Community Resilience to Acute Malnutrition

Malnutrition, Child Clinical Trial

— CRAM  

Official title:

Community Resilience to Acute Malnutrition

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03454100
• Other study ID #: A06/B14
• Status: Completed
• Phase: N/A
• First received: February 9, 2018
• Last updated: February 26, 2018
• Start date: November 1, 2012
• Est. completion date: January 1, 2018

Study information

• Verified date: February 2018
• Source: Tufts University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study evaluates the impact of a multi-sectoral intervention (water, sanitation, and hygiene; training on climate smart activities; care groups for mothers; market gardens) on the prevalence of acute malnutrition as the primary outcome using a randomized intervention trial between 2012-2017 with four points of data collection (2012, 2014, 2015, and 2017).

Description:

Concern Worldwide has developed a model of intervention called Community Resilience to Acute Malnutrition (CRAM). This model is based on the need for (a) the introduction of longer-term programming to build community resilience to shocks, while recognising that there may be a need for humanitarian intervention, and (b) a multi-sectoral package of activities given experience in programming from other settings. The goal of the study is to rigorously test the impact of the model and associated activities on community resilience to shocks in the Goz Beida area of Chad. Where community resilience is proxied by the primary outcome variable: acute malnutrition.

In order to answer this question, 69 villages had been randomized to either receive the full multi-sectoral program or not. In each village, approximately 20 households were surveyed (randomly selected from a household list from a previous emergency distribution) for a total of 1420 households. Those households were then surveyed in November/December 2012 (prior to the intervention), and again a the same time period in 2014, 2015, and 2017.

Data was collected on household demographics, livelihoods, child health, and nutrition, including child (6-59 months) anthropometry.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1420
• Est. completion date: January 1, 2018
• Est. primary completion date: January 1, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 6 Months to 59 Months

Eligibility

Inclusion Criteria:

• child is from household with B, C, or D wealth ranking (wealth ranking is from A-D with A being the highest wealth and D being the lowest wealth)

• child is between the ages of 6-59 months

• child is present in the selected household at the time of the survey

Exclusion Criteria:

• child has a skin disorder

• too ill to be measured on height board or weight scale

Related Conditions & MeSH terms

• Child Nutrition Disorders
• Malnutrition
• Malnutrition, Child

Intervention

Behavioral:
• multisectoral package of activities
A multi-sectoral package of village level activities, including having a well dug, a shared latrine installed, training on handwashing and hygiene across the water chain, training on conservation agriculture techniques, care groups for pregnant and breastfeeding mothers, and training on market gardens.

Locations

Country	Name	City	State
Chad	Concern Worldwide Office	Goz Beida	Sila Region

Sponsors (3)

Lead Sponsor	Collaborator
Tufts University	Concern Worldwide, Department for International Development, United Kingdom

Country where clinical trial is conducted

Chad, 

References & Publications (1)

Marshak A, Young H, Bontrager EN, Boyd EM. The Relationship Between Acute Malnutrition, Hygiene Practices, Water and Livestock, and Their Program Implications in Eastern Chad. Food Nutr Bull. 2016 Dec 8. pii: 0379572116681682. [Epub ahead of print] — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Acute Malnutrition	prevalence of wasting (weight for age z-score<-2)	5 years
Secondary	Chronic Malnutrition	prevalence of stunting (height for age z-score<-2)	5 years
Secondary	height for age	height for age z-score	5 years
Secondary	child morbidity	Child ill in the past two weeks	5 years
Secondary	weight for height	weight for height z-score	5 years