, Luke C., additional, Jehan, Fyezah, additional, Ilyas, Muhammad, additional, Rogerson, Stephen J., additional, Unger, Holger W., additional, Ghosh, Rakesh, additional, Musange, Sabine, additional, Ramokolo, Vundli, additional, Zembe-Mkabile, Wanga, additional, Lazzerini, Marzia, additional, Mohamed, Rishard, additional, Wang, Dongqing, additional, Fawzi, Wafaie W., additional, Minja, Daniel T.R., additional, Schmiegelow, Christentze, additional, Masanja, Honorati, additional, Smith, Emily, additional, Lusingu, John P.A., additional, Msemo, Omari A., additional, Kabole, Fathma M., additional, Slim, Salim N., additional, Keentupthai, Paniya, additional, Mongkolchati, Aroonsri, additional, Kajubi, Richard, additional, Kakuru, Abel, additional, Waiswa, Peter, additional, Walker, Dilys, additional, Hamer, Davidson H., additional, Semrau, Katherine E.A., additional, Chaponda, Enesia B., additional, Chico, R. Matthew, additional, Banda, Bowen, additional, Musokotwane, Kebby, additional, Manasyan, Albert, additional, Pry, Jake M., additional, Chasekwa, Bernard, additional, Humphrey, Jean, additional, Shamim, Abu Ahmed, additional, Christian, Parul, additional, Ali, Hasmot, additional, Klemm, Rolf D.W., additional, Massie, Alan B., additional, Mitra, Maithili, additional, Mehra, Sucheta, additional, Schulze, Kerry J., additional, Shamim, Abu Amed, additional, Sommer, Alfred, additional, Ullah, Barkat, additional, West, Keith P., additional, Begum, Nazma, additional, Chowdhury, Nabidul Haque, additional, Islam, Shafiqul, additional, Mitra, Dipak Kumar, additional, Quaiyum, Abdul, additional, Diseko, Modiegi, additional, Makhema, Joseph, additional, Cheng, Yue, additional, Guo, Yixin, additional, Yuan, Shanshan, additional, Roro, Meselech, additional, Shikur, Bilal, additional, Goddard, Frederick, additional, Haneuse, Sebastien, additional, Hunegnaw, Bezawit, additional, Berhane, Yemane, additional, Worku, Alemayehu, additional, Kaali, Seyram, additional, Arnold, Charles D., additional, Jack, Darby, additional, Amenga-Etego, Seeba, additional, Hurt, Lisa, additional, Shannon, Caitlin, additional, Soremekun, Seyi, additional, Bhandari, Nita, additional, Martines, Jose, additional, Mazumder, Sarmila, additional, Ana, Yamuna, additional, R, Deepa, additional, Hallamaa, Lotta, additional, Pyykkö, Juha, additional, Lumbreras-Marquez, Mario I., additional, Mendoza-Carrera, Claudia E., additional, Hussain, Atiya, additional, Karim, Muhammad, additional, Kausar, Farzana, additional, Mehmood, Usma, additional, Nadeem, Naila, additional, Nisar, Muhammad Imran, additional, Sajid, Muhammad, additional, Mueller, Ivo, additional, Ome-Kaius, Maria, additional, Butrick, Elizabeth, additional, Sayinzoga, Felix, additional, Mariani, Ilaria, additional, Urassa, Willy, additional, Theander, Thor, additional, Deloron, Phillippe, additional, Nielsen, Birgitte Bruun, additional, Muhihi, Alfa, additional, Noor, Ramadhani Abdallah, additional, Bygbjerg, Ib, additional, Moeller, Sofie Lykke, additional, Aftab, Fahad, additional, Ali, Said M., additional, Dhingra, Pratibha, additional, Dhingra, Usha, additional, Dutta, Arup, additional, Sazawal, Sunil, additional, Suleiman, Atifa, additional, Mohammed, Mohammed, additional, Deb, Saikat, additional, Kamya, Moses R., additional, Nakalembe, Miriam, additional, Mulowooz, Jude, additional, Santos, Nicole, additional, Biemba, Godfrey, additional, Herlihy, Julie M., additional, Mbewe, Reuben K., additional, Mweena, Fern, additional, Yeboah-Antwi, Kojo, additional, Bruce, Jane, additional, Chandramohan, Daniel, additional, and Prendergast, Andrew, additional

Published
2023
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13. The ethical, economic, and developmental imperative to prevent small vulnerable newborns and stillbirths: essential actions to improve the country and global response

Author

Mohiddin, Abdu, primary, Semrau, Katherine E A, additional, Simon, Jonathon, additional, Langlois, Etienne V, additional, Shiffman, Jeremy, additional, Nabwera, Helen, additional, Hofmeyr, G Justus, additional, Lawn, Joy E, additional, Black, Robert E, additional, Askari, Sufia, additional, Klein, Nigel, additional, Ashorn, Ulla, additional, Ashorn, Per, additional, and Temmerman, Marleen, additional

