Impact of Benazir Nashonuma Program (BNP) on Maternal and Child Nutritional Status

NCT05836961 | Recruiting

• 1 other identifier: BNP Study
• Study Type: interventional
• Target: 5,500
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate the impact of Benazir Nashonuma Program (BNP) which includes specialized nutritious food (SNF) augmented with specific reproductive health interventions during pregnancy on proportion of low birthweight babies and stunting among children, in low income setting of Pakistan. The study aims to answer if:

1. 1.Utilization of Benazir Nashonuma Program (BNP) among pregnant women is effective in reducing the proportion of low birthweight babies, compared to pregnant women who are not utilizing the program, among low income setting population.
2. 2.Utilization of Benazir Nashonuma Program (BNP) is effective in reducing the proportion of stunting among children, compared to those not utilizing the program, among low income setting population.

Conditions

Low Birthweight; Stunting; Wasting; Malnutrition, Child; Iron Deficiency Anemia; Dietary Habits

Keywords

Intervention study; Maternal and child nutrition; Benazir Nashonuma Program (BNP); Low birthweight; Stunting

Outcome Measures

Primary Outcomes (3)

• Prevalence of low birthweight

  Birth weight of less than 2500 g (up to and including 2499 g) within 48 hours of delivery

  Within 48-hours of delivery

• Prevalence of stunting

  Height-for-age ≤-2 SD of the WHO Child growth standards median

  At 6 months of age

• Prevalence of stunting

  Height-for-age ≤-2 SD of the WHO Child growth standards median

  At 12 months of age

Secondary Outcomes (16)

• Prevalence of wasting

  At 6 and 12 months of age

• Prevalence of Iron deficiency anemia in pregnant women

  At 9th month on pregnancy

• Prevalence of Iron deficiency anemia in infants

  2 point times: At 6 and 12 months of age

• Number of antenatal care (ANC) visits during pregnancy

  At delivery

• Number of women who had an Institutional delivery

  At delivery

Study Arms (2)

BNP enrolled

EXPERIMENTAL

Pregnant women in their first or second trimester who have been enrolled in BNP

Other: Benazir Nashonuma Program (BNP)

BNP non-enrolled

NO INTERVENTION

Pregnant women in their first or second trimester who are not enrolled in BNP

Interventions

Benazir Nashonuma Program (BNP) OTHER

Dietary supplement for pregnant women and lactating mothers during the first six months of lactation: Maamta is a 75-gram sachet made from peanut butter with 400 kcal of energy Dietary supplement for children aged 6-23 months: Wawamum is a lipid-based nutrient supplement consisting of skimmed milk powder, micronutrients, vegetable oil, roasted chickpeas and antioxidants. Wawamum covers the recommended daily dose of most micronutrients and 255 kcal of energy (1/4 of daily energy requirements for children in this age range) Conditional Cash Transfers (CCT): This includes stipends of PKR 2000 during pregnancy contingent on three antenatal care visits, consuming SNF, attending awareness sessions on health and nutrition, getting two doses of tetanus toxoid and institutional delivery. After delivery PKR 2000/- for boys and 2500/- for girls are paid as incentives conditioned on getting child's birth registered, routine immunization and consumption of SNF by the child from 6-23 months

BNP enrolled

Eligibility Criteria

• Age: 18 Years - 49 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Intervention arm: All pregnant women in their first or second trimester, who are enrolled in Benazir Nashonuma Program (BNP).
• Non-intervention arm: All pregnant women in their first or second trimester, who are not enrolled in Benazir Nashonuma Program (BNP).

You may not qualify if:

• Women who intend to migrate or relocate for more than 3 months during the study period will be excluded from the study.
• Women in the non intervention group who are consuming specialized nutritious food (SNF) from any source at the time of enrollment will be excluded from the study.

Sponsors & Collaborators

• Aga Khan University: lead
• International Food Policy Research Institute: collaborator
• Bill and Melinda Gates Foundation: collaborator
• London School of Hygiene and Tropical Medicine: collaborator

Study Sites (1)

Aga Khan Office

Dadu, Sindh, Pakistan

RECRUITING

MeSH Terms

Conditions

Growth Disorders; Cachexia; Child Nutrition Disorders; Anemia, Iron-Deficiency; Feeding Behavior

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Weight Loss; Body Weight Changes; Body Weight; Signs and Symptoms; Thinness; Nutrition Disorders; Nutritional and Metabolic Diseases; Anemia, Hypochromic; Anemia; Hematologic Diseases; Hemic and Lymphatic Diseases; Iron Deficiencies; Iron Metabolism Disorders; Metabolic Diseases; Behavior, Animal; Behavior

Central Study Contacts

Dr Sajid Bashir Soofi

CONTACT

+923002769398; sajid.soofi@aku.edu

Dr Asma Abdul Malik

CONTACT

+923311388051; asma.qureshi@aku.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Distinguished University Professor and Founding Director of the Institute for Global Health and Development and the Centre of Excellence in Women and Child Health

Study Record Dates

• First Submitted: March 13, 2023
• First Posted: May 1, 2023
• Study Start: February 1, 2023
• Primary Completion: September 1, 2025
• Study Completion (Estimated): September 1, 2026
• Last Updated: May 1, 2023

Record last verified: 2023-01

Locations

PA (1)