Table 2.
Study author | Exposure comparison | Modality of outcome assessment | Primary outcome measure | Implementation science outcome |
Randomised | ||||
Alexander et al (Nigeria)13 | A two-burner aluminium CLEANCOOK ethanol stove (CLEANCOOK Sweden AB, Stockholm, Sweden) versus kerosene/firewood users | An automatic BP monitor (ABPM) (Microlife BP 3BM1-3; Microlife AG Swiss Corp., Widnau, Switzerland) | Change in diastolic blood pressure (DBP) during pregnancy | Feasibility |
McCracken et al (Guatemala)15 | Improved woodstove called plancha—waist high enclosed combustion chamber, and a chimney to vent emissions from the kitchen. Versus open fires | An ABPM (52000 series; Welch Allyn, Skaneateles Falls, New York, USA) | Change in systolic BP (SBP) and DBP | Feasibility |
Quinn et al (Ghana)16 | (1) Improved-combustion biomass-burning BioLite HomeStoves (BioLite, Brooklyn, New York); or, (2)two-burner liquefied petroleum gas stoves and associated cooking fuel. Versus three-stoned open fire fueled by firewood. |
24 hours ABPM to measure BP. SpaceLabs 90,207 ABP monitors (SpaceLabs Medical, Redmond, Washington) And home blood pressure monitor (HBPM) an Omron BP791IT automatic digital blood pressure Monitors (Omron Healthcare, Bannockburn, Illinois) |
Changes in ambulatory SBP and DBP as a result of exposure to carbon monoxide and to improved cookstove | Feasibility |
Non-randomised | ||||
Alexander et al (Bolivia)12 | Improved adobe wood-burning cookstove called the Yanayo cookstove, a chimney and a metal roof for the kitchen. Versus open pit fires | Omron blood pressure monitor (Model HEM-705CP) | Change in BP levels associated with reduced PM level during cooking | Adoption |
Clark et al (Nicaragua)14 | Ecostove: wood-burning cookstove with a more efficient combustion chamber and a chimney versus traditional open fire cookstoves | Aneroid sphygmomanometers | Change in SBP and DBP | Feasibility and adoption |
BP, blood pressure; PM, particulate matter.