Joint Infant and Young Child Nutrition Program and Malnutrition Prevention

Joint Infant and Young Child Nutrition Program in Burkina Faso : Impact Evaluation

Study title: Joint Infant and young children nutrition program in Burkina Faso: Impact evaluation Hypothesis: The fortification of complementary foods associated with a counseling on feeding practices for infants and young children prevents malnutrition in 6-23 months-old children.

Objective: to assess the effectiveness of a promotional care package in preventing malnutrition among children aged 6-23 months.

Study Overview

• Status: Completed
• Conditions: Growth Failure; Good Infant and Young Child Feeding Practices
• Intervention / Treatment: Other: MNP + IYCN counseling + cooking demonstrations

Detailed Description

The 'Institut de Recherche en Sciences de la Santé (IRSS)', in collaboration with Micronutrient Initiative (MI), the Institute of Tropical Medicine (ITM) Antwerp (Belgium), and the Health District of Tougan, will conduct a study to assess the effectiveness of a promotional package in the prevention and management of malnutrition among children aged 6-23 months.

This promotional package includes:

1. A monthly follow-up sessions promoting growth in which detailed advice on feeding practices infant and young child feeding (IYCF) will be given to the mothers of children 6-23 months . These behavioral change informations be developed based on the rapid assessment of practices and foods available in the community and adaptation of the WHO manual.
2. The distribution of micronutrient powders (MNP) (15 micronutrients) to mothers of children 6-23 months of age for home fortification of complementary foods
3. Intensive counseling sessions and cooking demonstrations every two weeks for moderately malnourished children . Cooking demonstrations will include instructions on adding micronutrient powders and oil to meals .

• Study Type: Interventional
• Enrollment (Actual): 2212
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Burkina Faso
  • Kadiogo
    • Ouagadougou, Kadiogo, Burkina Faso
      • LANOU Hermann Bienou

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 months to 1 year (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Mothers of 6 to 23 months old children
• Reside in the study area
• Accept to use MNP

Exclusion Criteria:

• Mothers of children aged less than 6 months or more than 23 months.
• Refusal

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Programme; Distribution of Micronutrients powders (MNP); Intensive counseling on Infant and Young Child Nutrition; Cooking demonstrations	Other: MNP + IYCN counseling + cooking demonstrations; Growth monitoring and promotion sessions will take place every month at village level for all children 0-23 months of age and will serve as an entry point for all the interventions. During these sessions children under 24 months will be weighed monthly and screened for MAM and uncomplicated SAM for treatment in the community as well as complicated SAM for referral to health facility During the monthly sessions cooking demonstrations will take place in which the community Health workers will instruct the mother how to prepare a good complementary food for 6-23 months olds adding the MNP. These meals will be given to the child during the session. Mothers will be encouraged to prepare the same meal at home During the monthly sessions enhanced IYCN counseling will be given to the mothers of 6-23 months olds, using improved BCI messages developed based on the rapid assessment of practices and foods available in the community and adaptation of the WHO manual.
No Intervention: Controle; Usual Infant growth monitoring and promotion activities; No distribution of micronutrients powders; No Intensive counseling; No cooking demonstrations

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Proportion of children with Weight-for-height and/or Height-for-age ZScore <-2	1 year

Secondary Outcome Measures

Outcome Measure	Time Frame
Proportion of mothers who can describe at least 3 best practices about IYCN	3, 6 and 12 months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of children with adverse events as a safety measure of the use of Micronutrient Powder for food fortification at home	The morbidity will be assess every week from baseline until the end of the intervention (1 year)	1 year

Collaborators and Investigators

• Sponsor: Institut de Recherche en Sciences de la Sante, Burkina Faso
• Collaborators: Institute of Tropical Medicine, Belgium; Micronutrient Initiative; Terre des Hommes
• Investigators: Principal Investigator: Hermann Lanou, MSc, Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso

Publications and helpful links

General Publications

• Lanou HB, Osendarp SJM, Argaw A, De Polnay K, Ouedraogo C, Kouanda S, Kolsteren P. Micronutrient powder supplements combined with nutrition education marginally improve growth amongst children aged 6-23 months in rural Burkina Faso: A cluster randomized controlled trial. Matern Child Nutr. 2019 Oct;15(4):e12820. doi: 10.1111/mcn.12820. Epub 2019 Jun 10.

Study record dates

Study Major Dates

• Study Start: November 1, 2014
• Primary Completion (Actual): October 1, 2015
• Study Completion (Actual): December 1, 2015

Study Registration Dates

• First Submitted: May 6, 2014
• First Submitted That Met QC Criteria: May 11, 2014
• First Posted (Estimate): May 13, 2014

Study Record Updates

• Last Update Posted (Estimate): April 14, 2016
• Last Update Submitted That Met QC Criteria: April 12, 2016
• Last Verified: April 1, 2016

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Failure to Thrive
• Other Study ID Numbers: IRSS0002