Reducing Malnutrition and Helminthic Infectious Disease Among Primary School Children by the School Nurses

NCT ID: NCT05012592

Last Updated: 2023-03-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 604 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-09-17
• Study Completion Date: 2022-12-31

Brief Summary

Title: Reducing malnutrition and helminthic infectious disease among primary school children by the school nurses: School-based non-randomized study in a developing country

Introduction: Globally, malnutrition alone with the infectious disease a widespread problem among primary school (5 to 12 years) children. Infectious diseases such as worm infestations are aggravated with nutritional disorders which most often lead to anemia and several complications. The prevalence of malnutrition and intestinal worm infestation/ helminthic infection is still high and the awareness level of those issues is immensely poor. However, there are limited studies that evaluated the impact of increasing health awareness by the development of the Health Awareness Program for Primary School Children (HAPSC) which is conducted by the experimentally placed school nurse in Bangladesh.

Objective: To increase health awareness and knowledge towards reducing malnutrition and intestinal worm infestation by implement and evaluate the impact of the Health Awareness Program for Primary School children (HAPSC) in Bangladesh.

Methods:

Design: A prospective, open-label, parallel-group (1:1), cluster non-randomization controlled trial (NRCT)

Site and sample: School children from four primary schools in the rural areas of North Matlab at Chandpur district at Chittagong division in Bangladesh.

Duration: The duration of this study is from August 2021 to March 2024 (32nd months).

Outcome variables:

Primary: changes in malnutrition among primary school children. Secondary: Evaluate and reduce the prevalence of intestinal worm infestation, increase awareness and knowledge regarding malnutritional and intestinal worm infestation, improvement of health behavior (eating and hygiene), frequency of school absent days, and health-related quality of life.

Conclusion: Health education by the health professional in the school setting may be an effective method for improving health behavior, and increasing awareness and knowledge levels about malnutrition and intestinal worm infestation from early childhood.

Conditions

Malnutrition, Child; Intestinal Worms

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Intervention Group

Health assessment (health checkup) and health awareness program to reduce malnutrition and helminth infestation among primary school children

Group Type: ACTIVE_COMPARATOR

Health Awareness Program TO Reduce Malnutrition and Helminth Infestation among Primary School children

Intervention Type: BEHAVIORAL

This interventional study period started from September 2021 up to September 2022 (13 months) by school nurses to implement HAPSC. After completing four to five months of the educational session the school nurse will collect midline follow-up data and the endline data will be collected at the end of the interventional study. In this period a total of nine months (except annual leave) will be considered an interventional education period. The intervention group will receive one educational session per week every month. School nurses will be assigned for each class to provide health education. Each session will be conducted for a maximum of 45 minutes. The community worker will be assigned to assist the school nurse and they will communicate with the child's parents about their child's healthy nutrition and good hygiene practice. The significance of healthy eating and hygiene behavior for the children will be shared with the child's parents or guardians properly.

Comparison group

Health assessment (health checkup) was provided but no health educational intervention during the intervention period

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Health Awareness Program TO Reduce Malnutrition and Helminth Infestation among Primary School children

This interventional study period started from September 2021 up to September 2022 (13 months) by school nurses to implement HAPSC. After completing four to five months of the educational session the school nurse will collect midline follow-up data and the endline data will be collected at the end of the interventional study. In this period a total of nine months (except annual leave) will be considered an interventional education period. The intervention group will receive one educational session per week every month. School nurses will be assigned for each class to provide health education. Each session will be conducted for a maximum of 45 minutes. The community worker will be assigned to assist the school nurse and they will communicate with the child's parents about their child's healthy nutrition and good hygiene practice. The significance of healthy eating and hygiene behavior for the children will be shared with the child's parents or guardians properly.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• The primary school children who are studying in class 1 to class 5 among male, female or others gender.
• The children's parents or legal guardians would like to give consent and are willing to participate in the study.
• Those, who will be agreed to receive health check-ups, answer questionnaires and are willing to give the sample for laboratory investigation.
• Who will stay in the same school and area till study completion.

Exclusion Criteria

• The child is absent from school during the health checkup periods (at baseline) due to severe illness or without any reason and information.
• Who does not want to give consent and is not willing to participate.
• Who does not want to share their information and does not want to give the sample for laboratory investigations.

• Minimum Eligible Age: 5 Years
• Maximum Eligible Age: 12 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

North South University

OTHER

Sponsor Role: collaborator

Hiroshima University

OTHER

Sponsor Role: lead

Responsible Party

Sadia Aivey

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Sadia Aivey

Role: PRINCIPAL_INVESTIGATOR

Hiroshima University

Locations

North South University

Dhaka, , Bangladesh

Countries

Bangladesh

Other Identifiers

21H03250

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2021/OR-NSU/IRB/0701

Identifier Type: -

Identifier Source: org_study_id