Clinical Trial Details
— Status: Recruiting
Administrative data
| NCT number |
NCT05365698 |
| Other study ID # |
00001816 |
| Secondary ID |
|
| Status |
Recruiting |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
October 3, 2021 |
| Est. completion date |
October 30, 2025 |
Study information
| Verified date |
November 2023 |
| Source |
Tufts University |
| Contact |
Shibani Ghosh, PhD |
| Phone |
6176363771 |
| Email |
shibani.ghosh[@]tufts.edu |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational
|
Clinical Trial Summary
The purpose of the comprehensive evaluation is to assess USAID supported Community Health and
Nutrition (CHN) program's ability to effect change, the comprehensive evaluation will assess
the effectiveness of CHN in influencing the knowledge, attitudes, practices, motivation, and
support of health care providers, as well as the behavior change in pregnant and lactating
women of reproductive age and their infants/young children thus supporting optimal maternal,
infant and young child nutrition and health.
Description:
Breastfeeding (BF) plays an important foundation for a healthy and well-developed child, and
complementary feeding (CF) builds upon this foundation. Appropriate timing and introduction
of high-quality complementary foods are key to sound infant, young child feeding (IYCF)
practices. There is compelling evidence that BF and CF are crucial for the growth and
development of a child, and in preventing malnutrition. Given this context, the
USAID-supported "Community Health and Nutrition" (CHN) is being implemented in three
governorates (Amman, Karak, Zarqa) of Jordan to improve the nutritional status of pregnant
and lactating women (PLW) and children under the age of two years. The program will fulfill
this goal by implementing activities to support improvement in IYCF practices, increase
adoption of optimal family planning practices and maternal, infant, and young child nutrition
(MIYCN) practices, and by improving health care provider support for proper IYCF practices
and use of modern contraceptives methods (MCMs).
The purpose of the comprehensive evaluation is to assess USAID supported Community Health and
Nutrition (CHN) program's ability to effect change. The evaluation will assess the
effectiveness of CHN in influencing the knowledge, attitudes, practices, motivation, and
support of health care providers, as well as the behavior change in pregnant and lactating
women of reproductive age and their infants/young children thus supporting optimal maternal,
infant and young child nutrition and health.
The study will utilize a cluster-randomized stratified stepped wedge design with two steps
and two strata (cohort I and cohort 2). The stepped wedge study design is a staggered rollout
design in which treatments are introduced to clusters at different time points. This design
is particularly well suited for evaluating large-scale programs, like CHN, that roll out the
intervention across clusters in phases. The use of strata (stratification) ensures
representation of both regional and facility-level differences across the two cohorts.
The investigators will conduct 4 repeat annual cross-sectional surveys on women of
reproductive age who are pregnant or are lactating and have a child under 2 years of age.
Women will be recruited in the facilities and data will be collected at 12-month intervals.
They will also conduct 3 repeat annual cross-sectional surveys on service providers (health
care providers and community health agents) who work at these health facilities and within
districts that are targets of the CHN program.