Published
2023
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14. Small vulnerable newborns—big potential for impact

Author

Ashorn, Per, primary, Ashorn, Ulla, additional, Muthiani, Yvonne, additional, Aboubaker, Samira, additional, Askari, Sufia, additional, Bahl, Rajiv, additional, Black, Robert E, additional, Dalmiya, Nita, additional, Duggan, Christopher P, additional, Hofmeyr, G Justus, additional, Kennedy, Stephen H, additional, Klein, Nigel, additional, Lawn, Joy E, additional, Shiffman, Jeremy, additional, Simon, Jonathon, additional, Temmerman, Marleen, additional, Okwaraji, Yemisrach, additional, Krasevec, Julia, additional, Bradley, Ellen, additional, Conkle, Joel, additional, Stevens, Gretchen, additional, Gatica, Giovanna, additional, Ohuma, Eric O., additional, Coffey, Chris, additional, Estevez Dominguez, Diana, additional, Blencowe, Hannah, additional, Kimathi, Ben, additional, Moller, Ann Beth, additional, Lewin, Alexandra, additional, Hussain-Alkhateeb, Laith, additional, Lawn, Joy E., additional, Borghi, Elaine, additional, and Hayashi, Chika, additional

Published
2023
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15. Biological and pathological mechanisms leading to the birth of a small vulnerable newborn

Author

Hunter, Patricia J, primary, Awoyemi, Toluwalase, additional, Ayede, Adejumoke I, additional, Chico, R Matthew, additional, David, Anna L, additional, Dewey, Kathryn G, additional, Duggan, Christopher P, additional, Gravett, Michael, additional, Prendergast, Andrew J, additional, Ramakrishnan, Usha, additional, Ashorn, Per, additional, Klein, Nigel, additional, Black, Robert E, additional, Lawn, Joy E, additional, Ashorn, Ulla, additional, Hofmeyr, G Justus, additional, Temmerman, Marleen, additional, and Askari, Sufia, additional

Published
2023
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16. Evidence-based antenatal interventions to reduce the incidence of small vulnerable newborns and their associated poor outcomes

Author

Hofmeyr, G Justus, primary, Black, Robert E, additional, Rogozińska, Ewelina, additional, Heuer, Austin, additional, Walker, Neff, additional, Ashorn, Per, additional, Ashorn, Ulla, additional, Bhandari, Nita, additional, Bhutta, Zulfiqar A, additional, Koivu, Annariina, additional, Kumar, Somesh, additional, Lawn, Joy E, additional, Munjanja, Stephen, additional, Näsänen-Gilmore, Pieta, additional, Ramogola-Masire, Doreen, additional, Temmerman, Marleen, additional, Klein, Nigel, additional, Hofmeyr, G Justus, additional, and Askari, Sufia, additional

Published
2023
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18. Knowledge, Attitudes and Practices of Pregnant Women and Healthcare Providers in Bangladesh regarding Multivitamin Supplements during Pregnancy

Author

Kraemer, Klaus, primary, Beesabathuni, Kalpana, additional, Askari, Sufia, additional, Khondker, Rudaba, additional, Khan, Toslim Uddin, additional, Rahman, Moshiur, additional, Gibson, Sarah, additional, Merritt, Rowena, additional, Bajoria, Madhavika, additional, Lingala, Srujith, additional, Bipul, Moniruzzaman, additional, and Tshering, Puja Peyden, additional

Published
2023
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19. Analysis by gestational age assessment method

Author

Gomes, Filomena, Askari, Sufia, Black, Robert E., Christian, Parul, Dewey, Kathryn G., Mwangi, Martin N., Rana, Ziaul, Reed, Sarah, Shankar, Anuraj H., Smith, Emily R., Tumilowicz, Alison, and NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)

Subjects
multiple micronutrient supplements, nutrition, Nutrition and Dietetics, SDG 3 - Good Health and Well-being, ultrasound, gestational age assessment, Obstetrics and Gynaecology, birth outcomes, Public Health, Environmental and Occupational Health, pregnancy, Pediatrics, Perinatology, and Child Health, iron and folic acid supplements
Abstract

