Enhancing Growth Monitoring Visits in Joshipur Rural Municipality, Kailai, Nepal

NCT06743451 | Not Yet Recruiting

• 1 other identifier: GMP2025
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to learn if health workers training on growth promotion and monitoring guideline and Female Community Health Volunteers mobilization for increasing demand for growth monitoring and promotion, GMP through growth monitoring and promotion day, GMP day) can enhance the growth monitoring and promotion practices in mothers and caretaker having under two years children. The main questions it aims to answer are:

• Does health workers training on GMP guideline enhances the growth monitoring and promotion practices in mothers and caretakers having under two years children?
• Does FCHV mobilization enhances growth monitoring and promotion practices in mothers and caretakers having under two years children? Participants will
• Health workers of the Joshipur rural municipality will have to attend Training session on GMP guideline,
• Mothers and caretakers having under two years children will have to visit to the nearest health facility for GMP visits for their children

Conditions

Malnourished Children

Keywords

Nepal; Growth monitoring and Promotion; Malnutrition

Outcome Measures

Primary Outcomes (7)

• Acceptability of Health Workers Training using key informant interview

  Acceptability includes the attitude and perception of health workers regarding Health workers training and satisfaction level of health workers attending Health workers training on GMP guidelines. For which, a qualitative method (KII) with health workers using KII guideline will be employed for information collection among the health workers attending the health worker's Training

  At three months

• Appropriateness of Health workers Training using Key informant interview

  Appropriateness is defined as Health workers training suitable for the cultural, social and economic context of Joshipur rural municipality and alignment of Health workers training to the needs and preferences of the health workers. For which, Key Informant Interview using KII guideline will be employed for information collection

  At three months

• Feasibility of Health workers Training

  Feasibility includes practicality and ease of attending health workers training and availability of resources. For which information will be collected from health workers through Key Informant Interview using KII guideline.

  At three months

• Fidelity to GMP steps assed through observing HMIS register

  Fidelity to GMP steps refers to evaluating the extent to which health workers adhere to the steps of GMP. It will be assessed by observing at the nutrition register by health workers as recoded of the steps conducted for growth monitoring and Promotion.

  At three months

• Acceptability of GMP day

  Acceptability includes the attitude and perception of mothers and caretakers regarding Growth monitoring and Promotion Day . For which, qualitative method (Focus group discussion, FGD using FGD guideline, In-depth Interview, IDI using IDI guideline) will be employed for information collection.

  At three months

• Appropriateness of GMP day

  Appropriateness includes the alignment of the Growth monitoring and Promotion Day with the needs and preferences of the target population. For which Qualitative method will be employed for information collection.

  At three months

• Feasibility of GMP day to health workers using key informant interview

  Feasibility includes practicality and ease of implementing GMP day from health workers in the health facility which will be assessed using Key informant interview with health workers using KII guideline.

  At three months

Study Arms (1)

Health workers of Joshipur rural municipality and Female community health volunteers

EXPERIMENTAL

Health workers will receive Training on GMP guideline, while FCHV will be mobilized for inviting mothers and caretakers having under two years children.

Other: Health workers training on GMP guideline; Other: Female community health volunteers' mobilization for inviting mothers and caretakers

Interventions

Health workers training on GMP guideline OTHER

One day training will be conducted to health workers on updated GMP guideline for the health workers primarily engaged in Growth monitoring and promotion of the children.

Health workers of Joshipur rural municipality and Female community health volunteers

Female community health volunteers' mobilization for inviting mothers and caretakers OTHER

Female community health volunteers will be mobilized for inviting mothers and caretakers for two consecutive months for enhancing GMP practices in the municipality

Health workers of Joshipur rural municipality and Female community health volunteers

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• For Health Workers:
• Nutrition focal person of the health facility having primary engagement in growth monitoring and promotion.
• Trained on growth monitoring and promotion guideline.
• For Female Community Health Volunteers 1. Active for inviting mothers and caretakers of the municipality
• For Mothers and caretakers having under two years children
• \. Any mothers and caretakers having under two years children residing in Joshipur Rural Municipality during intervention.

You may not qualify if:

• Who not available during the time of data collection

Sponsors & Collaborators

• Kathmandu University School of Medical Sciences: lead

Study Sites (1)

Joshipur rural Municipality

Joshi̇̄pur, Far Western, 10909, Nepal

Location

MeSH Terms

Conditions

Malnutrition

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Study Officials

• Amrita Ghimire, MPH

  Kathmandu University School of Medical Sciences

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Amrita Ghimire, MPH

CONTACT

+977-9851188538; ghimireamrita@gmail.com

Asish Timalsina, MPH

CONTACT

+977-9843523211; ashish.timalsina@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer (Public Health)

Study Record Dates

• First Submitted: December 10, 2024
• First Posted: December 19, 2024
• Study Start: December 1, 2024
• Primary Completion: August 1, 2025
• Study Completion: August 1, 2025
• Last Updated: December 19, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

NE (1)