Effects of Complementary Feeding Counseling on Appropriate Complementary Feeding Practices and Child Undernutrition

Feeding Behavior Clinical Trial

— ACFPsCF  

Official title:

Effects of Complementary Feeding Counseling on Appropriate Complementary Feeding Practices and Child Undernutrition in West Gojjam Zone, Northwest Ethiopia: Cluster Randomized Controlled Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05871346
• Other study ID #: adenek2195
• Status: Recruiting
• Phase: N/A
• Start date: June 9, 2023
• Est. completion date: September 30, 2024

Study information

• Verified date: April 2024
• Source: Bahir Dar University
• Contact: Shiferaw Birhanu Aynalem, MSc
• Phone: +251-989-298-581
• Email: shifebirhanu[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Appropriate complementary feeding practices as per the world health organization recommendations is a window of opportunity to promote health and prevent acute and chronic under nutrition (stunting, wasting & underweight). Globally, the burden of under nutrition remains unacceptably high, and the progress of under nutrition reduction is unsatisfactorily slow. In Ethiopia, appropriate complementary feeding practices of mothers to their children are very low. In contrast, child under nutrition is a major public health problem.

Description:

Appropriate nutrition during the first 1000 days of life lays the foundation for a child's health and well-being. Introduction of complementary foods within 6-8 months of age and step-wise increase of diversified plant and animal-based diets is necessary, for which exclusive breast milk is no longer enough to meet the nutritional needs. Appropriate complementary feeding practices as per the world health organization recommendations is a window of opportunity to promote health and prevent acute and chronic under nutrition (stunting, wasting & underweight). Globally, the burden of under nutrition remains unacceptably high, and the progress of under nutrition reduction is unsatisfactorily slow. In Ethiopia, appropriate complementary feeding practices of mothers to their children are very low. In contrast, child under nutrition is a major public health problem. This study aims to determine the effects of complementary feeding counseling on appropriate complementary feeding practices and child under nutrition through a community based randomized controlled trial.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 802
• Est. completion date: September 30, 2024
• Est. primary completion date: September 30, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 6 Months to 21 Months

Eligibility

Inclusion Criteria:

1. Mother-child pairs, whose children age is 6 months.

2. Mother-child pairs who reside in the study area for at least 6 months before the survey

3. Mother-child pairs who have no intention of leaving the study area during the intervention period.

Exclusion Criteria:

1. Mothers with severe mental illness or unable to communicate (e.g. deaf).

2. Mother-child pairs with severe congenital malformations of their children.

Related Conditions & MeSH terms

• Feeding Behavior
• Malnutrition

Intervention

Behavioral:
• Complementary feeding counseling
Complementary Feeding Counseling to Improve Appropriate Complementary Feeding Practices and Reduce Child Undernutrition

Locations

Country	Name	City	State
Ethiopia	Bahir Dar University	Bahir Dar	Amhara Regional State

Sponsors (1)

Lead Sponsor	Collaborator
Bahir Dar University

Country where clinical trial is conducted

Ethiopia, 

References & Publications (1)

Michaelsen KF, Grummer-Strawn L, Begin F. Emerging issues in complementary feeding: Global aspects. Matern Child Nutr. 2017 Oct;13 Suppl 2(Suppl 2):e12444. doi: 10.1111/mcn.12444. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change from baseline in appropriate complementary feeding practices of mothers for their children at 9 months.	Questions related to complementary feeding practices will be used to measure the complementary feeding practices of mothers for their children (Appropriate/Inappropriate). To measure appropriate complementary feeding practices, based on the world health organization recommendations for infant and young child feeding practices, continue of breast feeding, starting of solid, semi-solid or soft foods at 6 months of age, the eight indicators used to calculate the dietary diversity, and the meal frequency will be asked. Minimum dietary diversity, minimum meal frequency, and minimum acceptable diet will be determined. Appropriate complementary feeding practices is defined if the four indicators: timely introduction of complementary foods, minimum dietary diversity, minimum meal frequency, and minimum acceptable diet for age are full filled. Otherwise, inappropriate if a child feeding practices do not fulfill even one of the components of appropriate complementary feeding practices.	At base line (from June 9 to December 30/2023), and in 9 months (from September 30 to December 30/2024)
Secondary	Change from baseline in child nutritional status at 9 months	The child nutritional status (Under nutrition/ No Under nutrition) will be determined by measuring the length, weight, and calculating the child's age. Length will be measured using a calibrated length board to the nearest 1mm (0.1cm). Weight will be measured using mechanical hanging scale with weighing pants to the nearest 10g at the time of enrolment and 100g at end-line measurements. Before weighing the child, the weight scale will be hung securely and set to zero. Child's age will be calculated by subtracting the child's date of birth from the date of baseline data collection. Undernutrition will be defined if a child is wasted, or underweight, or stunted. The child is wasted: when the weight-for-length-Z score (WLZ) is <-2 standard deviations; Underweight: when Weight-for-age Z score (WAZ) is <-2 standard deviations, and Stunted: when length-for-age Z score (LAZ) is <-2 standard deviations.	(from June 9 to December 30/2023), and in 9 months (from September 30 to December 30/2024)