An interventional study of Screening by mothers and Active comparator: Screening by community health workers in Malnutrition, sponsored by Alliance for International Medical Action. Completed at 1 site in Niger. Open to participants aged 6 Months to 59 Months. Per ClinicalTrials.gov, last updated 2014-07-15.
Sponsored by Alliance for International Medical Action · Not applicable, Interventional, and Diagnostic
The objective of this study is to determine the efficacity of a community strategy for screening children 06-59 months old for Severe Acute Malnutrition (SAM) conducted by their mothers' compared with a community screening strategy conducted by Community Health Workers.
1,277 studies on the registry are indexed under Malnutrition; 230 are open to participants now.
This study's planned enrollment of 4,429 is above the median of 118 across 843 interventional studies indexed under Malnutrition.
Browse Malnutrition studies →Alliance for International Medical Action is the lead sponsor of 13 studies on the registry; 1 is open to participants now.
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Exclusion Criteria:
One Community Health Worker (CHW) will be trained per village in the comparator arm. The training the CHWs receive will be identical to that delivered in the Community Management of Acute Malnutrition program run by ALIMA/BEFEN (Bien Être de la Femme et l'Enfant Niger) over the last 3 years. This involves 6 hours theoretical training and a practical session in the health centre. CHWs will screen children 06-59 months in their village once a month
Other: Active comparator: Screening by community health workers
Mothers in the intervention health district will be trained in small womens' groups in their village. Training will have a theoretical component and a practical demonstration component on children in the village During the first baseline door to door mass screening campaign, mothers will also receive individual training on conducting a Mid Upper Arm Circumference (MUAC) classification and looking for pedal oedema. they will receive a brief recap during the three monthly door-to-door mass screening campaigns Mothers will be asked to check their child's MUAC and look for pedal oedema * whenever the child does not seem to be in 'good health' to the mother * whenever the mother feels that the child is 'unwell' or 'sick' * whenever it seems to the mother that her child has lost weight * whenever the mother thinks that it is necessary to do so
Other: Screening by mothers
The coverage of the therapeutic nutritional program in the control and intervention health districts
Coverage of the the therapeutic nutritional treatment program is defined as the proportion of children 06-59 months with Severe Acute Malnutrition (Mid Upper Arm Circumference \<115mm and/or oedema) receiving treatment in the program, amongst the total number of children diagnosed with Severe Acute Malnutrition
Time frame: 12 months
Malnutrition program data for children referred by community health workers & mothers
Nutritional status at admission (mid upper arm circumference +/- oedema) Type of admission to the programme (out-patient or immediate transfer for in-patient care) Source of reference to the programme (Community Health Worker, Mother, other) Date of discharge from the programme Weight at admission to the programme Discharge criteria (cured, died, failed to attend, non-response to treatment, transfer for in-patient nutrition care, transfer to other health care structures) Number of children screened by mothers confirmed to have SAM at the treatment centre Number of children screened by community health workers confirmed to have SAM at the treatment centre
Time frame: 12 months
The record gives a start of May 2013, a primary completion of Apr 2014 and a completion of Apr 2014. It does not say whether these dates are actual or estimated.
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This study is completed, as verified in Jul 2014. You cannot join it, but the record below documents what was studied.
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Alliance for International Medical Action