Improving the Quality of Care for Children With Acute Malnutrition in Uganda
1 other identifier
interventional
700
1 country
1
Brief Summary
This is a cluster RCT in 6 health centres in Uganda, testing supportive supervision to improve health outcomes and quality of care of children with malnutrition
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2016
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
December 1, 2016
CompletedFirst Submitted
Initial submission to the registry
December 20, 2016
CompletedFirst Posted
Study publicly available on registry
February 7, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2017
CompletedFebruary 7, 2017
February 1, 2017
1 year
December 20, 2016
February 2, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Cure rate
Rate of cured among children diagnosed with acute malnutrition (SAM and MAM) Cured/discharged is defined as Weight-for-height \> -2 standard deviation (SD) from the mean based on the World Health Organisation (WHO) 2006 standards (11) on 2 consecutive visits and no oedema.
12- 16 weeks
Secondary Outcomes (9)
Dead rate
12- 16 weeks
Rate of Not cured
12- 16 weeks
Rate of transferred to ITC (inpatient treatment center)
12- 16 weeks
Rate of transferred to OTC (outpatient treatment center)
12- 16 weeks
Rate of defaulted
12- 16 weeks
- +4 more secondary outcomes
Study Arms (2)
Experimental
EXPERIMENTALSupportive supervision
Control
NO INTERVENTIONNo intervention
Interventions
" Supportive supervision". The specific characteristics of the supportive supervision as intended in this project are outlined below. Frequency: Biweekly in the first 3-5 months, than monthly. Duration: approximately 2 hours in each HC at each visit. Provider: local staff (nutritionist, DHO) trained in integrated management acute malnutrition (IMAM) guidelines and in methods of " supportive supervision". Receivers: nurses working at HC level with children with malnutrition. Reference guidelines: • Current National IMAM guidelines Attitude and philosophy: • Participatory peer-to-peer model based on the Plan - Do- Study- Act quality improvement (QI) Cycle .
Eligibility Criteria
You may qualify if:
- Children 6 months-5 years
- Diagnosis of SAM or MAM according to National criteria (10) SAM: weight-for-height \<- 3 standard deviation (SD) from the mean based on the WHO 2006 standards (11).
- MAM: weight-for-height \<- 2 and \> -3 standard deviation (SD) from the mean based on the WHO 2006 growth reference standards .
You may not qualify if:
- Not matching the above criteria for SAM and MAM
- Refusal to participate/ consent
- Unable to adhere to study follow up procedures
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Arua district
Arua, Uganda
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Marzia Lazzerini, PhD
WHO CC
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PhD
Study Record Dates
First Submitted
December 20, 2016
First Posted
February 7, 2017
Study Start
December 1, 2016
Primary Completion
December 1, 2017
Study Completion
December 31, 2017
Last Updated
February 7, 2017
Record last verified: 2017-02
Data Sharing
- IPD Sharing
- Will not share