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Integrated Livestock Management for Nutrition in Children Under Five Years of Age in Chad

Malnutrition, Child Clinical Trial

Official title:
Integrated Livestock Management for Nutrition in Children Under Five Years of Age

Clinical Trial Summary

The main objective of this study is to determine the effectiveness of a livestock management intervention, with considerations for animal food security, water contamination from animals, and nutrition counseling, in reducing the risk of acute malnutrition among children under the age of 5 years in Kanem and Bahr El Ghazel (BeG) in Chad.

Clinical Trial Description

The main objective of this study is to determine the effectiveness of a livestock management intervention, with considerations for animal food security, water contamination from animals, and nutrition counseling, in reducing the risk of acute malnutrition among children under the age of 5 years in Kanem and Bahr El Ghazel (BeG) in Chad. To get at this objective we will be comparing across four study arms: 1) fodder provision, 2) water management/treatment, 3) combination of fodder and water management/treatment and 4) a control. All four arms will receive nutrition counseling, animal vaccination, and animal deworming. Specifically, the study aims to answer the following research questions in the implementation research: 1. Does provision of animal feed and nutrition counseling lead to a reduction in child acute malnutrition of children under five? 2. Does messaging pulling on existing local strategies to improve protected water access for animals and humans, provision of a chlorine dispenser, and nutrition counseling lead to a reduction in child acute malnutrition of children under five? 3. Does provision of animal feed, nutrition counseling, in combination with messaging pulling on existing local strategies to improve protected water access for animals and humans lead to a reduction in child acute malnutrition of children under five? In preparation for the implementation of the intervention, we will conduct formative research to better contextualize the interventions and data collection. The formative research will seek to answer the following research questions. 1. What is the water quality of and practices around different types of unimproved water sources? 2. Which water sources are used by households, and what is their distance from the community? 3. What zoonotic pathogens are present in animal and human fecal matter, and in milk? 4. What is the highest acceptable (using the flavor rating assessment method - Table 5) concentration of chlorine to provide safe water for users? The study will be done in a phased approach: - Year 1: formative research - Year 2: impact evaluation - Year 3: sustainability study ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05890378
Study type Observational
Source Tufts University
Contact Anastasia Marshak, PhD
Phone (617) 627-3423
Email anastasia.marshak@tufts.edu
Status Not yet recruiting
Phase
Start date July 2023
Completion date February 2026
View Details
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