Funding Information: We would like to thank Dr Noel Zagre, Dr Zuguo Mei and Dr Seth Adu‐Afarwuah for providing the additional information that confirmed the method used for gestational age assessment in the trials they were involved in (Adu‐Afarwuah et al., 2015 ; Liu et al., 2013 ; Zagre et al., 2007 ). This research was funded by a grant from the Bill & Melinda Gates Foundation (OPP1171060). Publisher Copyright: © 2023 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. Meta-analyses consistently have found that antenatal multiple micronutrient supplementation (MMS) compared with iron and folic acid (IFA) alone reduce adverse birth outcomes. In 2020, the World Health Organization (WHO) placed a conditional recommendation for MMS and requested additional trials using ultrasounds to establish gestational age, because the evidence on low birthweight (LBW), preterm birth and small for gestational age (SGA) was considered inconsistent. We conducted meta-analyses to determine if the effects of MMS on LBW, preterm birth and SGA differed by gestational age assessment method. Using data from the 16 trials in the WHO analyses, we calculated the effect estimates of MMS versus IFA on birth outcomes (generic inverse variance method and random effects model) stratified by method of gestational age assessment: ultrasound, prospective collection of the date of last menstrual period (LMP) and confirmation of pregnancy by urine test and recall of LMP. The effects of MMS versus IFA on birthweight, preterm birth and SGA appeared consistent across subgroups with no evidence of subgroup differences (p > 0.05). When limited to the seven trials that used ultrasound, the beneficial effects of MMS were demonstrated: risk ratios of 0.87 (95% confidence interval [CI] 0.78–0.97) for LBW, 0.90 (95% CI, 0.79–1.03) for preterm birth and 0.9 (95% CI, 0.83–0.99) for SGA. Sensitivity analyses indicated consistency in the results. These results, together with recent analyses demonstrating comparable effects of MMS (vs. IFA) on maternal anaemia outcomes, strengthen the evidence to support a transition from IFA to MMS programmes in low- and middle-income countries. publishersversion epub_ahead_of_print

Published
2023

21. A comprehensive intervention package including an egg- and milk-based snack improves the linear growth and dietary diversity of children under two years children in rural Bangladesh: A community-based cluster randomized controlled trial

Author

Ara, Gulshan, primary, Sanin, Kazi Istiaque, additional, Khanam, Mansura, additional, Sarker, Shafiqul Alam, additional, Tofail, Fahmida, additional, Nahar, Baitun, additional, Chowdhury, Imran Ahmed, additional, Boitchi, Anika Bushra, additional, Gibson, Sarah, additional, Afsana, Kaosar, additional, Askari, Sufia, additional, and Ahmed, Tahmeed, additional

Published
2022
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22. current evidence and programmatic considerations

Author

Gomes, Filomena, Ashorn, Per, Askari, Sufia, Belizan, Jose M., Boy, Erick, Cormick, Gabriela, Dickin, Katherine L., Driller-Colangelo, Amalia R., Fawzi, Wafaie, Hofmeyr, G. Justus, Humphrey, Jean, Khadilkar, Anuradha, Mandlik, Rubina, Neufeld, Lynnette M., Palacios, Cristina, Roth, Daniel E., Shlisky, Julie, Sudfeld, Christopher R., Weaver, Connie, Bourassa, Megan W., and NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)

Subjects
calcium deficiency, calcium supplementation, preeclampsia, History and Philosophy of Science, Biochemistry, Genetics and Molecular Biology(all), Neuroscience(all), pregnancy, hypertensive disorders
Abstract

Funding Information: We are thankful to Ann Prentice for her critical review of the section ?Concerns in populations with low calcium intake.? The convenings of the Calcium Task Force and the development of this paper and its open access were supported by funding from The Children's Investment Fund Foundation to the Nutrition Science Program of the New York Academy of Sciences. Publisher Copyright: © 2022 The Authors. Annals of the New York Academy of Sciences published by Wiley Periodicals LLC on behalf of New York Academy of Sciences. Most low- and middle-income countries present suboptimal intakes of calcium during pregnancy and high rates of mortality due to maternal hypertensive disorders. Calcium supplementation during pregnancy is known to reduce the risk of these disorders and associated complications, including preeclampsia, maternal morbidity, and preterm birth, and is, therefore, a recommended intervention for pregnant women in populations with low dietary calcium intake (e.g., where ≥25% of individuals in the population have intakes less than 800 mg calcium/day). However, this intervention is not widely implemented in part due to cost and logistical issues related to the large dose and burdensome dosing schedule (three to four 500-mg doses/day). WHO recommends 1.5–2 g/day but limited evidence suggests that less than 1 g/day may be sufficient and ongoing trials with low-dose calcium supplementation (500 mg/day) may point a path toward simplifying supplementation regimens. Calcium carbonate is likely to be the most cost-effective choice, and it is not necessary to counsel women to take calcium supplements separately from iron-containing supplements. In populations at highest risk for preeclampsia, a combination of calcium supplementation and food-based approaches, such as food fortification with calcium, may be required to improve calcium intakes before pregnancy and in early gestation. publishersversion published

