An interventional study of Community Based Nutrition Package (CNBP) in Child Malnutrition, Breast Feeding and Nutrition, sponsored by FHI 360. Terminated at 3 sites in Afghanistan. Open to female participants, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-08-12.
Sponsored by FHI 360 · Not applicable, Interventional, and Prevention
The study will be a mixed methods, two-arm, cluster-randomized controlled trial. The primary aim of this evaluation is to measure the effectiveness of the Community-Based Nutrition Package intervention on child feeding practices among parents/caregivers to children 6 to 23 months of age in Afghanistan.
The study will be a mixed methods, two-arm cluster-randomized controlled trial (CRT). Health facilities eligible to implement the CBNP in their catchment areas will serve as the unit of implementation and be randomly allocated to treatment or control groups. For each health facility, up to four health posts, among the 6-10 health posts typically attached to a health facility, will be randomly selected. Households in communities served by selected health posts will be mapped and a list of households with eligible participants will generated from which a random sample will be selected. Structured questionnaires will be administered to separate samples of women with children 6-23 months of age at baseline then approximately 18 months later. Semi-structured, in-depth interviews will also be conducted with a sub-set of selected women and samples of their husbands and mothers-in-law at baseline and endline.
167 studies on the registry are indexed under Child Nutrition Disorders; 36 are open to participants now.
This study's enrollment of 4,076 is above the median of 402 across 132 interventional studies indexed under Child Nutrition Disorders.
Browse Child Nutrition Disorders studies →FHI 360 is the lead sponsor of 59 studies on the registry; none are open to participants now.
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Exclusion criteria:
No specific exclusion criteria.
The Community-Based Nutrition Package (CBNP) is a multi-level intervention that comprises: advocacy and training for government stakeholders and employees; selection and training of master trainers who then cascade the training at provincial level; and selection and training of community-level Nutrition Mobilizing Teams. The Nutrition Mobilizing Teams then organize a 2-day community mobilization session in the catchment areas of each health post to develop a community nutrition plan, which is then implemented by community health workers and two additional volunteers under the mentorship of the Nutrition Mobilizing Teams and with the support of the community members that participated in the community mobilization session.
Behavioral: Community Based Nutrition Package (CNBP)
Current standard of existing community health services.
The Community-Based Nutrition Package (CBNP) is a multi-level intervention that comprises: advocacy and training for government stakeholders and employees; selection and training of master trainers who then cascade the training at provincial level; and selection and training of community-level Nutrition Mobilizing Teams. The Nutrition Mobilizing Teams then organize a 2-day community mobilization session in the catchment areas of each health post to develop a community nutrition plan, which is then implemented by community health workers and two additional volunteers under the mentorship of the Nutrition Mobilizing Teams and with the support of the community members that participated in the community mobilization session.
Proportion of children ages 6-23 months who receive a minimum acceptable diet
Proportion of children ages 6-23 months who receive a World Health Organization-defined minimum acceptable diet
Time frame: 18 months
Proportion of women who report initiating breastfeeding within one hour of delivery
Initiating breastfeeding within one hour of birth will be measured by asking the women/mother if she initiated breastfeeding within one hour after the baby was delivered
Time frame: 18 months
Proportion of women who report exclusive breastfeeding for the first six months of a baby's life
Exclusive breastfeeding is defined as giving infants only breastmilk, with no supplemental solid foods or liquids, including water. This measure is by self-reported practice from the mother and is constructed from questions about first liquids/feeds, all liquids taken prior to six months of age, and age of first solid food.
Time frame: 18 months
Food Insecurity Experience Score
The level of household food insecurity experience, and ordinal categorical measure with values ranging from 0 to 8, as measured using the United Nation's Food and Agriculture Organization's Food Insecurity Experience Survey (FIES).
Time frame: 18 months
Participation in household decision-making
The role of men and women in the household in terms of primary decision maker is examined by a set of 8 items adapted from the Demographic and Health Survey. Nominal categorical items record the primary decision-maker within the household for a number of important decisions, including health care seeking behavior, major and minor household purchases, and behaviors related to nutrition such as food acquisition, preparation and consumption.
Time frame: 18 months
Proportion of respondents who can name five critical times for washing hands to prevent disease transmission
Handwashing knowledge will be measured by asking respondents if they can name the five critical times for washing hands to prevent disease transmission. Those five times include: after using the toilet, before eating, before preparing food, before breastfeeding and after changing a baby's diaper/napkin (or cleaning the baby if a diaper/napkin isn't used).
Time frame: 18 months
Proportion of households with a handwashing facilities stocked with soap
Presence of a handwashing station/facility with soap within the home will be measured both through self-report and through direct observation by the data collector, if permission is given by the participant and/or head of household.
Time frame: 18 months
Plan to share: Yes — De-identified individual participant data for all primary and secondary outcome measures will be made available.
Supporting information: Study protocol, Statistical analysis plan, Informed consent form
Time frame: Data will be available within 12 months of study completion
Access criteria: Data will be made available without restriction.
No publications or documents are linked to this record.
Ran from Nov 2019 to primary completion in Jul 2020, 8 months.
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This study is terminated, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.
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