- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04581993
Effectiveness of SNF and SBCC to Prevent Stunting Among Children in Afghanistan: a Quasi-experimental Study
Effectiveness of Specialized Nutritious Foods, Social and Behavior Change Communication Interventions to Prevent Stunting Among Children in Badakhshan Province, Afghanistan: a Quasi-experimental Study
Study Overview
Status
Conditions
Detailed Description
Over the years, there has been some progress made in reducing stunting in Afghanistan, the prevalence remains high with half of the provinces experiencing rates above the WHO alert threshold. As part of the Country Strategic Plan (CSP), the World Food Programme (WFP) plans to implement a stunting prevention programme in collaboration with Ministry of Public Health (MoPH) through its Public Nutrition Department (PND) in selected locations with stunting rates above 45%. The programme will emphasis on appropriate nutrition support in the '1000 days' window of opportunity with special focus on proven effective nutrition interventions such appropriate breast feeding, complementary feeding, micronutrient supplementation, malnutrition treatment and prevention, WASH. This will therefore take the form of an integrated approach ensuring the targeted beneficiaries are supported to access nutrition assistance as well as other complimentary interventions provided in-kind by study partners or promoted through social and behaviour change communication (SBCC). WFP will target pregnant and lactating women (PLW) and children aged 6-23 months but will also engage men and players that influence maternal infant and young child nutrition practices. Through this programme, children aged 6-23 months will receive lipid-based nutrient supplement - medium quantity (LNS-MQ) to complement their diets while PLW will receive Super Cereal - wheat soya blend with sugar.
An operational research study was embedded in the stunting prevention programme by credible third-party to determine the extent to which the new actions will influence nutrition outcomes and practices. Introducing the provision of SNF, SBCC as well as formulation and adoption of local culturally acceptable recipes for complementary feeding from locally available nutritious food would be new additions to the current Community Based Nutrition Program (CBNP) package in the implementation phase. During the project implementation, emphasis will be placed will be placed on the adoption of the locally formulated complementary foods as well as application of knowledge and practices promoted through the SBCC activities as part of the exit strategy and ensuring a lasting impact of the project.
Therefore, the Centre of Excellence in Women and Child Health, Aga Khan University, Pakistan proposes an operational research study with mix-methods including formative research, quasi-experimental design to evaluate the stunting prevention programme and process evaluations for stronger evidence base on the effectiveness of proposed interventions on prevention of stunting and developing viable programmes on nutrition under "real" operational conditions.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Sajid B Soofi, MBBS, FCPS
- Phone Number: 4798 +92 21 3486 4798
- Email: sajid.soofi@aku.edu
Study Contact Backup
- Name: Gul N Khan, MA, MPH
- Phone Number: 8001 + 92 3008298976
- Email: gul.nawaz@aku.edu
Study Locations
-
-
Badakhshan
-
Faizabad, Badakhshan, Afghanistan
- Aga Khan Health Services
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Pregnant and lactating women
- Children 6-23 months
- Willing to participate
Exclusion Criteria:
- Non pregnant and lactating women
- Children >24 months
- Refuse to participate
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Factorial Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
Pregnant and lactating women (PLW) will receive Super Cereal - wheat soya blend with sugar and children aged 6-23 months will receive lipid-based nutrient supplement-medium quantity (LNS-MQ).
Social and behavior change communication (SBCC), community mobilization, referrals, identification of model families, food demonstrations, local recipe) ration/beneficiary entitlement cards will be provided for easy verification and tracking during delivery of intervention.
|
Pregnant and lactating women will received Super Cereal during pregnancy and first six months of lactation.
Children will receive LNS during 6-23 months of age.
SBCC will be provided to improve care-givers knowledge, attitudes and practices related to infant and young child feeding.
|
No Intervention: Control
Control districts will receive routine health care services available in the study area.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Reduction in stunting
Time Frame: 18 months
|
10% reduction in stunting among children 6-23 months in the intervention compare to control
|
18 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Sajid B Soofi, MBBS, FCPS, Aga Khan University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Stunting Study Afghanistan
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Stunting
-
Washington University School of MedicineKamuzu University of Health Sciences; Project Peanut Butter, MalawiCompletedNutritional StuntingMalawi
-
International Centre for Diarrhoeal Disease Research...University of WashingtonCompletedNutritional StuntingBangladesh
-
Indonesia UniversityWyeth nutrition indonesiaCompletedGrowth; Stunting, NutritionalIndonesia
-
Danone Asia Pacific Holdings Pte, Ltd.KK Women's and Children's HospitalCompletedGrowth; Stunting, NutritionalSingapore
-
University of South CarolinaHelen Keller InternationalCompleted
-
International Centre for Diarrhoeal Disease Research...Department for International Development, United Kingdom; University of Sydney and other collaboratorsCompleted
-
Swiss Federal Institute of TechnologyBRAC University; HarvestPlusCompletedZinc Deficiency | Growth; Stunting, NutritionalSwitzerland, Bangladesh
-
University of CopenhagenUniversity of Aarhus; Arla FoodsCompletedGrowth Acceleration | Growth; Stunting, NutritionalDenmark
-
Andalas UniversityIndonesia UniversityCompletedGastrointestinal Microbiome | Growth; Stunting, Nutritional | Immunoglobulin AIndonesia
-
University of WashingtonFrankel Family Foundation; Stewardship FoundationActive, not recruitingBreastfeeding, Exclusive | Immunization; Infection | Growth; Stunting, NutritionalEthiopia
Clinical Trials on Super Cereal - wheat soya blend with sugar
-
Tufts UniversityWashington University School of Medicine; United States Agency for International... and other collaboratorsTerminated
-
Aga Khan UniversityUnited Nations World Food Programme (WFP); Pakistan Ministry of HealthCompletedMalnutritionPakistan
-
International Centre for Diarrhoeal Disease Research...University Ghent; United Nations World Food Programme (WFP); Action Contre la...Not yet recruitingModerate Acute MalnutritionBangladesh