Post Disaster Nutrition Intervention for Under-two-year-old Children in Lombok Indonesia

NCT03895398 | Unknown DMC

• 1 other identifier: NIELombok
• Study Type: interventional
• Target: 480
• Locations: 1 country
• Sites: 1

Brief Summary

In 2018, multiple earthquake with magnitude range from 6 to 7 hit Lombok Island, West Nusa Tenggara Province, Indonesia. Following the situational analysis and baseline study in December 2018 (4 months after the first earthquake), it was found that the prevalence of wasting and underweight of underfive children in the affected population is moderate (10.2% and 28.8%) but the prevalence of stunting and anemia is considered of highly significant public health problem (33.3% and 43.8%). Various organizations have provided support at the emergency phase but there is no specific program for nutrition support at the rehabilitation phase. Draft of intervention model which utilize early child education (ECE) centers as center of nutrition recovery in the community has been discussed with the local education and health officers. Training will be delivered to ECE teachers and community health officers. ECE teachers are expected to have regular parenting class for nutrition education and activities, whilst the community health officers will monitor the activities and provide technical guidance as needed. Mothers of the underfive children will be invited to attend weekly parenting class at nearby ECE center in which they receive messages related to infant and young child feeding (IYCF), including distribution of liver and fish floss as nutrient dense food supplement to their children, and provision of appropriate psychosocial care.This parenting class will be held for 6 months with regular monitoring from the researchers and health personnel from public health center. Effectiveness of the intervention will be assessed in improving IYCF practices and psychosocial care of mothers and nutrient intakes, nutritional status and developmental outcomes of the underfives children.

Conditions

Weight Gain

Keywords

underfive children; post-disaster recovery; optimized food based recommendation; growth; development; psycho-social stimulation

Outcome Measures

Primary Outcomes (1)

• nutritional status

  weight gain in g/kg.day

  6 months of intervention

Secondary Outcomes (5)

• protein intake

  6 months of intervention

• development

  6 months of intervention

• psycho-social care

  6 months of intervention

• iron intake

  6 months of intervention

• zinc intake

  6 months of intervention

Study Arms (2)

nutrition and psychosocial intervention arm

EXPERIMENTAL

12 selected ECE centers will be selected to be the intervention group. ECE teachers will be trained on psychosocial and nutrition care for children and expected to deliver the information and parenting class to mother. Community health officers will be trained on how to monitored the activities regularly and providing technical assistance to ECE teachers if needed. mothers will received weekly parenting class. in the parenting class mothers will be informed on how to provide appropriate feeding and psychosocial stimulus to their children. nutrient dense food supplementation in the form of liver and fish floss will be prepared together and distributed. underfive children will received nutrient dense food supplementation in the form of liver and fish floss and expected to be eaten everyday for 6 months

Other: nutrition and psychosocial intervention with community participatory

control arm

NO INTERVENTION

no intervention is given to this arm

Interventions

nutrition and psychosocial intervention with community participatory OTHER

community participation to ensure the intervention is given to the study subject (underfive children)

nutrition and psychosocial intervention arm

Eligibility Criteria

• Age: 6 Months - 49 Months
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• age ranged between 6-13 months and 24-49 months
• live with their mother / main caregiver
• parents consent to join the study
• live in affected areas

You may not qualify if:

• has chronic / congenital diseases
• have sibling that already join the study

Sponsors & Collaborators

• SEAMEO Regional Centre for Food and Nutrition: lead
• Indonesia-MoH: collaborator
• Indonesia University: collaborator

Study Sites (1)

Seameo Regional Center for Food and Nutrition

Jakarta Pusat, DKI Jakarta, 10430, Indonesia

RECRUITING

Related Publications (2)

• Sioen GB, Sekiyama M, Terada T, Yokohari M. Post-Disaster Food and Nutrition from Urban Agriculture: A Self-Sufficiency Analysis of Nerima Ward, Tokyo. Int J Environ Res Public Health. 2017 Jul 10;14(7):748. doi: 10.3390/ijerph14070748.

  PMID: 28698515 BACKGROUND

• Fahmida U, Santika O, Kolopaking R, Ferguson E. Complementary feeding recommendations based on locally available foods in Indonesia. Food Nutr Bull. 2014 Dec;35(4 Suppl):S174-9. doi: 10.1177/15648265140354S302.

  PMID: 25639135 BACKGROUND

Related Links

• UNHCR Emergency Handbook REPORTfrom UN High Commissioner for Refugees Published on 12 Jun 2015

MeSH Terms

Conditions

Weight Gain

Interventions

Nutritional Status; Psychosocial Intervention

Condition Hierarchy (Ancestors)

Body Weight Changes; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Nutritional Physiological Phenomena; Diet, Food, and Nutrition; Physiological Phenomena; Health Status; Demography; Population Characteristics; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Grace Wangge

  SEAMEO RECFON

  STUDY CHAIR

Central Study Contacts

Umi Fahmida, PhD

CONTACT

+628176060820; umifahmida@gmail.com

Indriani Oka Anak Agung Sagung

CONTACT

+6281233369657; indrianioka@seameo-recfon.org

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: in the intervention arm: ECE teachesr, community health officers, mother, and children will received treatment in the form of trainings (for ECE teachers and community health officers), parenting class (for mother), and nutrient dense food supplementation (for children) whilst in the control arm will received nothing as comparison to the intervention arm.

Study Record Dates

• First Submitted: February 23, 2019
• First Posted: March 29, 2019
• Study Start: December 12, 2018
• Primary Completion: October 30, 2019
• Study Completion: December 31, 2019
• Last Updated: April 2, 2019

Record last verified: 2019-03

Locations

ID (1)