Published
2022

23. prevalence of inadequate intakes and associated health outcomes

Author

Shlisky, Julie, Mandlik, Rubina, Askari, Sufia, Abrams, Steven, Belizan, Jose M, Bourassa, Megan W, Cormick, Gabriela, Driller-Colangelo, Amalia, Gomes, Filomena, Khadilkar, Anuradha, Owino, Victor, Pettifor, John M, Rana, Ziaul H, Roth, Daniel E, Weaver, Connie, and NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)

Subjects
SDG 3 - Good Health and Well-being
Abstract

© 2022 The Authors. Annals of the New York Academy of Sciences published by Wiley Periodicals LLC on behalf of New York Academy of Sciences. Dietary calcium deficiency is considered to be widespread globally, with published estimates suggesting that approximately half of the world's population has inadequate access to dietary calcium. Calcium is essential for bone health, but inadequate intakes have also been linked to other health outcomes, including pregnancy complications, cancers, and cardiovascular disease. Populations in low- and middle-income countries (LMICs) are at greatest risk of low calcium intakes, although many individuals in high-income countries (HICs) also do not meet recommendations. Paradoxically, many LMICs with lower calcium intakes show lower rates of osteoporotic fracture as compared with HICs, though data are sparse. Calcium intake recommendations vary across agencies and may need to be customized based on other dietary factors, health-related behaviors, or the risk of calcium-related health outcomes. The lack of standard methods to assess the calcium status of an individual or population has challenged efforts to estimate the prevalence of calcium deficiency and the global burden of related adverse health consequences. This paper aims to consolidate available evidence related to the global prevalence of inadequate calcium intakes and associated health outcomes, with the goal of providing a foundation for developing policies and population-level interventions to safely improve calcium intake and status where necessary. publishersversion epub_ahead_of_print

Published
2022

24. Calcium supplementation for the prevention of hypertensive disorders of pregnancy: Current evidence and programmatic considerations

Author

Gomes, Filomena; Ashorn, Per; Askari, Sufia; Belizan, Jose M.; Boy, Erick, http://orcid.org/0000-0002-0271-1725 Boy, Erick, Gomes, Filomena; Ashorn, Per; Askari, Sufia; Belizan, Jose M.; Boy, Erick, and http://orcid.org/0000-0002-0271-1725 Boy, Erick

Abstract

PR, IFPRI3; CRP4; HarvestPlus; 2 Promoting Healthy Diets and Nutrition for all; DCA; ISI, HarvestPlus; A4NH, CGIAR Research Program on Agriculture for Nutrition and Health (A4NH), Most low- and middle-income countries present suboptimal intakes of calcium during pregnancy and high rates of mortality due to maternal hypertensive disorders. Calcium supplementation during pregnancy is known to reduce the risk of these disorders and associated complications, including preeclampsia, maternal morbidity, and preterm birth, and is, therefore, a recommended intervention for pregnant women in populations with low dietary calcium intake (e.g., where ≥25% of individuals in the population have intakes less than 800 mg calcium/day). However, this intervention is not widely implemented in part due to cost and logistical issues related to the large dose and burdensome dosing schedule (three to four 500-mg doses/day). WHO recommends 1.5–2 g/day but limited evidence suggests that less than 1 g/day may be sufficient and ongoing trials with low-dose calcium supplementation (500 mg/day) may point a path toward simplifying supplementation regimens. Calcium carbonate is likely to be the most cost-effective choice, and it is not necessary to counsel women to take calcium supplements separately from iron-containing supplements. In populations at highest risk for preeclampsia, a combination of calcium supplementation and food-based approaches, such as food fortification with calcium, may be required to improve calcium intakes before pregnancy and in early gestation.

Published
2022

25. Calcium deficiency worldwide: prevalence of inadequate intakes and associated health outcomes

Author

Shlisky, Julie, primary, Mandlik, Rubina, additional, Askari, Sufia, additional, Abrams, Steven, additional, Belizan, Jose M., additional, Bourassa, Megan W., additional, Cormick, Gabriela, additional, Driller‐Colangelo, Amalia, additional, Gomes, Filomena, additional, Khadilkar, Anuradha, additional, Owino, Victor, additional, Pettifor, John M., additional, Rana, Ziaul H., additional, Roth, Daniel E., additional, and Weaver, Connie, additional

Published
2022
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26. What more can be done? Prioritizing the most promising antenatal interventions to improve birth weight

