Benefits of a Household WASH Package to Community-based Management of Acute Malnutrition (CMAM) Program, Chad
OUADINUT
1 other identifier
interventional
1,572
1 country
1
Brief Summary
The objective of the research is to assess the effectiveness of adding a Household WASH component to the standard outpatient treatment of severe acute malnutrition. Study design: cluster-randomized controlled trial comparing two interventions:
- 1.Control group: outpatient management of children diagnosed for severe acute malnutrition only
- 2.Intervention group: outpatient management of children diagnosed for severe acute malnutrition + "household WASH package"
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2015
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2015
CompletedFirst Submitted
Initial submission to the registry
May 26, 2015
CompletedFirst Posted
Study publicly available on registry
July 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2016
CompletedSeptember 7, 2016
September 1, 2016
1.1 years
May 26, 2015
September 6, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Difference in the proportion of post-recovery relapse cases
This is a dichotomous variable based on whether a child discharged as cured from the OTP program has a new event of acute malnutrition during the 6 months following the discharge. The relapse proportion for each group = \[Total number of relapsing children\] / \[total number of discharged children that have been followed up\] Relative reduction of 42% (from 12% to 7%) is expected.
2 months and 6 months after successful OTP discharge
Secondary Outcomes (4)
Difference in the average weight gain at the OTP discharge
an expected average is between 7 and 8 weeks
Difference in the anthropocentric measurements (WHZ, HAZ, WAZ)
up to 6 months after OTP discharge
Diarrhoea Incidence
up to 6 months follow up
Difference in the length of stay in the OTP
an expected average is between 7 and 8 weeks.
Study Arms (2)
Control group
ACTIVE COMPARATOROutpatient management of children diagnosed with severe acute malnutrition. Interventions allocated: Behavioral: Group discussions after successful discharge Procedure/Surgery: Outpatient Therapeutic Programme
Intervention group
EXPERIMENTALOutpatient management of children diagnosed with severe acute malnutrition + "household WASH package" Interventions allocated: Behavioral: Hygiene promotion sessions Device: Household WASH package The content of the kit: soap and aquatab for 3 months, 20 liters Jerry can, a cup, a plastic kettle for hand washing and the instructions leaflet. Behavioral: Household visits during the OTP phase Behavioral: Group discussions after successful discharge Procedure/Surgery: Outpatient Therapeutic Programme
Interventions
Hygiene promotion sessions are provided weekly to the caretakers at the health center level. They contain 7 main messages this study is trying to get across: Allocate a protected space for children to play, limiting the likelihood of them ingesting soil or animal feces; Wash the child with soap (hand, face) when outside the protected area; Cleaning and rapid burial of children's stools; Key times for hand washing with soap for the child caretaker; Store drinking water in a closed container located in an elevated place out of reach of animals; Drinking water provided to the child should be treated with chlorine or boiled; Once weaned, avoid giving to the child leftover food, or only after warming it again.
The content of the kit: 200 g soap, aquatab 67 g, 20 liters Jerry can, a cup, a plastic kettle for hand washing and the instructions leaflet.
A household visit conducted by village's community health volunteers and ACF intervention staff during and after the treatment, to provide refresh training on the messages and the use of the kit.
Group discussions on hygiene and care practices with mothers at the community level after successful discharge.
Home-based treatment and rehabilitation using Ready-to-use Therapeutic Food (RUTF) for children with severe acute malnutrition
Eligibility Criteria
You may qualify if:
- Children aged between 6 to 59 months
- New admission:
- Weight for Height Z-score (WHZ) \< -3 (WHO2006) or
- MUAC \<115 mm or
- Presence of bilateral oedema (+ or ++ at OTP admission)
- Other admission:
- Relapse: after a successful discharge or ≥ 2 months since last visit
- Re-admission: defaulter \< 2 months since last visit
- Transfer from a stabilization center (SC)
- Caretakers' agreement to participate (through an informed consent)
You may not qualify if:
- Signs of medical complications requiring inpatient management,
- Bilateral oedema (+++),
- Transfer from another OTP: treatment already started and child has a identification number (ID) for SAM
- Refusal of caretaker to participate
- Children from families outside the health center coverage
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Health centers
Mao, Kanem Region, Chad
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mathias Altmann, Dr
ACTION CONTRE LA FAIM | ACF-France
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr
Study Record Dates
First Submitted
May 26, 2015
First Posted
July 1, 2015
Study Start
April 1, 2015
Primary Completion
May 1, 2016
Study Completion
May 1, 2016
Last Updated
September 7, 2016
Record last verified: 2016-09