Malnutrition Clinical Trial
— NECTAcOfficial title:
Effectiveness of a Nutrition Education Package in Improving Feeding Practices, Dietary Adequacy and Growth of Infants and Young Children in Rural Tanzania
Building on the success of community-based peer education and counselling in breastfeeding,
it is possible to address young child feeding and health practices in the surveyed district.
Opportunities that can optimise success and encourage behaviour change in the district
include mothers willingness to modify some feeding options; support of family members;
seasonal availability and accessibility of foods; established set-up of village peers and
existence of health centres and health staff in some villages. This study has developed a
feasible, context-specific nutrition education package for use in rural Tanzania. The
package is composed of 4 components, namely 1) education and counselling of mothers, 2)
training of community-based nutrition counsellors, 3) sensitisation meetings with health
staff and family members, and 4) supervision of community-based nutrition counsellors. The
intervention will use a parallel cluster-randomised controlled trial design where infants
will be recruited when aged 6 months and followed up for 9 months. The intervention expects
to provide information and, where appropriate, recommendations to strengthen the nutrition
component in the health education programme of the Tanzania child health services.
The study hypothesises that the nutrition education package will be more effective than the
routine health education in improving feeding practices, dietary adequacy and growth of
infants and young children. Specific objectives of the study include:
- To evaluate the effectiveness of a nutrition education package on feeding practices and
dietary adequacy
- To determine the effectiveness of a nutrition education package in improving growth and
health of infants and young children
- To document the process of implementation of the nutrition education package to promote
optimal feeding and health practice
Status | Recruiting |
Enrollment | 600 |
Est. completion date | August 2015 |
Est. primary completion date | August 2015 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 6 Months to 7 Months |
Eligibility |
Inclusion Criteria: - Infants aged 6-7 months at the time of recruitment into the study - Infants currently being breastfed - Parents (or caregivers) anticipated local residence for the study duration Exclusion Criteria: - Congenital or chronic abnormalities impairing feeding or physical growth measurements - Oedema - Severely ill or clinical complications warranting hospitalisation |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
Tanzania | Mpwapwa District | Mpwapwa | Dodoma |
Lead Sponsor | Collaborator |
---|---|
Sokoine University of Agriculture | Institute of Tropical Medicine, Belgium, Nestlé Foundation, Nutrition Third World, Belgium, Schlumberger Foundation - Faculty for the Future Programme, University Ghent |
Tanzania,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Linear growth: Mean change from baseline in length-for-age Z-scores at at 9-, 12- and 15-months-old | Linear growth (length-for-age Z-scores): WHO 2006 Growth Standards | Length-for-age Z-scores: Baseline (6 months-old), Month 9, Month 12 and Month 15 | No |
Secondary | Weight-for-length: Mean change from baseline in weight-for-length Z-scores at 9-, 12- and 15-months-old | Weight-for-length Z-scores: WHO 2006 Growth Standards | Weight-for-length Z-scores: Baseline (6 months-old), Month 9, Month 12 and Month 15 | No |
Secondary | Mean intake of energy, fat, iron and zinc from complementary foods at 12 months-old | Mean intake of energy, fat, iron and zinc from complementary foods: Interactive 24-hour dietary recall and WHO recommended intakes | Mean intake of energy, fat, iron and zinc from complementary foods: Baseline (6 months-old), Month 12 | No |
Secondary | Proportion of children consuming foods from 4 or more food groups at 9-, 12- and 15-months-old | Proportion of children consuming foods from 4 or more food groups: Structured questionnaire, PAHO/WHO Guiding principles and WHO Indicators | Proportion of children consuming foods from 4 or more food groups: Baseline (6 months-old), Month 9, Month 12 and Month 15 | No |
Secondary | Proportion of children consuming the recommended number of semi-solid/soft meals and snacks per day at 9-, 12- and 15-months-old | Proportion of children consuming the recommended number of semi-solid/soft meals and snacks per day: Structured questionnaire, PAHO/WHO Guiding principles and WHO Indicators | Proportion of children consuming the recommended number of semi-solid/soft meals and snacks per day: Baseline (6 months-old), Month 9, Month 12 and Month 15 | No |
Secondary | Maternal level of knowledge and practice of recommended feeding and health practices at 9-, 12- and 15-months-old | Maternal level of knowledge and practice of recommended feeding and health practices: Structured/open-ended questionnaire and structured observation | Maternal level of knowledge and practice of recommended feeding and health practices: Month 9, Month 12 and Month 15 | No |
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