Effective Means to Address Moderately Malnourished Children

NCT ID: NCT00751582

Last Updated: 2016-03-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 300 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 1998-07-31
• Study Completion Date: 1998-11-30

Brief Summary

Supplementary feeding and intensive IEC at the community level will effectively reduce moderate PEM compared to the control children within 3 months .

Intensive nutrition education at the household level will reduce by at least one third of the prevalence of moderate malnutrition (40% of present level) within a short period of 3 months

Detailed Description

Bangladesh is one of the countries having highest proportions of malnourished children in the world. The Bangladesh Integrated nutrition Project (BINP) is a recent initiative of the Government of Bangladesh to reduce malnutrition of women and children under two years of age. The BINP includes a specific programme to address severely malnourished children at the community level, however there is no such programme directed toward moderately malnourished children. Moderately malnourished children form a large proportion of children in the community, and with success of the BINP, this proportion is growing, as severely malnourished children shift to the moderately malnourished category. To address this, operations research will be undertaken in a BINP thana named Shahrasti, in Chandpur District over a 6 month period. A total of 300 children in three groups from Community Nutrition Centres (CNC) will be studied. There will be groups in the study. In addition to usual component of the BINP, mothers of the first group of intervention will receive intensive nutrition education and motivation for child care, complementary food demonstration, and household food mobilization for child feeding weekly for first four weeks then reinforced every two weeks. The second intervention group will receive a packet of the usual BINP food supplement daily for 6 days a week for 3 months and nutrition education at the same intensity. The third group will be a control group and will receive only the usual programme inputs of BINP and their weight gain will be recorded. The CNP, women group and village nutrition committee will be involved. Focus group discussion will be held with mothers. Data on morbidity will be collected and necessary medical advise will be given equal to each group. Data collection, counseling on child caring practice, food demonstration and nutrition education using IEC will be organized and supervised by project staff. It is assumed that if the intervention is successful, and once the nutritional status improves, they are likely to maintain good health. The IEC on dietary practice will be communicated to the village members for preventive measures. Data will be analyzed for change in nutrition groups from moderate to mild malnutrition or normal nutrition and will be compared between the control and two intervention groups. It is expected that the results of the study will help to address to reduce moderate malnutrition existing in the large proportion of malnourished children. This will in turn reduce the risk of regressing to severe malnutrition.

Conditions

Malnutrition

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

2

Food supplementation and nutrition education

Group Type: EXPERIMENTAL

Food supplementation and nutrition education

Intervention Type: DIETARY_SUPPLEMENT

Food supplementation and nutrition education for three months

Control Group

Intervention Type: OTHER

No Nutrition Education

1

Nutrition Education only

Group Type: EXPERIMENTAL

Nutrition education

Intervention Type: BEHAVIORAL

Nutrition education for children for three months

Interventions

Food supplementation and nutrition education

Food supplementation and nutrition education for three months

Intervention Type: DIETARY_SUPPLEMENT

Nutrition education

Nutrition education for children for three months

Intervention Type: BEHAVIORAL

Control Group

No Nutrition Education

Intervention Type: OTHER

Other Intervention Names

PUSHTI PACKET; PUSHTI PACKET

Eligibility Criteria

Inclusion Criteria

• Less than 2 years moderately malnourished children

Exclusion Criteria

• Nourished children

• Minimum Eligible Age: 6 Months
• Maximum Eligible Age: 2 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

World Bank

OTHER

Sponsor Role: collaborator

International Centre for Diarrhoeal Disease Research, Bangladesh

OTHER

Sponsor Role: lead

Responsible Party

ICDDRB

Principal Investigators

Swapan K Roy, PhD, FRCP

Role: PRINCIPAL_INVESTIGATOR

Senior Scientist, ICDDR,B

Locations

ICDDRB

Dhaka, , Bangladesh

Countries

Bangladesh

Other Identifiers

98-018

Identifier Type: -

Identifier Source: org_study_id