Author

Koivu, Annariina M., Haapaniemi, Tiia, Askari, Sufia, Bhandari, Nita, Black, Robert E., Chico, R. Matthew, Dewey, Kathryn G., Duggan, Christopher P., Klein, Nigel, Kumar, Somesh, Lawn, Joy E., Manji, Karim, Näsänen-Gilmore, Pieta K., Salasibew, Mihretab, Semrau, Katherine E.A., Ashorn, Ulla, Ashorn, Per, Awoyemi, Toluwalase, Ayede, Adejumoke I., Bastola, Kalpana, Bhutta, Zulfiqar A., Blencowe, Hannah, Christian, Parul, David, Anna, Hunter, Patricia, Isojärvi, Jaana, Katz, Joanne, De Costa, Ayesha, Erchick, Daniel J., Gibson, Sarah, Goncalves, Bronner P., Gravett, Michael G., Hadji, Maryam, Hazel, Elizabeth, Hofmeyr, G Justus, Kozuki, Naoko, Lee, Anne CC., Magge, Hema, Manasyan, Albert, Mohiddin, Abdulrahman, Morrison, Melissa, Muthiani, Yvonne, Nabwera, Helen, Nakimuli, Annettee, Okong, Pius, Prendergast, Andrew J., Simon, Jonathon, Temmerman, Marleen, and Yan, Jian

Abstract

Low birth weight (LBW) is associated with neonatal mortality and sequelae of lifelong health problems; prioritizing the most promising antenatal interventions may guide resource allocation and improve health outcomes.

Published
2023
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27. Factors influencing quality nutrition service provision at antenatal care contacts: Findings from a public health facility-based observational study in 21 districts of Bangladesh

Author

Billah, Sk Masum, primary, Ali, Nazia Binte, additional, Khan, Abdullah Nurus Salam, additional, Raynes-Greenow, Camille, additional, Kelly, Patrick John, additional, Siraj, Md. Shahjahan, additional, Askari, Sufia, additional, Menon, Purnima, additional, Arifeen, Shams El, additional, Dibley, Michael John, additional, and Nguyen, Phuong Hong, additional

Published
2022
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28. Calcium supplementation for the prevention of hypertensive disorders of pregnancy: current evidence and programmatic considerations

Author

Gomes, Filomena, primary, Ashorn, Per, additional, Askari, Sufia, additional, Belizan, Jose M., additional, Boy, Erick, additional, Cormick, Gabriela, additional, Dickin, Katherine L., additional, Driller‐Colangelo, Amalia R., additional, Fawzi, Wafaie, additional, Hofmeyr, G. Justus, additional, Humphrey, Jean, additional, Khadilkar, Anuradha, additional, Mandlik, Rubina, additional, Neufeld, Lynnette M., additional, Palacios, Cristina, additional, Roth, Daniel E., additional, Shlisky, Julie, additional, Sudfeld, Christopher R., additional, Weaver, Connie, additional, and Bourassa, Megan W., additional

Published
2022
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29. RAPIDIRON: Reducing Anaemia in Pregnancy in India A 3-Arm, Randomized-Controlled Trial Comparing The Effectiveness of Oral Iron With Single-Dose Intravenous Iron In The Treatment of Iron Deficiency Anaemia In Pregnant Women And Reducing Low Birth Weight Deliveries.

Author

Derman, Richard, primary, Goudar, Shivaprasad, additional, Thind, Simal, additional, Bhandari, Sudhir, additional, Aghai, Zubair, additional, Auerbach, Michael, additional, Boelig, Rupsa, additional, Charantimath, Umesh, additional, Frasso, Rosemary, additional, Ganachari, M. S., additional, Gaur, Kusum, additional, Georgieff, Michael, additional, Jaeger, Frances, additional, Kumar, Yogesh, additional, Lalakia, Parth, additional, Leiby, Benjamin, additional, Majumdar, Mita, additional, Mehta, Amarjeet, additional, Mehta, Seema, additional, Mehta, Sudhir, additional, Mennemeyer, Stephen, additional, Revankar, Amit, additional, Sharma, Dharmesh, additional, Short, Vanessa, additional, Somannavar, Manjunath, additional, Wallace, Dennis, additional, Shah, Hemang, additional, Singh, Manjula, additional, Askari, Sufia, additional, and Bellad, Mrutyunjaya, additional

Published
2021
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30. An Intervention Package Including Egg and Milk-Based Snack Improved Growth and Development of U-2 Children in Bangladesh: A Community-Based Randomized Controlled Trial

Author

Ara, Gulshan, primary, Sanin, Kazi Istiaque, additional, Khanam, Mansura, additional, Sarker, Md. Shafiqul Alam, additional, Tofail, Fahmida, additional, Chowdhury, Imran Ahmed, additional, Afsana, Kaosar, additional, Gibson, Sarah, additional, Askari, Sufia, additional, and Ahmed, Tahmeed, additional

Published
2021
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31. Food Systems Innovation Hubs in Low-and-Middle-Income Countries

Author

Beesabathuni, Kalpana, Askari, Sufia, Bajoria, Madhavika, Bloem, Marton, Gavin-Smith, Breda, Hamirani, Hamid, Kraemer, Klaus, Kumari, Priyanka, Lingala, Srujith, Milan, Anne, Tshering, Puja, van Zutphen, Kesso Gabrielle, and Woltering, Kris

