Assessment of the Nutritional Status of Pregnant Women and Optimization of Prenatal Care Services

NCT ID: NCT01832688

Last Updated: 2020-02-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

2306 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-02-28

Study Completion Date

2015-09-30

Brief Summary

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A national survey in Niger found that women and children are at risk of undernutrition and that many pregnant women don't visit health centers during pregnancy as often as is recommended. The aim is to assess the nutritional and health status of pregnant women in the Zinder region and to understand their knowledge, attitudes and practices related to health and nutrition during pregnancy. In collaboration with the Medical District of Zinder the prenatal care services will be optimized and the programmatic impact on gestational weight gain and anemia prevalence will be assessed.

Detailed Description

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Conditions

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Pregnancy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Baseline cohort

The baseline survey will be implemented among pregnant women in randomly selected villages using a continuous enrollment schedule over the period of 18 months

No interventions assigned to this group

Optimization cohort

The programmatic impact of optimized prenatal care services on women's health and behavior will be assessed among pregnant women in randomly selected villages (Programmatic prenatal care optimization)

Programmatic prenatal care optimization

Intervention Type OTHER

To further integrate and improve nutrition-related services and messages in the prenatal care package.

Interventions

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Programmatic prenatal care optimization

To further integrate and improve nutrition-related services and messages in the prenatal care package.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Pregnant

Exclusion Criteria

* Pregnant women, who have severe illness warranting immediate hospital referral
Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Helen Keller International

OTHER

Sponsor Role collaborator

Micronutrient Initiative

OTHER

Sponsor Role collaborator

University of California, Davis

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sonja Y Hess, PhD

Role: PRINCIPAL_INVESTIGATOR

University of California, Davis

Locations

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Helen Keller International

Zinder, , Niger

Site Status

Countries

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Niger

References

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Hess SY, Ouedraogo CT, Bamba IF, Wessells KR, Keith N, Faye T, Ndiaye B, Doudou M, Nielsen J. Using formative research to promote antenatal care attendance and iron folic acid supplementation in Zinder, Niger. Matern Child Nutr. 2018 Apr;14(2):e12525. doi: 10.1111/mcn.12525. Epub 2017 Sep 19.

Reference Type BACKGROUND
PMID: 28924978 (View on PubMed)

Wessells KR, Young RR, Ferguson EL, Ouedraogo CT, Faye MT, Hess SY. Assessment of Dietary Intake and Nutrient Gaps, and Development of Food-Based Recommendations, among Pregnant and Lactating Women in Zinder, Niger: An Optifood Linear Programming Analysis. Nutrients. 2019 Jan 2;11(1):72. doi: 10.3390/nu11010072.

Reference Type BACKGROUND
PMID: 30609695 (View on PubMed)

Wessells KR, Ouedraogo CT, Young RR, Faye MT, Brito A, Hess SY. Micronutrient Status among Pregnant Women in Zinder, Niger and Risk Factors Associated with Deficiency. Nutrients. 2017 Apr 26;9(5):430. doi: 10.3390/nu9050430.

Reference Type RESULT
PMID: 28445440 (View on PubMed)

Begum K, Ouedraogo CT, Wessells KR, Young RR, Faye MT, Wuehler SE, Hess SY. Prevalence of and factors associated with antenatal care seeking and adherence to recommended iron-folic acid supplementation among pregnant women in Zinder, Niger. Matern Child Nutr. 2018 Feb;14 Suppl 1(Suppl 1):e12466. doi: 10.1111/mcn.12466.

Reference Type RESULT
PMID: 29493896 (View on PubMed)

Hess SY, Ouedraogo CT, Young RR, Bamba IF, Stinca S, Zimmermann MB, Wessells KR. Urinary iodine concentration identifies pregnant women as iodine deficient yet school-aged children as iodine sufficient in rural Niger. Public Health Nutr. 2017 May;20(7):1154-1161. doi: 10.1017/S1368980016003232. Epub 2016 Dec 15.

Reference Type RESULT
PMID: 27974077 (View on PubMed)

Ouedraogo CT, Wessells KR, Young RR, Bamba IF, Faye MT, Banda N, Hess SY. The mixed effects of a package of multilevel interventions on the health and care of pregnant women in Zinder, Niger. BMJ Glob Health. 2019 Dec 10;4(6):e001200. doi: 10.1136/bmjgh-2018-001200. eCollection 2019.

Reference Type RESULT
PMID: 31908852 (View on PubMed)

Ouedraogo CT, Wessells KR, Young RR, Faye MT, Hess SY. Prevalence and determinants of gestational weight gain among pregnant women in Niger. Matern Child Nutr. 2020 Jan;16(1):e12887. doi: 10.1111/mcn.12887. Epub 2019 Sep 30.

Reference Type RESULT
PMID: 31568674 (View on PubMed)

Ouedraogo CT, Vosti SA, Wessells KR, Arnold CD, Faye MT, Hess SY. Out-of-pocket costs and time spent attending antenatal care services: a case study of pregnant women in selected rural communities in Zinder, Niger. BMC Health Serv Res. 2021 Jan 8;21(1):47. doi: 10.1186/s12913-020-06027-2.

Reference Type DERIVED
PMID: 33419448 (View on PubMed)

Other Identifiers

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10-1335-UCALIF

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

447971

Identifier Type: -

Identifier Source: org_study_id

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