Community Resilience to Acute Malnutrition (CRAM)
研究概览
详细说明
Concern Worldwide has developed a model of intervention called Community Resilience to Acute Malnutrition (CRAM). This model is based on the need for (a) the introduction of longer-term programming to build community resilience to shocks, while recognising that there may be a need for humanitarian intervention, and (b) a multi-sectoral package of activities given experience in programming from other settings. The goal of the study is to rigorously test the impact of the model and associated activities on community resilience to shocks in the Goz Beida area of Chad. Where community resilience is proxied by the primary outcome variable: acute malnutrition.
In order to answer this question, 69 villages had been randomized to either receive the full multi-sectoral program or not. In each village, approximately 20 households were surveyed (randomly selected from a household list from a previous emergency distribution) for a total of 1420 households. Those households were then surveyed in November/December 2012 (prior to the intervention), and again a the same time period in 2014, 2015, and 2017.
Data was collected on household demographics, livelihoods, child health, and nutrition, including child (6-59 months) anthropometry.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Sila Region
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Goz Beida、Sila Region、乍得
- Concern Worldwide Office
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- child is from household with B, C, or D wealth ranking (wealth ranking is from A-D with A being the highest wealth and D being the lowest wealth)
- child is between the ages of 6-59 months
- child is present in the selected household at the time of the survey
Exclusion Criteria:
- child has a skin disorder
- too ill to be measured on height board or weight scale
学习计划
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的：multi-sectoral package of activities
Villages in the experimental arm received the full multi-sectoral package of village level activities, including having a well dug, a shared latrine installed, training on handwashing and hygiene across the water chain, training on conservation agriculture techniques, care groups for pregnant and breastfeeding mothers, and training on market gardens.
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A multi-sectoral package of village level activities, including having a well dug, a shared latrine installed, training on handwashing and hygiene across the water chain, training on conservation agriculture techniques, care groups for pregnant and breastfeeding mothers, and training on market gardens.
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无干预：Control
Villages in the control arm did not receive teh multi-sectoral package of village level activities.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Acute Malnutrition
大体时间：5 years
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prevalence of wasting (weight for age z-score<-2)
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5 years
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Chronic Malnutrition
大体时间：5 years
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prevalence of stunting (height for age z-score<-2)
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5 years
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height for age
大体时间：5 years
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height for age z-score
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5 years
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child morbidity
大体时间：5 years
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Child ill in the past two weeks
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5 years
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weight for height
大体时间：5 years
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weight for height z-score
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5 years
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合作者和调查者
调查人员
- 首席研究员：Helen Young, DR、Tufts University
出版物和有用的链接
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
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