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

17. mars 2019 oppdatert av: 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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

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.

Studietype

Intervensjonell

Registrering (Faktiske)

1671

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Kenya
    • Busia County
      • Busia, Busia County, Kenya
        • Evidence Action

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

Ikke eldre enn 1 år (Barn)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Forebygging
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Control
Provision of information on safe water
Atferdsmessig: Provision of information on safe water
A promoter from Evidence Action will visit the household and provide information on safe water.
Eksperimentell: 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.
Atferdsmessig: 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.
Eksperimentell: 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.
Atferdsmessig: 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.

Hva måler studien?

Primære resultatmål

Resultatmål
Tidsramme
Height-for-age z-score
Tidsramme: Up to 18 months
Up to 18 months

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Knowledge of child nutrition issues measured using a structured questionnaire
Tidsramme: Up to 18 months
Measured using a structured questionnaire
Up to 18 months
Child nutritional intake measured using a 7 day Food Frequency Questionnaire
Tidsramme: 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
Tidsramme: 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)
Tidsramme: 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
Tidsramme: Up to 18 months
Up to 18 months

Andre resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Household food consumption measured using a structured questionnaire
Tidsramme: Up to 18 months
Measured using a structured questionnaire
Up to 18 months
Household consumption measured using a structured questionnaire
Tidsramme: Up to 18 months
Measured using a structured questionnaire
Up to 18 months
Total Chlorine Residual score
Tidsramme: Up to 18 months
Up to 18 months
Labor supply measured using a structured questionnaire
Tidsramme: 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
Tidsramme: Up to 18 months
Measured using a structured questionnaire
Up to 18 months
Women's empowerment measured using a structured questionnaire
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: Up to 18 months
Measured using a structured questionnaire
Up to 18 months

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Marcos Vera Hernandez

Samarbeidspartnere

Evidence Action
MaiMwana

Etterforskere

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

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. mai 2015

Primær fullføring (Faktiske)

1. juni 2017

Studiet fullført (Faktiske)

1. juni 2017

Datoer for studieregistrering

Først innsendt

14. april 2015

Først innsendt som oppfylte QC-kriteriene

27. april 2015

Først lagt ut (Anslag)

28. april 2015

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

19. mars 2019

Siste oppdatering sendt inn som oppfylte QC-kriteriene

17. mars 2019

Sist bekreftet

1. mars 2019

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • 1827/006

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