The Impact on School Feeding on Children's Growth and Development

NCT03263377 | Completed DMC

• 1 other identifier: PR-11052
• Study Type: interventional
• Target: 3,006
• Locations: 0 countries
• Sites: N/A

Brief Summary

In order to improve child nutrition, the Poverty Reduction Strategy adopted by the Government of Bangladesh (GoB) has called for the initiation of a school feeding programme for primary school children living in poor and disadvantaged families and communities where the prevalence of child malnutrition is high. Accordingly, a pilot feeding programme is planned for implementation in Government and NGO schools in 10 Upazilas in rural Bangladesh with the aim of: 1) enhancing the nutritional status and growth of younger school-going children by reducing micronutrient deficiencies and providing a protein/calorie supplement; 2) improving learning capacity and attentiveness in the classroom; 3) increasing enrollment, attendance and completion rates and 4) supporting the goals of achieving universal primary education and reducing gender disparity. The objectives of the proposed baseline survey respond to GoB's aims:

1. 1.To assess the nutrition status of younger school-going children prior to the initiation of a school feeding programme, thus enabling the later assessment of programme impact on micronutrient deficiencies and anthropometric indicators.
2. 2.To assess the cognitive performance and school attendance of children prior to the initiation of a school feeding programme thus enabling the later assessment of programme impact on school enrollment and attendance, and learning capacity.

Conditions

Malnutrition

Keywords

School feeding; Fortified Biscuits; Bangladesh

Outcome Measures

Primary Outcomes (3)

• Change from Baseline Children's weight at 14 months

  Children's weight were measured by WHO

  Double time point (Baseline, September, 2011 and Endline, November, 2012; through study completion)

• Change from Baseline Children's Height at 14 months

  Children's Height were measured by WHO

  Double time point (Baseline, September, 2011 and Endline, November, 2012; through study completion)

• Change from Baseline Children's nutritional impact at 14 months

  Child anaemia and micronutrient deficiency: biochemical analyses of blood specimens

  Double time point (Baseline, September, 2011 and Endline, November, 2012; through study completion)

Secondary Outcomes (1)

• Change from Baseline Children's cognitive performance and school attendance at 14 months

  Double time point (Baseline, September, 2011 and Endline, November, 2012; through study completion)

Study Arms (2)

2

ACTIVE COMPARATOR

The baseline study will be conducted using a cluster randomized study design in which schools represent clusters. Seven schools will be randomly selected from each of 7 Upazilas out of 10 that have been selected for intervention. The school feeding intervention consists of a daily snack in the form of a fortified biscuit that provides 300 kcal per single 75 gm packet (approximately 15% of daily calorie requirements), and a range of micronutrients contributing to about 75% of the daily requirement of vitamin A, folate, iron, iodine, zinc and magnesium. Children whose cognitive abilities are are challenged by autism, mental issues or iodine deficiency will be excluded from the study.

Dietary Supplement: The school feeding intervention

Non Intervention

OTHER

A control group will be included in study design consisting of 7 schools selected randomly from 7 comparable yet adjacent Upazilas not slated for inclusion in the feeding programme. Use of a control group will enable later evaluations to attribute possible improvements in key impact/outcome variables to the intervention itself. An equal number of boys and girls will be selected from each class to enable gender analysis. Children whose cognitive abilities are are challenged by autism, mental issues or iodine deficiency will be excluded from the study.No intervention had given in this group.

Dietary Supplement: The school feeding intervention

Interventions

The school feeding intervention DIETARY_SUPPLEMENT

The baseline study will be conducted using a cluster randomized study design in which schools represent clusters. Seven schools will be randomly selected from each of 7 Upazilas out of 10 that have been selected for intervention. The school feeding intervention consists of a daily snack in the form of a fortified biscuit that provides 300 kcal per single 75 gm packet (approximately 15% of daily calorie requirements), and a range of micronutrients contributing to about 75% of the daily requirement of vitamin A, folate, iron, iodine, zinc and magnesium.

2; Non Intervention

Eligibility Criteria

• Age: 5 Years - 11 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• years of school children
• Giving Consent

You may not qualify if:

• More than 12 years of age
• Refuse consent

Sponsors & Collaborators

• International Centre for Diarrhoeal Disease Research, Bangladesh: lead
• European Union: collaborator

Related Publications (2)

• Powell CA, Walker SP, Chang SM, Grantham-McGregor SM. Nutrition and education: a randomized trial of the effects of breakfast in rural primary school children. Am J Clin Nutr. 1998 Oct;68(4):873-9. doi: 10.1093/ajcn/68.4.873.

  PMID: 9771865 RESULT

• Simeon DT. School feeding in Jamaica: a review of its evaluation. Am J Clin Nutr. 1998 Apr;67(4):790S-794S. doi: 10.1093/ajcn/67.4.790S.

  PMID: 9537630 RESULT

MeSH Terms

Conditions

Malnutrition

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Study Design

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

Study Record Dates

• First Submitted: June 5, 2016
• First Posted: August 28, 2017
• Study Start: September 1, 2011
• Primary Completion: June 1, 2012
• Study Completion: June 1, 2013
• Last Updated: August 28, 2017

Record last verified: 2016-06

Data Sharing

• IPD Sharing: Will not share