Nutritional, and WASH Related Education Intervention to Address Malnutrition of Early Adolescents in Pakistan

NCT06009198 | Completed

• 1 other identifier: : 2021-3572-19378
• Study Type: interventional
• Target: 635
• Locations: 1 country
• Sites: 1

Brief Summary

Globally, one of the major risk factor for adolescent's morbidity is considered Malnutrition. Worldwide adolescent age group 10-19 is increasing and they are at increased risk of malnutrition related diseases resulting in high morbidity and mortality. Asian countries are suffering with the double burden of malnutrition including Pakistan. The risk factors that contribute to malnutrition in the population includes unsafe drinking water, poor sanitary conditions, lack of proper waste disposal facilities, poor health awareness, poor nutrition and hygiene. However, studies have shown that nutrition education, and water, sanitation, hygiene (WASH) programmes in the schools are effective strategies to promote the health status of the adolescents (girls and boys). The primary objective of this study is to determine a school based nutrition and WASH education intervention to improve nutritional status among early adolescents.

Conditions

Malnutrition

Keywords

Adolescents; Nutrition; School; Body Mass Index; WASH

Outcome Measures

Primary Outcomes (3)

• Knowledge regarding nutrition and WASH

  knowledge of adolescents will be assessed by employing adapted tool from the FAO publication Guidelines which was developed by the Food and agriculture organization of the united nations. It is an extract from the FAO publication Guidelines for assessing nutrition-related Knowledge, attitudes, and practices (2014), also called KAP manual and it is available at http://www.fao.org/docrep/019/i3545e/i3545e00.htm The knowledge part comprises 16 questions, each question with multiple options to assess the knowledge regarding food items, their consumption, and their effect on the health of adolescents. The knowledge will be assessed before and after intervention for comparison.

  16 weeks

• Attitude regarding nutrition and WASH

  Attitude of adolescents will be assessed by employing adapted tool from the FAO publication Guidelines which was developed by the Food and agriculture organization of the united nations. it is an extract from the FAO publication Guidelines for assessing nutrition-related knowledge, attitudes and practices (2014), also called KAP manual and it is available at http://www.fao.org/docrep/019/i3545e/i3545e00.htm The attitude part covers 5 questions to know the perceived benefits and perceived barriers regarding food consumption before and after the intervention

  16 weeks

• Practices regarding nutrition and WASH

  Practices of adolescents will be assessed by employing adapted tool from the FAO publication Guidelines which was developed by the Food and agriculture organization of the united nations. it is an extract from the FAO publication Guidelines for assessing nutrition-related Knowledge, attitudes, and Practices (2014), also called the KAP manual and it is available at http://www.fao.org/docrep/019/i3545e/i3545e00.htm The practices part contains 11 questions that address the practices regarding the consumption of food and behaviors. Pre and Post-intervention assessment of practices will evaluate the efficacy of the education sessions.

  16 weeks

Secondary Outcomes (1)

• Body Mass Index

  16 weeks

Other Outcomes (1)

• Changes in Symptoms of malnutrition and micronutrient status

  16 weeks

Study Arms (2)

Advance Education with Iron Folate Supplement

EXPERIMENTAL

1. Nutrition education 2. WASH education 3. Micronutrient supplementation

Drug: Iron folate tablets

Routine Education

NO INTERVENTION

Routine school education

Interventions

Iron folate tablets DRUG

Iron folate tablets will be administered to the underweight school going adolescents girls and boys to see the affect on BMI and micronutrients

Also known as: Nutrition and WASH education

Advance Education with Iron Folate Supplement

Eligibility Criteria

• Age: 10 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• All students studying in 6, 7, and 8 grade
• Informed consent given by adolescent's mothers/immediate care takers
• Assent given by the adolescent at baseline

You may not qualify if:

• Students leave the school during study • Consent not given by the mother/immediate care taker will be excluded from the analysis

Sponsors & Collaborators

• Aga Khan University: lead

Study Sites (1)

Aga Khan University karachi,pakistan

Karachi, Sindh, Pakistan

Location

MeSH Terms

Conditions

Malnutrition

Interventions

Nutritional Status

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Nutritional Physiological Phenomena; Diet, Food, and Nutrition; Physiological Phenomena; Health Status; Demography; Population Characteristics

Study Officials

• Rozina Karmaliani, Dr

  Aga Khan University school of Nursing and Midwifery karachi,pakistan

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: September 16, 2022
• First Posted: August 24, 2023
• Study Start: September 30, 2021
• Primary Completion: March 15, 2022
• Study Completion: May 30, 2022
• Last Updated: August 24, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)