Double Duty Interventions and Its Impact on Double Burden of Malnutrition in Children Under Five Years

NCT05791305 | Recruiting DMC

• 1 other identifier: DBU1112
• Study Type: interventional
• Target: 456
• Locations: 1 country
• Sites: 2

Brief Summary

Background: Double burden of malnutrition is an emerging public health problem among children under-five years due to the inevitable consequences of nutritional transition. Addressing these two contrasting forms of malnutrition (undernutrition and overnutrition) simultaneously brings an enormous challenge to the food and nutrition policies of developing countries like Ethiopia. Children under five ages are more vulnerable to DBM, especially during the first year of their life due to high growth and inadequate diet. Hence, there has been a paradigm shift in thinking to reduce its effect on the health of children. However, interventions that are used to address these different kinds of malnutrition are implemented through different governance and still, they are isolated and disintegrated each other. Therefore, double-duty interventions can tackle the risk of both nutritional problems simultaneously in an integrated approach through nutrition behavior change communication. Objective: Therefore, the main aim of this pilot study is to assess the effect of selected double-duty interventions on the double burden of malnutrition among children under five years in Debre Berhan City, Ethiopia.

Conditions

Malnutrition; Malnutrition, Child; Obesity; Undernutrition; Thinness

Keywords

Double burden of malnutrition; Double-duty interventions; Children under five years; Undernutrition; Overnutrition

Outcome Measures

Primary Outcomes (3)

• Proportion of Double burden of malnutrition

  Number of Mother of children who received double-duty interventions to reduce the DBM of children

  10 months

• Proportion of dietary diversity score

  Number of Mother of children who received double-duty interventions to improve the dietary diversity score of children.

  10 months

• Proportion of low frequency of morbidity

  Number of Mother of children who received double-duty interventions on the frequency of morbidity in children.

  10 months

Secondary Outcomes (1)

• Proportions of mothers with good maternal nutritional status

  10 months

Study Arms (2)

Intervention arm

EXPERIMENTAL

Will be provided an intervention.

Behavioral: double duty intervention packages

Controll arm

NO INTERVENTION

Will not be provided the intervention.

Interventions

double duty intervention packages BEHAVIORAL

The intervention employed in this study will serve as double-duty interventions. The WHO policy short report from 2017 and Hawkes et al2020 .'s were amended and used as the basis for the DDIs packages. The main components of the intervention packages are the promotion of a minimum level of dietary diversity, avoiding unwarranted harm from high-energy foods, and controlling market foods from the perspective of the consumer. The following central criteria will be used to evaluate the study's intervention packages.

Intervention arm

Eligibility Criteria

• Age: 2 Years - 5 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• who attend the intervention

You may not qualify if:

• who are not attended the intervention

Sponsors & Collaborators

• Debre Berhan University: lead

Study Sites (2)

Debre Berhan University

Addis Ababa, Amhara, 445, Ethiopia

RECRUITING

Health

Debre Berhan, Amhara, 445, Ethiopia

RECRUITING

MeSH Terms

Conditions

Malnutrition; Child Nutrition Disorders; Obesity; Thinness; Overnutrition

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases; Overweight; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: A randomized controlled trial will be used.

Study Record Dates

• First Submitted: March 6, 2023
• First Posted: March 30, 2023
• Study Start: April 10, 2023
• Primary Completion: April 30, 2024
• Study Completion: December 30, 2025
• Last Updated: August 9, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

ET (2)