Subjects
Food systems, Technology, Social exclusion, Innovations, Natural resources, energy and environment
Abstract

Our food systems are under pressure and failing us. This failure includes the inability to (a) produce and deliver high-quality diets to meet nutritional needs, (b) produce equal and equitable benefits, and (c) mitigate negative consequences. This paper aims to draw attention to the role that Food Systems Innovation Hubs can play in creating healthy, resilient and inclusive communities in LMICs. First, eight different archetypes of food innovation hubs are described. Future opportunities for these hubs to deliver planet-friendly nutritious and safe foods are then explored. It is argued that the complexity of food systems calls for context-specific transformations, and that innovation hubs have a key role to play here. Three key actions are identified as essential for developing effective Food Systems Innovation Hubs in LMICs: Inspire! Invest! and Innovate!

Published
2021
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32. RAPIDIRON: Reducing Anaemia in Pregnancy in India-a 3-arm, randomized-controlled trial comparing the effectiveness of oral iron with single-dose intravenous iron in the treatment of iron deficiency anaemia in pregnant women and reducing low birth weight deliveries.

Author

Derman, Richard J., Goudar, Shivaprasad S., Thind, Simal, Bhandari, Sudhir, Aghai, Zubair H., Auerbach, Michael, Boelig, Rupsa, Charantimath, Umesh S., Frasso, Rosemary, Ganachari, M. S., Gaur, Kusum Lata, Georgieff, Michael K., Jaeger, Frances, Yogeshkumar, S., Lalakia, Parth, Leiby, Benjamin, Majumdar, Mita, Mehta, Amarjeet, Mehta, Seema, Mehta, Sudhir, Mennemeyer, Stephen T., Revankar, Amit P., Sharma, Dharmesh Kumar, Short, Vanessa, Somannavar, Manjunath S, Wallace, Dennis, Shah, Hemang, Singh, Manjula, Askari, Sufia, Bellad, Mrutyunjaya B., RAPIDIRON Trial Group, Derman, Richard J., Goudar, Shivaprasad S., Thind, Simal, Bhandari, Sudhir, Aghai, Zubair H., Auerbach, Michael, Boelig, Rupsa, Charantimath, Umesh S., Frasso, Rosemary, Ganachari, M. S., Gaur, Kusum Lata, Georgieff, Michael K., Jaeger, Frances, Yogeshkumar, S., Lalakia, Parth, Leiby, Benjamin, Majumdar, Mita, Mehta, Amarjeet, Mehta, Seema, Mehta, Sudhir, Mennemeyer, Stephen T., Revankar, Amit P., Sharma, Dharmesh Kumar, Short, Vanessa, Somannavar, Manjunath S, Wallace, Dennis, Shah, Hemang, Singh, Manjula, Askari, Sufia, Bellad, Mrutyunjaya B., and RAPIDIRON Trial Group

Abstract

BACKGROUND: Anaemia is a worldwide problem and iron deficiency is the most common cause. In pregnancy, anaemia increases the risk of adverse maternal, foetal and neonatal outcomes. India's anaemia rate is among the highest in the world with India's National Family Health Survey indicating over 50% of pregnant women were affected by anaemia. India's Anaemia Mukt Bharat-Intensified National Iron Plus Initiative aims to reduce the prevalence of anaemia among reproductive-age women, adolescents and children by 3% per year and facilitate the achievement of a Global World Health Assembly 2025 objective to achieve a 50% reduction of anaemia among women of reproductive age. However, preliminary results of the NFHS-5 survey completed in 2020 indicate that anaemia rates are increasing in some states and these targets are unlikely to be achieved. With oral iron being the first-line treatment for iron deficiency anaemia (IDA) in pregnancy, these results are likely to be impacted by the side effects, poor adherence to tablet ingestion and low therapeutic impact of oral iron. These reports suggest a new approach to treating IDA, specifically the importance of single-dose intravenous iron infusions, may be the key to India effectively reaching its targets for anaemia reduction. METHODS: This 3-arm, randomized controlled trial is powered to report two primary outcomes. The first is to assess whether a single dose of two different intravenous formulations administered early in the second trimester of pregnancy to women with moderate IDA will result in a higher percentage of participants achieving a normal for pregnancy Hb concentration at 30-34 weeks' gestation or just prior to delivery when compared to participants taking standard doses of oral iron. The second is a clinical outcome of low birth weight (LBW) (< 2500 g), with a hypothesis that the risk of LBW delivery will be lower in the intravenous iron arms when compared to the oral iron arm. DISCUSSION: The RAPIDIRON trial will

Published
2021

34. Role of home visits by volunteer community health workers: to improve the coverage of micronutrient powders in rural Bangladesh

Author

Sarma, Haribondhu, primary, Mbuya, Mduduzi NN, additional, Tariqujjaman, Md, additional, Rahman, Mahfuzur, additional, Askari, Sufia, additional, Khondker, Rudaba, additional, Sultana, Sabiha, additional, Shahin, Shaima Arzuman, additional, Bossert, Thomas J, additional, Banwell, Cathy, additional, Neufeld, Lynnette M, additional, Ahmed, Tahmeed, additional, and D’Este, Catherine, additional

Published
2020
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36. Factors associated with home visits by volunteer community health workers to implement a home-fortification intervention in Bangladesh: a multilevel analysis.

