Samaki Salama: Small-scale Fisheries for Healthy Nutrition and Ecosystems

NCT05254444 | Unknown

• 1 other identifier: 7200AA18CA00030
• Study Type: interventional
• Target: 1,200
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to test the effectiveness of a bundled intervention to address malnutrition and its intersections with nutrition security and fisheries sustainability in Kilifi, Kenya.

Conditions

Malnutrition, Child; Growth; Stunting, Nutritional

Keywords

Social marketing; Fish; Animal source food; Complementary feeding; Sustainable fishing

Outcome Measures

Primary Outcomes (4)

• Change in child weight

  Child weight in kilograms. A weight-for-age Z score (WAZ), a measure of underweight, will be calculated using weight and date of birth.

  Change from baseline weight-for-age (WAZ) at 12 months

• Change in child height

  Child height in centimeters. A height-for-age Z score (HAZ), a measure of stunting, using height and date of birth

  Change from baseline height-for-age (HAZ) at 12 months

• Change in child fish foods intake

  Intake of fish foods assessed for children 6-60 months using a Kenya-specific semi-quantitative food frequency questionnaire (FFQ) that includes both 24-hour and 7-day recalls.

  Change from baseline fish foods intake at 12 months

• Change in fisheries yield

  Fisher's catch will be counted and weighed and identified at landing sites. Lengths of fish will be measured for a sub-sample of individuals (n=20). Monthly catch per unit effort (i.e. yield) will be calculated as the mean daily catch multiplied by the fishing days per month. Sustainable yields will be determined by comparing the initial yields versus the rate of change of yields for each landing site or Beach Management Unit (BMU).

  Change from baseline fisheries yield at 12 months

Secondary Outcomes (3)

• Child Dietary Diversity

  Baseline and months 6 and 12

• Child Diarrheal Morbidity

  Baseline and months 6 and 12

• Fisheries Earnings

  Baseline, regular intervals (5-10 times per month) for 12 months

Study Arms (3)

Group 1: Control

NO INTERVENTION

No activities will take place in group 1.

Group 2: Social Marketing

EXPERIMENTAL

Households in this arm will receive a multi-tiered social marketing campaign focusing on sustainable fish nutrition, dietary diversity and food safety.

Behavioral: Social marketing

Group 3: Social Marketing + Gear Modification

EXPERIMENTAL

Households in this arm will receive a bundled intervention of the social marketing campaign as well as modified fishing gear (basket traps with fish escape gaps) and training on proper utilization and management.

Behavioral: social marketing + gear modification

Interventions

Social marketing BEHAVIORAL

Multi-tiered nutrition social marketing intervention focused on sustainable fish nutrition, dietary diversity and food safety.

Group 2: Social Marketing

social marketing + gear modification BEHAVIORAL

Multi-tiered nutrition social marketing intervention plus fishing gear modification (basket trap) and training.

Group 3: Social Marketing + Gear Modification

Eligibility Criteria

• Age: 6 Months - 60 Months
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• A household member works in small-scale fisheries (self-employed fishers)
• At least one child in the household aged 6-60 months
• At least one member of the household owns a mobile phone
• Provision of signed and dated informed consent form
• For children, informed assent and parental informed consent to participate in the study
• Stated willingness to comply with all study procedures and availability for the duration of the study

You may not qualify if:

• No household member works in small-scale fisheries (self-employed fishers)
• No child in the household aged 6-60 months
• No members of the household own a mobile phone
• Declines to sign the informed consent
• Index child is severely malnourished
• Lives outside the study area
• Participation in another nutrition or fisheries intervention study within April 2021 - June 2022

Sponsors & Collaborators

• Washington University School of Medicine: lead
• University of Rhode Island: collaborator
• Pwani University: collaborator
• Egerton University: collaborator

Study Sites (1)

Pwani University

Kilifi, Kenya

Location

Related Publications (1)

• Blackmore I, Wamukota A, Kamau-Mbuthia E, Humphries A, Lesorogol C, Cohn R, Sarange C, Mbogholi F, Obata C, Cheupe C, Cheupe J, Sherburne L, Chapnick M, Cartmill MK, Iannotti LL. Samaki Salama - Promoting healthy child growth and sustainable fisheries in coastal Kenya: A study protocol. Front Public Health. 2022 Oct 21;10:934806. doi: 10.3389/fpubh.2022.934806. eCollection 2022.

  PMID: 36339158 DERIVED

MeSH Terms

Conditions

Child Nutrition Disorders; Growth Disorders

Interventions

Social Marketing

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Marketing; Commerce; Technology, Industry, and Agriculture; Marketing of Health Services; Health Services Accessibility; Delivery of Health Care; Health Care Quality, Access, and Evaluation

Study Officials

• Lora Iannotti, PhD

  Washington University School of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: June 15, 2021
• First Posted: February 24, 2022
• Study Start: July 9, 2021
• Primary Completion: November 1, 2022
• Study Completion: June 1, 2023
• Last Updated: February 24, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: 2 years from the completion of primary endpoints.
• Access Criteria: Researchers wanting to use the data would have to contact the PIs and explain their purpose for using the data.

Locations

KE (1)