Evaluation of Two Community Based Screening Strategies for Severe Acute Malnutrition in Children 6-59 Months in Mirria District, Niger

NCT ID: NCT01863394

Last Updated: 2014-07-15

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

Clinical Phase

NA

Total Enrollment

4429 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Study Completion Date

2014-04-30

Brief Summary

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The objective of this study is to determine the efficacity of a community strategy for screening children 06-59 months old for Severe Acute Malnutrition (SAM) conducted by their mothers' compared with a community screening strategy conducted by Community Health Workers.

Detailed Description

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Conditions

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Malnutrition

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Screening by community health workers

One Community Health Worker (CHW) will be trained per village in the comparator arm. The training the CHWs receive will be identical to that delivered in the Community Management of Acute Malnutrition program run by ALIMA/BEFEN (Bien Être de la Femme et l'Enfant Niger) over the last 3 years. This involves 6 hours theoretical training and a practical session in the health centre.

CHWs will screen children 06-59 months in their village once a month

Group Type ACTIVE_COMPARATOR

Active comparator: Screening by community health workers

Intervention Type OTHER

Screening by mothers

Mothers in the intervention health district will be trained in small womens' groups in their village. Training will have a theoretical component and a practical demonstration component on children in the village

During the first baseline door to door mass screening campaign, mothers will also receive individual training on conducting a Mid Upper Arm Circumference (MUAC) classification and looking for pedal oedema. they will receive a brief recap during the three monthly door-to-door mass screening campaigns

Mothers will be asked to check their child's MUAC and look for pedal oedema

* whenever the child does not seem to be in 'good health' to the mother
* whenever the mother feels that the child is 'unwell' or 'sick'
* whenever it seems to the mother that her child has lost weight
* whenever the mother thinks that it is necessary to do so

Group Type EXPERIMENTAL

Screening by mothers

Intervention Type OTHER

Interventions

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Screening by mothers

Intervention Type OTHER

Active comparator: Screening by community health workers

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* children aged 06-59 months at the time of the study
* children who live in a village in the health district participating in the study

Exclusion Criteria

* children whose legal guardian refuses to participate in the study
Minimum Eligible Age

6 Months

Maximum Eligible Age

59 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Commission

OTHER

Sponsor Role collaborator

Alliance for International Medical Action

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nikki BLACKWELL, FCICM

Role: PRINCIPAL_INVESTIGATOR

Alliance for International Medical Action

Isabelle Defourney, MBBS

Role: STUDY_DIRECTOR

Alliance for International Medical Action

Locations

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Mirriah health district

Mirriah, Zinder Region, Niger

Site Status

Countries

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Niger

References

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Ale FG, Phelan KP, Issa H, Defourny I, Le Duc G, Harczi G, Issaley K, Sayadi S, Ousmane N, Yahaya I, Myatt M, Briend A, Allafort-Duverger T, Shepherd S, Blackwell N. Mothers screening for malnutrition by mid-upper arm circumference is non-inferior to community health workers: results from a large-scale pragmatic trial in rural Niger. Arch Public Health. 2016 Sep 6;74(1):38. doi: 10.1186/s13690-016-0149-5. eCollection 2016.

Reference Type DERIVED
PMID: 27602207 (View on PubMed)

Other Identifiers

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MUAC À L'ÉCHELLE

Identifier Type: -

Identifier Source: org_study_id

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