Author

Sarma, Haribondhu, Tariqujjaman, Md, Mbuya, Mduduzi NN, Askari, Sufia, Banwell, Cathy, Bossert, Thomas J, D'Este, Catherine, and Ahmed, Tahmeed

Subjects
COMMUNITY health workers, HOME ownership, ENRICHED foods, CAREGIVERS, WATERSHEDS, VOLUNTEERS
Abstract

Objective: BRAC, an international development organization based in Bangladesh, engages community health workers called Shasthya Shebikas (SS) to implement home fortification of foods with micronutrient powders (MNP). We identified factors associated with home visits by SS, at different levels of the BRAC programme-delivery hierarchy, to implement home-fortification interventions.Design: We conducted a cross-sectional survey, semi-structured interviews, and collected programme-related data from sub-districts included in the caregiver survey of BRAC's home-fortification programme and performed multilevel logistic regression modelling to investigate factors associated with home visits by SS.Settings: Sixty-eight sub-districts in Bangladesh.Participants: Caregivers of children aged 6-59 months (n 1408) and BRAC's SS (n 201).Results: Households with older children (0·55; 0·42, 0·72; P < 0·001) and located >300 m from the SS's house (0·67; 0·50, 0·89; P = 0·006) were less likely to have been visited by the SS, whereas those with caregivers who had ≥5 years of schooling (1·53; 1·10, 2·12; P = 0·011) were more likely to have been visited by the SS (adjusted OR; 95 % CI). Households in the catchment area of older SS aged >50 years (0·44; 0·21, 0·90; P = 0·025) were less likely to have been visited by the SS, whereas those with SS who received incentives of >800 BDT (3·00; 1·58, 5·58; P = 0·001) were more likely to have been visited by the SS (adjusted OR; 95 % CI).Conclusions: The number of home visits is a function of the characteristics of SS, factors that characterize the households they serve and characteristics of their organizational context, particularly to implement home fortification of foods with MNP. [ABSTRACT FROM AUTHOR]

Published
2021
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37. Role of home visits by volunteer community health workers: to improve the coverage of micronutrient powders in rural Bangladesh.

Author

Sarma, Haribondhu, Mbuya, Mduduzi NN, Tariqujjaman, Md, Rahman, Mahfuzur, Askari, Sufia, Khondker, Rudaba, Sultana, Sabiha, Shahin, Shaima Arzuman, Bossert, Thomas J, Banwell, Cathy, Neufeld, Lynnette M, Ahmed, Tahmeed, and D'Este, Catherine

Subjects
VOLUNTEERS, CAREGIVERS, VOLUNTEER service, POWDERS
Abstract

Objective: We assessed the role of home visits by Shasthya Shebika (SS) - female volunteer community health workers (CHWs) - in improving the distribution of micronutrient powder (MNP), and explored the independent effects of caregiver-provider interaction on coverage variables.Design: We used data from three cross-sectional surveys undertaken at baseline (n 1927), midline (n 1924) and endline (n 1540) as part of an evaluation of a home fortification programme. We defined an exposure group as one that had at least one SS visit to the caregiver's household in the 12 months preceding the survey considering three outcome variables - message (ever heard), contact (ever used) and effective coverage (regular used) of MNP. We performed multiple logistic regressions to explore the determinants of coverage, employed an 'interaction term' and calculated an odds ratio (OR) to assess the modifying effect of SS's home visits on coverage.Settings: Sixty-eight sub-districts from ten districts of Bangladesh.Participants: Children aged 6-59 months and their caregivers.Results: A home visit from an SS positively impacts message coverage at both midline (ratio of OR 1·70; 95 % CI 1·25, 2·32; P < 0·01) and endline (ratio of OR 3·58; 95 % CI 2·22, 5·78; P < 0·001), and contact coverage both at midline (ratio of OR 1·48; 95 % CI 1·06, 2·07; P = 0·021) and endline (ratio of OR 1·74; 95 % CI 1·23, 2·47; P = 0·002). There was no significant effect of a SS's home visit on effective coverage.Conclusions: The households visited by BRAC's volunteer CHWs have better message and contact coverage among the children aged 6-59 months. [ABSTRACT FROM AUTHOR]

Published
2021
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38. Preface

Author

Gibson, Sarah, primary, Askari, Sufia, additional, and Hakobyan, Anna, additional

Published
2018
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40. Measles Vaccination Response During Kosi Floods, Bihar, India 2008.

