Anemia Clinical Trial
Official title:
Monitoring and Evaluation of Micronutrients (Sprinkles) Project
The purpose of this study is 1) to evaluate the effectiveness in reducing anemia among children 6-24 months of age by providing daily micronutrient Sprinkles through the Government of Pakistan's Lady Health Worker program; 2) to assist in the monitoring the National Sprinkles Pilot Project.
According to the recent National Nutrition Survey in Pakistan (2001-2002), approximately
66.5% of children under five have anaemia.
Looking at the magnitude of the problem, National Program for Family Planning (FP) and
Primary Health Care (PHC) (also known as the Lady Health Workers (LHW) Program) has developed
National Sprinkles Pilot Project Proposal with technical assistance of Micronutrient
Initiative and Aga Khan University (AKU). As the projects technical partner, AKU is
responsible to conduct the monitoring and evaluation of the project.
The study will use a cluster randomized pre-post intervention design that compares before and
after hemoglobin (Hb) measurements, serum ferritin, serum retinol and urinary iodine among
children who received Sprinkles and age-appropriate feeding advice (Sprinkles-Advice group)
and children who only receive age-appropriate feeding advice (Advice-only group).
Age-appropriate feeding advice is part of the standard nutrition messages given by all Lady
Health Workers (LHWs) during their community visits. However, intervention LHWs, will give
additional advice regarding the benefits of Sprinkles and its appropriate use.
The target population selected for the study consisted of children between the ages of six
and eighteen months of age in the catchment area of the Lady Health Workers.
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