This document summarizes a presentation about creating an evidence gap map on implementation research in nutrition-specific interventions in India. It discusses what an evidence gap map is and how this project will map available evidence on interventions like food supplementation, fortification, micronutrient supplementation, behavior change communication, and severe acute malnutrition management. The evidence gap map will analyze this evidence across implementation outcomes like access, coverage, compliance, as well as barriers and facilitators. The project involves systematically searching over 30,000 records across databases and websites and screening over 20,000 titles and abstracts and 1,200 full texts. Preliminary findings show most evidence is for food supplementation and behavior change communication interventions focused in rural areas. The evidence gap map aims

1. Mapping Implementation Research in Nutrition
Stuti Tripathi, Evaluation System Specialist (Presenter)
Marie Gaarder, Director Evaluation
Pooja Sengupta, Senior Research Associate
Urmi Bhattacharya, Senior Consultant
Abhirupa Das, Consultant
India International Centre, New Delhi
24 September 2019

2. To create an Evidence Gap Map on
Implementation Research in
Nutrition-Specific Interventions in India
3ie and IFPRI are collaborating:

3. What is an Evidence Gap Map?

5. So, impact of nutrition on health
outcomes, and some intermediate
outcomes leading to it
What then is innovative about our work?
TheBlackboxof
mechanisms
Stakeholders
characteristics
Intervention
delivery quality
Contextual
barriers and
enablers
The GAP MAP will shine a light on implementation
evidence available and potentially help unpack
‘why’ or ‘why not’ of programme impact
EGMs typically map
effectiveness outcomes to
interventions.
Intervention Outcomes

6. Supplementary feeding
• take home ration, on spot feeding, supplementary food rations
Food fortification
• vitamins and minerals through commonly consumed foods
Micronutrients supplementation
• during pregnancy (iron, iodine, vitamin A, calcium and folic acid).
• children below 2 year of age (iron, iodine, vitamin A and folic acid, zinc),
• micronutrient power for home fortification
Severe Acute Malnourishment (SAM)
• screening, referral, management of SAM in children below 2 years
Behaviour Change Communication: Counselling on
• intake of micronutrient supplementation and nutrition during pregnancy,
• breastfeeding, and complementary feeding,
• growth monitoring of children aged 2 years or less
Additional interventions
• delayed chord clamping
• weighed during pregnancy
Nutrition specific interventions

7. Implementation outcomes
• Access
• Participant identification and
targeting
• Sufficiency and adequacy of
resources
• Monitoring
• Cost
Programme
• Coverage
• Uptake/ compliance
• Knowledge/ Awareness/ Attitude
• Acceptability
• Feasibility
Participant
• Coverage
• Compliance/ Performance
• Knowledge/ Awareness/ Attitudes
• Acceptability
• Motivation/ Job satisfaction or
confidence
• Time use
• Quality of engagement
FLW
CrossCutting:
Barriersandfacilitators
(intrinsicandextrinsic)

8. Building the EGM: Our search
strategy
• Draw up a list of
database/trial
registries to be
searched. ~12
repositories
• Compile list of
websites to hand-
search grey literature.
~44 websites
• Reach out to experts
through snowballing
for grey literature ~ 21
experts.
Directory Total hits
MEDLINE
10,045
Cochrane Library
1,406
CAB Global Health
7,296
CAB Abstracts
6,176
CINAHL (Plus) EBSCO
914
Popline
2,057
PsycINFO
638
WHO Global Health
Library 1,115
Web of Science (WoS)
1,186
EBSCO Discovery
1,391
Epistemonikos
405
WHO ICTRP
223
Total
32,852

9. Systematic
search: 32,852
Title and abstract
screening: 20,465
Full text
screening: 1,226
Full paper coding
(ongoing): 400 approx.
Removal of
duplicate
records +
manual search

10. Preliminary findings
(from full text screening)

11. 48
16
10
320
0 50 100 150 200 250 300 350
Impact Evaluation
Process Evaluation
IE and PE
Other Evaluations
What the
evidence
looks like

12. 25%
37%
37%
1% It is an ICDS
intervention
Collaboration with
ICDS
Not ICDS related
Information not
avaialble
ICDS is well studied
112
34
158
200
29
14
116
0 50 100 150 200 250
FOOD SUPPLEMENTATION
FORTIFICATION
MICRONUTRIENTS SUPPLEMENTATION
BEHAVIOUR CHANGE COMMUNICATION
SEVERE ACUTE MALNUTRITION
OTHER INTERVENTIONS
AWC/SUB-CENTRE/PHC

13. Rural Urban
Rural and
Urban
No
information
available
Series1 168 60 83 82
168
60
83 82
State wise distribution
of evidence
Rural-Urban divide

14. Thank you