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

NCT01863394 | Completed DMC

• 1 other identifier: MUAC À L'ÉCHELLE
• Study Type: interventional
• Target: 4,429
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Malnutrition

Keywords

Screening; Malnutrition; Community Management of Acute Malnutrition

Outcome Measures

Primary Outcomes (1)

• The coverage of the therapeutic nutritional program in the control and intervention health districts

  Coverage of the the therapeutic nutritional treatment program is defined as the proportion of children 06-59 months with Severe Acute Malnutrition (Mid Upper Arm Circumference \<115mm and/or oedema) receiving treatment in the program, amongst the total number of children diagnosed with Severe Acute Malnutrition

  12 months

Secondary Outcomes (1)

• Malnutrition program data for children referred by community health workers & mothers

  12 months

Study Arms (2)

Screening by community health workers

ACTIVE COMPARATOR

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

Other: Active comparator: Screening by community health workers

Screening by mothers

EXPERIMENTAL

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

Other: Screening by mothers

Interventions

Screening by mothers OTHER

Screening by mothers

Active comparator: Screening by community health workers OTHER

Screening by community health workers

Eligibility Criteria

• Age: 6 Months - 59 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• 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

You may not qualify if:

• children whose legal guardian refuses to participate in the study

Sponsors & Collaborators

• Alliance for International Medical Action: lead
• European Commission: collaborator

Study Sites (1)

Mirriah health district

Mirriah, Zinder Region, Niger

Location

Related Publications (1)

• 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.

  PMID: 27602207 DERIVED

MeSH Terms

Conditions

Malnutrition

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Study Officials

• Nikki BLACKWELL, FCICM

  Alliance for International Medical Action

  PRINCIPAL INVESTIGATOR

• Isabelle Defourney, MBBS

  Alliance for International Medical Action

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 7, 2013
• First Posted: May 29, 2013
• Study Start: May 1, 2013
• Primary Completion: April 1, 2014
• Study Completion: April 1, 2014
• Last Updated: July 15, 2014

Record last verified: 2014-07

Locations

NI (1)