Mothers Understand And Can do it - Mid Upper Arm Circumference Screening for Malnutrition Performed by Mothers

Mothers Understand And Can do it - Mid Upper Arm Circumference Screening for Malnutrition Performed by Mothers of Children < 5 Years Old

Sponsors

Lead Sponsor: Alliance for International Medical Action

Collaborator: Bien Être de La femme et de L'Enfant au Niger

Source Alliance for International Medical Action
Brief Summary

PRIMARY OBJECTIVE :

To determine whether mothers, given minimal group training, are capable of using a MUAC (mid-upper arm circumference) bracelet to screen their children for malnutrition and categorise them into one of three groups : 'red' (SAM ; severe acute malnutrition), 'yellow' (MAM ; moderate acute malnutrition) or 'green' (normal nutritional status)

SECONDARY OBJECTIVES :

To establish whether there is a difference in the MUAC value if measured on the right arm as opposed to the left, in young children

To determine whether there is a difference in the MUAC value if the mid upper arm position is determined visually as opposed to being measured in the 'classical' fashion

Detailed Description

Severe Acute Malnutrition (SAM) and its complications are major causes of death in under 5s in the developing world. A simple, reproducible, scalable way to recognise acute malnutrition and target early intervention would be a huge advance. Can mothers with limited training reliably measure and interpret the results of Mid Upper Arm Circumference (MUAC), a measurement performed with a MUAC measuring tape costing $0.06? MUAC contrasts with Z-score (WHZ), which requires both scales and a height gauge, both health worker interventions susceptible to considerable error, sensitive to non-nutritional factors, requiring calculations and growth curves, yet much less accurate in predicting risk of death compared with MUAC.

Overall Status Completed
Start Date August 2011
Completion Date August 2012
Primary Completion Date August 2012
Study Type Observational
Primary Outcome
Measure Time Frame
inter and intra observer variability 2 years
Secondary Outcome
Measure Time Frame
inter and intra observer variability 2 years
inter and intra observer variability 2 years
Enrollment 300
Condition
Eligibility

Sampling Method: Non-Probability Sample

Criteria:

Inclusion Criteria:

- children present in the inpatient malnutrition treatment unit and paediatric service of the Mirriah district hospital aged between 6-59 months old

- children aged between 6-59 months old in the two villages where the community phase of the study was conducted

Exclusion Criteria:

- children receiving treatment in the intensive care unit of Mirriah district hospital

- children with bilateral oedema

- children whose mothers or fathers refused consent to participate in the study

Gender: All

Minimum Age: 6 Months

Maximum Age: 59 Months

Healthy Volunteers: Accepts Healthy Volunteers

Overall Official
Last Name Role Affiliation
nikki blackwell, FCICM,FRACP Study Director Alliance for International Medical Action
Location
Facility: Mirriah Health District
Location Countries

Niger

Verification Date

December 2013

Responsible Party

Type: Sponsor

Keywords
Has Expanded Access No
Condition Browse
Acronym MUAC
Study Design Info

Observational Model: Cohort

Time Perspective: Prospective

Source: ClinicalTrials.gov