Anemia Clinical Trial
Official title:
Scaling up Small-Scale Food Processing: A Strategy to Promote Food Security Among Women Subsistence Farmers in Rural Vietnam
This repeated measures, cluster randomized, cohort trial design was carried out in three provinces in the northern mountainous area of Vietnam. Communes here were randomly selected for community based interventions with local production complimentary foods and marketing and distribution of fortified complimentary foods.
In rural northern Vietnam, childhood stunting rates are high. In Lào Cai province, female
subsistence farmers grow crops, but face barriers sending produce to markets. The present
intervention purchases local crops from local women subsistence farmers which are processed
in local small-scale food processing facilities to produce instant fortified complementary
foods for weaning.
Methods: A repeated measures survey was conducted from October to November 2016, with
Caregiver-Child(<2y) pairs (n=800) in the provinces of Lai Chau, Lao Cai and Ha Giang.
Anthropometric data of mother/child dyads was assessed and logistic regression analysis of
stunted and underweight children explored associated factors. These included: core infant and
young child feeding practices indicators, food insecurity, antenatal care check-ups, core
water/sanitation, anemia and hygiene indicators.
This project leveraged the experience of the National Institute of Nutrition of Vietnam to
ensure HACCP standards during manufacture. Locally grown rice was combined with a Zn/Fe
premix before extrusion and hammer-milling. Local vegetables such as: "Sweet leaf" (Sauropus
androgynous), pumpkin, Shiitake mushrooms (Lentinula edodes) and carrots were made into
complimentary foods and sold locally.
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