Scaling up Small-Scale Food Processing to Promote Food Security Among Women Farmers in Rural Vietnam

Anemia Clinical Trial

Official title:

Scaling up Small-Scale Food Processing: A Strategy to Promote Food Security Among Women Subsistence Farmers in Rural Vietnam

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03847662
• Other study ID #: CIFSRF 108124
• Status: Completed
• Start date: November 3, 2016
• Est. completion date: June 5, 2018

Study information

• Verified date: February 2019
• Source: National Institute of Nutrition, Vietnam
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 799
• Est. completion date: June 5, 2018
• Est. primary completion date: June 5, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 6 Months to 2 Years

Eligibility

Inclusion Criteria:

• Child participants must be younger than 2y at baseline.

• Caregivers must volunteer and were required to give informed written consent

Exclusion Criteria:

• Free from oedema

• Free from physical and mental disabilities

• Free from memory disorders and/or mental illness

Related Conditions & MeSH terms

• Anemia
• Cachexia
• Food Insecurity
• Growth Disorders
• Stunting
• Thinness
• Underweight
• Wasting

Locations

Country	Name	City	State
n/a

Sponsors (4)

Lead Sponsor	Collaborator
National Institute of Nutrition, Vietnam	Global Affairs Canada, International Development Research Centre, Canada, Ryerson University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Household Food Insecurity Access Scale	Score from 1-27 indicating household food Insecurity. Where higher scores indicate greater food insecurity. This was taken at the beginning of intervention in Nov 2016 till completion in June 2018.	Nov 2016-June 2018
Secondary	Weight in kilograms	Stunting (Height-for-age Z score <-2SD), Underweight (Weight-for-age Z score<-2SD), Wasting (Weight-for-height Z score<-2SD) compared with World Health Organization's growth charts.	Nov 2016-June 2018
Secondary	Height in Meters	Stunting (Height-for-age Z score <-2SD), Underweight (Weight-for-age Z score<-2SD), Wasting (Weight-for-height Z score<-2SD) compared with World Health Organization's growth charts.	Nov 2016-June 2018
Secondary	Age in Months	Stunting (Height-for-age Z score <-2SD), Underweight (Weight-for-age Z score<-2SD), Wasting (Weight-for-height Z score<-2SD) compared with World Health Organization's growth charts.	Nov 2016-June 2018
Secondary	Hemoglobin Levels of Children (<2y)	Hemoglobin levels among Children participants assessed by finger prick blood sampling.	Nov 2016-June 2018

External Links

•   CIFSRF report
•   Video Overview of the Project (CIFSRF 108124)