OPTIMIZING ROUTINE DELIVERY OF ESSENTIAL CHILD HEALTH AND NUTRITION PACKAGE THROUGH PRIMARY HEALTH CARE CONTACTS
1 other identifier
interventional
1,928
2 countries
2
Brief Summary
The primary objective of the study is to assess whether optimization of an essential package of health and nutrition services for children under five years of age using vitamin A supplementation touch points (i.e., the implementation model) in selected areas in Kenya and Senegal will increase the coverage of vitamin A supplementation and the coverage of other child health and nutrition services. In addition, the study will also assess the feasibility of the implementation model and the drivers of coverage outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2025
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 21, 2025
CompletedFirst Submitted
Initial submission to the registry
April 14, 2025
CompletedFirst Posted
Study publicly available on registry
April 29, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 1, 2027
April 29, 2025
April 1, 2025
1.8 years
April 14, 2025
April 22, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Children who received their age-appropriate VAS
The proportion of children 12-59 months of age who received their age-appropriate VAS
From enrollment to the end of intervention at 12 months
Children who are immunized with measles vaccine
Proportion of children 12-23 months of age who are immunized with one dose of measles (MR1) in Kenya Proportion of children 24-35 months of age who are immunized with the second dose of measles (MR2) in Senegal
From enrollment to the end of intervention at 12 months
Implementation feasibility of new model perceived by health service providers, as assessed by key informant interviews and focus groups
Feasibility of implementation of the new model as perceived by health service providers will be assessed via key informant interviews and focus groups to enquire on: i. Implementation barriers and facilitators ii. Practicality of implementing the optimization model within context and resource availability iii. Program disruption due to the implementation of the model iv. Need for infrastructure to implement the model v. Sustainability of the optimized model. All qualitative information will be triangulated to assess feasibility of implementation of the new model
From enrollment to the end of intervention at 12 months
Fidelity of implementing the new model
Fidelity of implementation will be assessed by measuring: i. The proportion of health facilities preparing and using integrated microplans. ii. The proportion of supportive supervision visits carried out in an integrated way. iii. The proportion of service delivery points providing services in an integrated way Fidelity will be achieved if the three parameters score at least 80%.
From enrollment to the end of intervention at 12 months
Secondary Outcomes (6)
Co-coverage of VAS and measles vaccine
From enrollment to the end of intervention at 12 months
Children screened for malnutrition in the last 6 months
From enrollment to the end of intervention at 12 months
Children who have received growth monitoring service
From enrollment to the end of intervention at 12 months
Children who have received age-appropriate immunizations
From enrollment to the end of intervention at 12 months
Caregivers who report receiving more than one service
From enrollment to the end of intervention at 12 months
- +1 more secondary outcomes
Study Arms (2)
Intervention
EXPERIMENTALThe intervention arm receives the optimized package of child essential health and nutrition services
Control
OTHERThe control arm receives the current standard package of health and nutrition services
Interventions
Optimized package of child essential health and nutrition services
Standard package of essential child and nutrition services
Eligibility Criteria
You may qualify if:
- Caregivers of children 12-59 months of age
- Health service providers
You may not qualify if:
- \- None
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nutrition Internationallead
- Kenya Ministry of Healthcollaborator
- Cheikh Anta Diop University, Senegalcollaborator
- Senegal Ministry of Healthcollaborator
- Henike Consultantscollaborator
Study Sites (2)
Nutrition International- Kenya
Nairobi, Kenya
Nutrition International - Senegal
Dakar, Senegal
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mandana Arabi, M.D., Ph.D.
Nutrition International
- PRINCIPAL INVESTIGATOR
Elijah Mbiti, Ph.D.
Nutrition International
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director Research, Innovation, and Evaluation
Study Record Dates
First Submitted
April 14, 2025
First Posted
April 29, 2025
Study Start
February 21, 2025
Primary Completion (Estimated)
December 1, 2026
Study Completion (Estimated)
March 1, 2027
Last Updated
April 29, 2025
Record last verified: 2025-04
Data Sharing
- IPD Sharing
- Will not share