Evaluation Nutrition Education Intervention on Pulse and Cereal Mix for Complementary Food in Southern Ethiopia

Dietary Habits Clinical Trial

Official title:

Evaluation of the Effectiveness of Nutrition Education Intervention Among Rural Mothers on Pulse and Cereal Mix Complementary Food and Nutritional Status of Children Age 6-24 Months in Sidama Zone, Southern Ethiopia

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02638571
• Other study ID #: PULSE-HEW
• Status: Completed
• Phase: N/A
• Start date: January 19, 2016
• Est. completion date: November 22, 2016

Study information

• Verified date: October 2018
• Source: University of Saskatchewan
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The overall purpose of the study is to evaluate nutrition education interventions to promote pulse incorporated complementary food to the wider rural community through the government system to improve maternal knowledge, attitude and practice (KAP) and nutritional status of young children (6 to 24 months). The hypothesis is that nutrition education improves mothers knowledge, attitude and practice of pulse incorporated complementary food and improves dietary intake of iron and zinc and nutritional status of young children.

Description:

Only 9% of the population in Southern Ethiopia consumes pulse and pulse total contribution of the diet is less than 4.9% for women and less than 3.3% for children.Young children are at risk of developing malnutrition because of dietary inadequacy. Educational interventions can improve feeding practices and growth of young children. The overall purpose of the study is to evaluate nutrition education interventions to promote pulse incorporated complementary food to the wider rural community through the government system to improve maternal knowledge, attitude and practice (KAP) and nutritional status of young children (6 to 24 months). The hypothesis is that nutrition education improves mothers knowledge, attitude and practice of pulse incorporated complementary food and improves dietary intake of iron and zinc and nutritional status of young children. Before, at midline and end of the intervention we will assess the KAP of mothers, dietary intake of iron and zinc and nutritional status of young children. The nutrition education intervention will be given for 9 months. Serum ferritin, serum zinc, C-Reactive protein and hemoglobin and dietary intake of iron and zinc of young children will be measured at the beginning and ending of the intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 772
• Est. completion date: November 22, 2016
• Est. primary completion date: November 22, 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 6 Months to 15 Months

Eligibility

Inclusion Criteria:

• Age 6-15 months

• Apparently healthy

• Being breastfed at time of recruitment

• The mothers are permanent residents of the kebele

Exclusion Criteria:

• Infant undergoing treatment with supplemental foods for malnutrition

Related Conditions & MeSH terms

• Dietary Habits
• Health Knowledge, Attitudes, Practices
• Wasting

Intervention

Other:
• enhanced education on pulse use in complementary foods
Enhanced Nutrition education with sessions and counseling by health extension workers

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
University of Saskatchewan	Hawassa University

References & Publications (8)

Amare B, Moges B, Fantahun B, Tafess K, Woldeyohannes D, Yismaw G, Ayane T, Yabutani T, Mulu A, Ota F, Kassu A. Micronutrient levels and nutritional status of school children living in Northwest Ethiopia. Nutr J. 2012 Dec 13;11:108. doi: 10.1186/1475-2891-11-108. — View Citation

Berhanu G, Henry CJ, Whiting SJ, Green TJ. 2017 Assessment of knowledge, attitude and practice of mothers on pulse incorporated complementary food and its correlations with diet diversity and nutritional status of their children aged 6-15 months in two ru

Bhutta AZ, Das KD, Rizvi A, Gaffey FM, Walker N, Horton S, ....Black ER. Evidence-based interventions for improvement of maternal and child nutrition: What can be done and at what cost? The Lancet 2013 retrieved fro http://dx.doi.org/10.1016 on September 2015.

Hirvone K, & Hoddinot J. Agricultural production and children's diets: Evidence from rural Ethiopia. EDRI & IFPRI, working paper 69.

Kebebu A, Whiting S, & Henry C. Formulation of a complementary food fortified with broad beans (vicia faba) in Southern Ethiopia. African Journal of Food, Agriculture, Nutrition and Development. 2013; 13(3): 7789-7803.

Kuma T. Analysis of changes in Food Consumption Pattern in Urban Ethiopia. EDRI. 2010.

Negash C, Belachew T, Henry CJ, Kebebu A, Abegaz K, Whiting SJ. Nutrition education and introduction of broad bean-based complementary food improves knowledge and dietary practices of caregivers and nutritional status of their young children in Hula, Ethiopia. Food Nutr Bull. 2014 Dec;35(4):480-6. — View Citation

Tefera T. Determinants of smallholder pulse producers market orientation in Southern Ethiopia. Asian Journal of Business Management. 2014; 6(2); 97-103.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Maternal knowledge, attitudes and practices towards pulse-cereal mix complementary food	Using validated questions on knowledge, attitude and practices	9 months
Secondary	Weight for height Z-score of children	Change in z-score of measured weight and measured height (length) ratio at 9 months	9 months
Secondary	Zinc status of children	Measurement of serum zinc against WHO standards	9 months
Secondary	Iron status	iron status as determined by serum ferritin corrected for inflammation using markers, whole hemoglobin to define anemia status using WHO standards.	9 months