- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05890378
Integrated Livestock Management for Nutrition in Children Under Five Years of Age in Chad
Integrated Livestock Management for Nutrition in Children Under Five Years of Age
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The main objective of this study is to determine the effectiveness of a livestock management intervention, with considerations for animal food security, water contamination from animals, and nutrition counseling, in reducing the risk of acute malnutrition among children under the age of 5 years in Kanem and Bahr El Ghazel (BeG) in Chad. To get at this objective we will be comparing across four study arms: 1) fodder provision, 2) water management/treatment, 3) combination of fodder and water management/treatment and 4) a control. All four arms will receive nutrition counseling, animal vaccination, and animal deworming.
Specifically, the study aims to answer the following research questions in the implementation research:
- Does provision of animal feed and nutrition counseling lead to a reduction in child acute malnutrition of children under five?
- Does messaging pulling on existing local strategies to improve protected water access for animals and humans, provision of a chlorine dispenser, and nutrition counseling lead to a reduction in child acute malnutrition of children under five?
- Does provision of animal feed, nutrition counseling, in combination with messaging pulling on existing local strategies to improve protected water access for animals and humans lead to a reduction in child acute malnutrition of children under five?
In preparation for the implementation of the intervention, we will conduct formative research to better contextualize the interventions and data collection. The formative research will seek to answer the following research questions.
- What is the water quality of and practices around different types of unimproved water sources?
- Which water sources are used by households, and what is their distance from the community?
- What zoonotic pathogens are present in animal and human fecal matter, and in milk?
- What is the highest acceptable (using the flavor rating assessment method - Table 5) concentration of chlorine to provide safe water for users?
The study will be done in a phased approach:
- Year 1: formative research
- Year 2: impact evaluation
- Year 3: sustainability study
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Anastasia Marshak, PhD
- Phone Number: (617) 627-3423
- Email: anastasia.marshak@tufts.edu
Study Contact Backup
- Name: Anna Ronell, PhD
- Email: anna.ronell@tufts.edu
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Communities selected for the research have to be near a seasonal river
- Households (within those communities) have to have at least one child between the ages of 6 and 59 months.
- Households (within those communities) have to have at least one Tropical Livestock Unit (TLU) of livestock. One TLU is equivalent to either one cow, one camel, 10 goats or 10 sheep.
- Within those households, we will interview the female caretaker
- Anthropometry data will be collected from children 6-59 months and the female caretaker
Exclusion Criteria:
- lack of children under 5 years of age and/or a required livestock unit
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Cohort by Water Source
Using existing secondary data available on the research communities as well as qualitative inquiry, we will purposefully select 40 water sources for the water analysis across from the communities selected for the implementation research (up to 30 communities with a maximum of 5 water sources per community).
The selection of water sources will be stratified by type of water sourceand near the route for long-term animal migration.
For each water source, we will aim to have a water sample collected at all water sources twice a day (morning and later afternoon) once a week for four weeks, varying the day of the week.
Thus, we will collect a total of 320 water samples in the course of four weeks at the end of the dry season before the rains start.
|
Using existing secondary data available on the research communities as well as qualitative inquiry, we will purposefully select 40 water sources for the water analysis across from the communities selected for the implementation research (up to 30 communities with a maximum of 5 water sources per community).
The selection of water sources will be stratified by type of water sourceand near the route for long-term animal migration.
For each water source, we will aim to have a water sample collected at all water sources twice a day (morning and later afternoon) once a week for four weeks, varying the day of the week.
Thus, we will collect a total of 320 water samples in the course of four weeks at the end of the dry season before the rains start.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Water Quality
Time Frame: 2023-2026
|
Water quality: total coliform and E. coli
|
2023-2026
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- Marshak-FAO-Chad
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
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.
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