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

NCT01832688 | Completed

• 2 other identifiers: 44797110-1335-UCALIF
• Study Type: observational
• Target: 2,306
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Pregnancy

Keywords

iron and folic acid supplements; anemia; gestational weight gain

Outcome Measures

Primary Outcomes (3)

• Prevalence of inadequate gestational weight gain

  6 months

• Anemia prevalence

  6 months

• Access and adherence to prenatal iron and folic acid supplements

  6 months

Secondary Outcomes (1)

• Prevalence of inadequate dietary diversity scores

  6 months

Study Arms (2)

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

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)

Other: Programmatic prenatal care optimization

Interventions

Programmatic prenatal care optimization OTHER

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

Optimization cohort

Eligibility Criteria

• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Pregnant women residing in participating villages

You may qualify if:

• Pregnant

You may not qualify if:

• Pregnant women, who have severe illness warranting immediate hospital referral

Sponsors & Collaborators

• University of California, Davis: lead
• Helen Keller International: collaborator
• Micronutrient Initiative: collaborator

Study Sites (1)

Helen Keller International

Zinder, Niger

Location

Related Publications (8)

• 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.

  PMID: 28924978 BACKGROUND

• 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.

  PMID: 30609695 BACKGROUND

• 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.

  PMID: 28445440 RESULT

• 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.

  PMID: 29493896 RESULT

• 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.

  PMID: 27974077 RESULT

• 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.

  PMID: 31908852 RESULT

• 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.

  PMID: 31568674 RESULT

• 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.

  PMID: 33419448 DERIVED

Biospecimen

Retention: SAMPLES WITHOUT DNA

Blood and urine sample for assessment of nutritional status

MeSH Terms

Conditions

Anemia; Gestational Weight Gain

Condition Hierarchy (Ancestors)

Hematologic Diseases; Hemic and Lymphatic Diseases; Weight Gain; Body Weight Changes; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Sonja Y Hess, PhD

  University of California, Davis

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 4, 2013
• First Posted: April 16, 2013
• Study Start: February 1, 2014
• Primary Completion: September 1, 2015
• Study Completion: September 1, 2015
• Last Updated: February 28, 2020

Record last verified: 2020-02

Locations

NI (1)