District-based Mainstreaming Nutrition Project in Rural Pakistan

Scaling up Evidence-based Nutrition Interventions to Address Maternal and Child Health Outcomes in Pakistan: a District-based Demonstration Project in Rural Sindh


Lead Sponsor: Aga Khan University

Collaborator: International Centre for Diarrhoeal Disease Research, Bangladesh
National Lady Health Workers Programme, Government of Pakistan

Source Aga Khan University
Brief Summary

This study aims to provide evidence regarding the feasibility of integrating an enhanced maternal and child care health education package into the existing curricula of the National Program for Family Planning and Primary Health Care (LHW Program) and evaluating the feasibility of scaling-up as well as the impact on birth outcomes, nutritional status, morbidity patterns and overall survival patterns at the community level.

Detailed Description

This project aims to do the following:

- To evaluate the operational feasibility of integrating an enhanced health education and nutrition package into the existing curriculum of the National Program for FP/PHC (LHW Program)

- Impact of the implementation of the full package of evidence-based nutrition interventions on the nutrition status, morbidity patterns and overall survival patterns in the district

Overall Status Completed
Start Date July 2008
Completion Date February 2009
Primary Completion Date February 2009
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
mother pregnancy weight gain in 3rd trimester at time of enrollment, 2 weeks before delivery
mothers Hb level at time of enrollment, 2 weeks before delivery
child's birthweight at birth
Secondary Outcome
Measure Time Frame
young child's growth 0, 3, 6, 12, 18 mths, at end of study
dietary diversity of CF 6 mths, 9mths, 12mths, 18 mths
Enrollment 3000

Intervention Type: Behavioral

Intervention Name: Enhanced education

Description: Enhanced Nutritional education/counseling to mothers on the following topics: During Pregnancy: diet during pregnancy; antenatal care; iron tablets; colostrum Postpartum period: difficulties during lactation; diet during lactation; EBF; childhood vaccination; newborn care Complementary Feeding General Health: vitamin A; diarrhea management; iodine; hygiene for health; protection from malaria; ARI & protection against ARI

Arm Group Label: Enhanced LHW Advice



Inclusion Criteria:

- Live born infants and young children from all registered pregnancies within participating villages and catchment population

- pregnant women

- Consent given by at least one of the parents

Exclusion Criteria:

- Children born with congenital malformations or serious birth injury

- Suspected non-compliance (mobile and poorly motivated parents).

- Failure to give consent

Gender: All

Minimum Age: N/A

Maximum Age: N/A

Healthy Volunteers: Accepts Healthy Volunteers

Facility: AKU-Peds Naushero Feroze Site Office
Location Countries


Verification Date

January 2018

Responsible Party

Type: Principal Investigator

Investigator Affiliation: Aga Khan University

Investigator Full Name: Dr Zulfiqar Ahmed Bhutta

Investigator Title: Professor and Founding Director, Centre of Excellence in Women and Child Health

Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: Routine LHW Advice

Type: No Intervention

Description: Arm receiving routine advice by their local Lady Health Workers (LHWs)

Label: Enhanced LHW Advice

Type: Active Comparator

Description: Arm receiving enhanced nutrition and health advice from the local Lady Health Workers (LHWs)during their routine community visits.

Acronym NF Nutrition
Patient Data No
Study Design Info

Allocation: Non-Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Prevention

Masking: Single (Outcomes Assessor)

Source: ClinicalTrials.gov