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Leveraging an Existing Large-scale Safe Water Program to Deliver Nutrition Messages at a Low Marginal Cost

17. März 2019 aktualisiert von: Marcos Vera Hernandez
The investigators are seeking to overcome the dual challenges of under-nutrition and diarrhea using an existing safe water supply platform to deliver nutrition information to targeted groups in Western Kenya. Using a randomized evaluation, investigators will determine the impact on nutrition status and practices of delivering nutrition information. The evaluation results will enable Evidence Action to make strategic decisions regarding the potential scale-up of the combined program across Kenya.

Studienübersicht

Status

Abgeschlossen

Bedingungen

Intervention / Behandlung

Detaillierte Beschreibung

Evidence Action's Dispensers for Safe Water program currently provides access to safe water for two million people. The program would be able to leverage the existence of this service delivery platform to provide promoters with training on proper nutrition and methods for delivering these messages to target groups.

The intervention is a home visiting program that will provide nutrition advice on complementary feeding to households with children aged 6-24 months. Two types of home visits will be evaluated, a 'traditional visit mode' in which the child's mother receives the visit; and a 'couples visit mode' in which the promoter attempts to involve both the father and mother.

Households in the control group will also receive home visits by promoters but the content of the visit will be restricted to safe water. The same information on safe water will also be provided to households in the treatment group. Hence, the evaluation will measure the additional effect of providing nutrition information on top of information on safe water.

Promoters will provide advice on nutrition and food hygiene to target households, according to criteria established by Evidence Action. Following the Guiding Principles for Complementary Feeding of the Breastfed Child (PAHO/WHO 2003), the intervention will include information on the maintenance of breastfeeding, safe/hygienic preparation and storage of complementary foods, amount of complementary food needed, food consistency, meal frequency and energy density, nutrient content of complementary foods, and feeding after illness. The home visits will be modelled on the MaiMwana Infant Feeding intervention (http://www.maimwana.malawi.net/MaiMwana/Home.html) that has been taking place in Mchinji (Malawi) since 2005.

Households within the treatment group will be provided by a poster to hang in their dwellings with some basic information on nutrition. A random subset of households will be given a small poster in black and white, and the other subset of households will be give a larger color poster.

Studientyp

Interventionell

Einschreibung (Tatsächlich)

1671

Phase

  • Unzutreffend

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienorte

  • Kenia
    • Busia County
      • Busia, Busia County, Kenia
        • Evidence Action

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

Nicht älter als 1 Jahr (Kind)

Akzeptiert gesunde Freiwillige

Ja

Studienberechtigte Geschlechter

Alle

Beschreibung

Inclusion Criteria:

  • Children will be included if they are between 0 and 18 months at baseline and live within the catchment area of a water point in which Evidence Action installs a chlorine dispenser

Exclusion Criteria:

  • None

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Verhütung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Single

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Control
Provision of information on safe water
Verhalten: Provision of information on safe water
A promoter from Evidence Action will visit the household and provide information on safe water.
Experimental: Treatment traditional
Provision of information on safe water and child nutrition. The information will be targeted to the mother of the child aged between 6 and 24 months old.
Verhalten: Provision of information on safe water and child nutrition
A promoter from Evidence Action will visit the household and provide information on safe water, as well as child nutrition (including hygiene on food preparation and storage). Households will be given a poster to hang in their dwellings with basic nutrition information. The poster might be smaller and in black and white, or larger and in color.
Experimental: Treatment couple
Provision of information on safe water and child nutrition. The information will be targeted to the mother of the child aged between 6 and 24 months old, and her husband.
Verhalten: Provision of information on safe water and child nutrition
A promoter from Evidence Action will visit the household and provide information on safe water, as well as child nutrition (including hygiene on food preparation and storage). Households will be given a poster to hang in their dwellings with basic nutrition information. The poster might be smaller and in black and white, or larger and in color.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Zeitfenster
Height-for-age z-score
Zeitfenster: Up to 18 months
Up to 18 months

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Knowledge of child nutrition issues measured using a structured questionnaire
Zeitfenster: Up to 18 months
Measured using a structured questionnaire
Up to 18 months
Child nutritional intake measured using a 7 day Food Frequency Questionnaire
Zeitfenster: Up to 18 months
Measured using a 7 day Food Frequency Questionnaire
Up to 18 months
Child's age when breastfeeding stops measured using a structured questionnaire
Zeitfenster: Up to 18 months
Measured using a structured questionnaire
Up to 18 months
A composite index of other anthropometric indicators (includes child's weight for age z-score, child's mid-upper arm circumference, and child's head circumference)
Zeitfenster: Up to 18 months
The composite index will include child's weight for age z-score, child's mid-upper arm circumference, and child's head circumference.
Up to 18 months
Probability that the child suffers from bipedal oedema
Zeitfenster: Up to 18 months
Up to 18 months

Andere Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Household food consumption measured using a structured questionnaire
Zeitfenster: Up to 18 months
Measured using a structured questionnaire
Up to 18 months
Household consumption measured using a structured questionnaire
Zeitfenster: Up to 18 months
Measured using a structured questionnaire
Up to 18 months
Total Chlorine Residual score
Zeitfenster: Up to 18 months
Up to 18 months
Labor supply measured using a structured questionnaire
Zeitfenster: Up to 18 months
Measured using a structured questionnaire
Up to 18 months
Time cooking on the day prior to the interview measured using a structured questionnaire
Zeitfenster: Up to 18 months
Measured using a structured questionnaire
Up to 18 months
Women's empowerment measured using a structured questionnaire
Zeitfenster: Up to 18 months
Measured using a structured questionnaire
Up to 18 months
Probability of having a chat with a friend or acquaintance about food or nutrition measured using a structured questionnaire
Zeitfenster: Up to 18 months
Measured using a structured questionnaire. Having a chat in the last 3 days prior to the survey interview.
Up to 18 months
Probability of child suffering from diarrhea measured using a structured questionnaire
Zeitfenster: Up to 18 months
Measured using a structured questionnaire. Suffering from diarrhea in the last 7 days prior to the survey. Diarrhea is defined as having 3 loose stools in any one day and/or having blood in the stools at least once.
Up to 18 months
Hygiene practices measured using a structured questionnaire
Zeitfenster: Up to 18 months
Measured using a structured questionnaire
Up to 18 months

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Marcos Vera Hernandez

Mitarbeiter

Evidence Action
MaiMwana

Ermittler

  • Hauptermittler: Marcos Vera-Hernandez, PhD, research fellow

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn

1. Mai 2015

Primärer Abschluss (Tatsächlich)

1. Juni 2017

Studienabschluss (Tatsächlich)

1. Juni 2017

Studienanmeldedaten

Zuerst eingereicht

14. April 2015

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

27. April 2015

Zuerst gepostet (Schätzen)

28. April 2015

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

19. März 2019

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

17. März 2019

Zuletzt verifiziert

1. März 2019

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Schlüsselwörter

Zusätzliche relevante MeSH-Bedingungen

Andere Studien-ID-Nummern

  • 1827/006

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