Nutrition Intervention Integrated With Food Voucher to Improve Child Growth and Feeding Practices
Impact of Nutrition Intervention (Counselling, Food Voucher for Recipe, WASH and Home Fortification) on Growth and Feeding Practices of Under Two Years Children in Rural Bangladesh"
1 other identifier
interventional
410
1 country
1
Brief Summary
Brief Summary: Background: The period from birth to two years of age is the "critical window" for the promotion of optimal growth, health, and development. Insufficient quantities and inadequate quality of complementary foods, poor child-feeding practices and high rates of infections have a detrimental impact on growth. Approximately one-third of children less than 5 years of age in developing countries are stunted, and large proportions are also deficient in one or more micronutrients. An estimated 6% or 6 hundred thousand under-5 deaths can be prevented by ensuring optimal complementary feeding (CF) only. Knowledge gap: Even though the importance of CF is established, children \< 2y are being fed complementary foods with poor nutrient quality, particularly in resource poor countries like Bangladesh. Relevance: Approximately 36% under 5 children are stunted in Bangladesh. Only 23% of children age 6-23 months is fed appropriately based on recommended infant and young child feeding (IYCF) practices. The routine diet of the population including children is mainly plant based and lacks adequate protein and other essential nutrients. Hygiene is also an issue as only 21% of rural households use soap and water during handwashing. An intervention package including CF counselling, WASH and micronutrient powder (MNP) could be potential option for optimizing complementary feeding practice in rural Bangladesh. Hypothesis: An integrated intervention package will improve child growth in terms of length and complementary feeding practice in the selected intervention area from rural Bangladesh compared to control area. Objectives:
- 1.To improve nutritional status (length for age Z-score or LAZ) of the children (6-12 mo) through food voucher to promote improved recipe and intervention package with 12 months of intervention period.
- 2.To improve young child feeding practices following counselling
- 3.Difference in mean LAZ of the children between intervention and control group
- 4.Difference in mean weight for age Z-score (WAZ) of the children between intervention and control group
- 5.Difference in proportions of mothers in terms of correct knowledge and practice on CF
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2018
Longer than P75 for not_applicable
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
January 1, 2018
CompletedFirst Submitted
Initial submission to the registry
August 13, 2018
CompletedFirst Posted
Study publicly available on registry
August 21, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2022
CompletedFebruary 11, 2022
January 1, 2022
4.8 years
August 13, 2018
February 10, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Length for age Z-score (LAZ)
difference of 0.4 SD in LAZ between intervention and control group
12 months
Secondary Outcomes (1)
weight for age Z-score (WAZ)
12 months
Study Arms (2)
Intervention
EXPERIMENTALIntervention group will receive child feeding counselling, food voucher for recipe, WASH and home fortification
Control
NO INTERVENTIONControl will receive usual health messages from government and NGO
Interventions
Child feeding counselling will be assisted by food voucher, micronutrient powder and WASH messages
Eligibility Criteria
You may qualify if:
- Households having under two years children (6-12 mo during enrolment)
- Household listed as poor household
- Not involved with any government/non-government microfinance programme
- Not participants of any IYCF programme
You may not qualify if:
- Children with Severe Acute Malnutrition (SAM) or LAZ \< -3SD of reference as per guideline
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Community
Dhaka, Bangladesh
Related Publications (1)
Ara G, Sanin KI, Khanam M, Sarker MSA, Tofail F, Nahar B, Chowdhury IA, Boitchi AB, Gibson S, Afsana K, Askari S, Ahmed T. A comprehensive intervention package improves the linear growth of children under 2-years-old in rural Bangladesh: a community-based cluster randomized controlled trial. Sci Rep. 2022 Dec 19;12(1):21962. doi: 10.1038/s41598-022-26269-w.
PMID: 36536016DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gulshan Ara, M.Sc
International Centre for Diarrhoeal Disease Research, Bangladesh
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 13, 2018
First Posted
August 21, 2018
Study Start
January 1, 2018
Primary Completion
October 1, 2022
Study Completion
October 1, 2022
Last Updated
February 11, 2022
Record last verified: 2022-01
Data Sharing
- IPD Sharing
- Will not share