Clinical Trials Logo

Clinical Trial Summary

The IRAM Chad impact evaluation will be based on a cluster randomized controlled trial to study the impact of the integrated and multisectoral services package (PASIM), aimed at reducing the incidence and prevalence of wasting through integrated interventions, including, among other things, strengthening the activity of community care groups, food supplementation, water treatment, and screening for wasting conducted by families.

Clinical Trial Description

The general objective of the integrated and multisectoral services package (PASIM) is to reduce the incidence and prevalence of wasting through integrated interventions, including, among other things, strengthening the activity of community care groups. The members of the care groups conduct home visits to children aged 6-23 months (or up to 59 months when the children are under treatment for wasting or have been discharged in the previous 6 months) to deliver messages for behavioral change related to complementary feeding, health and hygiene ; deliver nutritional supplement and water purification inputs; improve screening coverage (training and supervision of families to take the Mid-Upper Arm Circumference measurements, referral of malnourished cases); and verify adherence to treatment of malnourished cases, in the health district of Mongo, Guéra province, Chad, Central Africa. The evaluation of the impact of PASIM will be based on a cluster randomized controlled trial, consisting of 100 villages or clusters of villages. The selected evaluation model will be that of a comparison of control groups (n=50; no implementation of the intervention) and intervention (n=50) through the follow-up of 3 cohorts : 1. Longitudinal in-home follow-up of a semi-open cohort of 1,750 children aged 6 months at enrollment (included continuously for 7 months and all followed through to the end of the study, which will last 9 months in total). 2. Longitudinal follow-up of all children aged 6-23 months enrolled for wasting treatment, based on health system records. 3. Longitudinal follow-up at home for 6 months of a closed cohort of 700 children aged 6-23 months at inclusion, discharged from a treatment for acute malnutrition. The primary impact results are as follows: - The longitudinal prevalence of wasting at the end of the study (Cohort 1). - The recovery rate (Cohort 2). - The incidence of relapse during the 9 months of the intervention (Cohort 3). Secondary impact results include, but are not limited to : - The incidence of wasting during the 9 months of the intervention (Cohort 1) ; - The screening coverage (cohorts 1 and 3); - The proportion of wasting cases enrolled in a treatment program (cohorts 1 and 3); - The adherence to treatment (cohort 2) during the 9 months of the intervention. ;

Study Design

Related Conditions & MeSH terms

NCT number NCT04867694
Study type Interventional
Source International Food Policy Research Institute
Contact Elodie Becquey, PhD
Phone 00221778487085
Email [email protected]
Status Not yet recruiting
Phase N/A
Start date May 3, 2021
Completion date December 31, 2021

See also
  Status Clinical Trial Phase
Completed NCT01562379 - Complementary Food Supplements for Reducing Childhood Undernutrition Phase 2/Phase 3
Completed NCT04561635 - Effects of Multiple-micronutrients Supplementation on Growth and Iron Status of Indigenous Children in Malaysia N/A
Active, not recruiting NCT03509155 - Food Supplement Treatment for Wasting Children in Indonesia N/A
Completed NCT03847662 - Scaling up Small-Scale Food Processing to Promote Food Security Among Women Farmers in Rural Vietnam
Completed NCT01920724 - Body Composition in Preschool Children N/A
Active, not recruiting NCT02441426 - Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development N/A
Terminated NCT04233944 - Uganda Birth Cohort Study
Not yet recruiting NCT04872088 - Integrated Research on Acute Malnutrition in Mali (IRAM-MALI) N/A
Not yet recruiting NCT04587271 - Nutritional Impact of Moringa Oleifera Leaf Supplementation in Mothers and Children N/A
Completed NCT02638571 - Evaluation Nutrition Education Intervention on Pulse and Cereal Mix for Complementary Food in Southern Ethiopia N/A
Recruiting NCT04704076 - Preventing Infant Malnutrition With Early Supplementation N/A
Completed NCT01898871 - Effectiveness of Nutritional Products to Treat Moderate Acute Malnutrition Phase 2
Not yet recruiting NCT03780348 - A Novel Low-Cost Tool for a More Efficient and Reliable Weight-for-Height/Length Assessment N/A
Completed NCT00198835 - Evaluation Research of the Nutrition Interventions in the INHP II Areas of CARE India N/A
Recruiting NCT04025827 - Weight Patterns in the Month After Birth