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The problem
Intervention: Home visiting intervention compared to standard care
Who it was tested with: 1,238 pregnant women in periurban township neighborhoods in Cape Town, South Africa.
Children or communities are compared with a group that did not receive the intervention, or followed over years. This is the design that best separates what the intervention did from everything else that changed.
"Pregnant women in 24 periurban township neighborhoods in Cape Town, South Africa (N = 1,238 mothers) were randomized by neighborhood to a home visiting intervention or a standard care condition. Reassessments were conducted for 93%-85% of mothers at 2-weeks, 6-, 18-, and 36-months postbirth." The randomized design with multiple follow-up assessments provides experimental evidence, but the focus on depression patterns across both groups rather than intervention effects makes the intervention outcome inconclusive.
The intervention effects on maternal depression and child outcomes are not clearly reported separately from the observational analysis of depression patterns. The study does not isolate whether the home visiting intervention improved outcomes or reduced depression.
Across countries and designs
7 studies · 4 countries