Author

VARKEY, SHERIN, KRISHNA, GOPAL, PRADHAN, NAROTTAM, GUPTA, SATISH KUMAR, CARAVOTTA, JORGE, HOMBERGH, HENRI VANDEN, HOEKSTRA, EDWARD, ASKARI, SUFIA, and KANSAL, O. P.

Subjects
VACCINATION, MEASLES vaccines, FLOODS
Abstract

The Kosi floods of Bihar in 2008 led to initial rapid displacement followed by rehabilitation of the affected population. Strategically planned phase-wise activity of supplementary as well as primary measles vaccination combined with a variety of other interventions proved to be successful in preventing outbreaks and deaths due to measles. While 70% supplementary measles vaccination coverage was achieved in relief camps, the coverage of primary measles doses in the latter phases was dependant on accessibility of villages and previous vaccination status of eligible beneficiaries. The integrated diseases surveillance system, which became operational during the floods, also complemented the vaccination efforts by providing daily figures of cases with fever and rash. The overall response was not only successful in terms of preventing measles mortality, but also provided vital lessons that may be useful for planning future vaccination responses in emergency settings. [ABSTRACT FROM AUTHOR]

Published
2009

41. RAPIDIRON: Reducing Anaemia in Pregnancy in India-a 3-arm, randomized-controlled trial comparing the effectiveness of oral iron with single-dose intravenous iron in the treatment of iron deficiency anaemia in pregnant women and reducing low birth weight deliveries.

Author

Derman RJ, Goudar SS, Thind S, Bhandari S, Aghai Z, Auerbach M, Boelig R, Charantimath US, Frasso R, Ganachari MS, Gaur KL, Georgieff MK, Jaeger F, Yogeshkumar S, Lalakia P, Leiby B, Majumdar M, Mehta A, Mehta S, Mehta S, Mennemeyer ST, Revankar AP, Sharma DK, Short V, Somannavar MS, Wallace D, Shah H, Singh M, Askari S, and Bellad MB

Subjects
Adolescent, Child, Female, Humans, Infant, Low Birth Weight, Infant, Newborn, Iron, Pregnancy, Pregnant Women, Anemia, Anemia, Iron-Deficiency diagnosis, Anemia, Iron-Deficiency drug therapy, Anemia, Iron-Deficiency prevention & control, Pregnancy Complications, Hematologic diagnosis, Pregnancy Complications, Hematologic drug therapy
Abstract

Background: Anaemia is a worldwide problem and iron deficiency is the most common cause. In pregnancy, anaemia increases the risk of adverse maternal, foetal and neonatal outcomes. India's anaemia rate is among the highest in the world with India's National Family Health Survey indicating over 50% of pregnant women were affected by anaemia. India's Anaemia Mukt Bharat-Intensified National Iron Plus Initiative aims to reduce the prevalence of anaemia among reproductive-age women, adolescents and children by 3% per year and facilitate the achievement of a Global World Health Assembly 2025 objective to achieve a 50% reduction of anaemia among women of reproductive age. However, preliminary results of the NFHS-5 survey completed in 2020 indicate that anaemia rates are increasing in some states and these targets are unlikely to be achieved. With oral iron being the first-line treatment for iron deficiency anaemia (IDA) in pregnancy, these results are likely to be impacted by the side effects, poor adherence to tablet ingestion and low therapeutic impact of oral iron. These reports suggest a new approach to treating IDA, specifically the importance of single-dose intravenous iron infusions, may be the key to India effectively reaching its targets for anaemia reduction., Methods: This 3-arm, randomized controlled trial is powered to report two primary outcomes. The first is to assess whether a single dose of two different intravenous formulations administered early in the second trimester of pregnancy to women with moderate IDA will result in a higher percentage of participants achieving a normal for pregnancy Hb concentration at 30-34 weeks' gestation or just prior to delivery when compared to participants taking standard doses of oral iron. The second is a clinical outcome of low birth weight (LBW) (< 2500 g), with a hypothesis that the risk of LBW delivery will be lower in the intravenous iron arms when compared to the oral iron arm., Discussion: The RAPIDIRON trial will provide evidence to determine if a single-dose intravenous iron infusion is more effective and economically feasible in reducing IDA in pregnancy than the current standard of care., Trial Registration: Clinical Trials Registry - India CTRI/2020/09/027730. Registered on 10 September 2020, http://ctri.nic.in/Clinicaltrials/showallp.php?mid1=46801&EncHid=&userName=anemia%20in%20pregnancy., (© 2021. The Author(s).)

Published
2021
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