Integrated Livestock Management for Nutrition in Children Under Five Years of Age
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 15,000
- 主要终点
- Water Quality
研究概览
简要总结
The main objective of this study is to determine the effectiveness of a livestock management intervention, with considerations for animal food security, water contamination from animals, and nutrition counseling, in reducing the risk of acute malnutrition among children under the age of 5 years in Kanem and Bahr El Ghazel (BeG) in Chad.
详细描述
The main objective of this study is to determine the effectiveness of a livestock management intervention, with considerations for animal food security, water contamination from animals, and nutrition counseling, in reducing the risk of acute malnutrition among children under the age of 5 years in Kanem and Bahr El Ghazel (BeG) in Chad. To get at this objective we will be comparing across four study arms: 1) fodder provision, 2) water management/treatment, 3) combination of fodder and water management/treatment and 4) a control. All four arms will receive nutrition counseling, animal vaccination, and animal deworming.
Specifically, the study aims to answer the following research questions in the implementation research:
- Does provision of animal feed and nutrition counseling lead to a reduction in child acute malnutrition of children under five?
- Does messaging pulling on existing local strategies to improve protected water access for animals and humans, provision of a chlorine dispenser, and nutrition counseling lead to a reduction in child acute malnutrition of children under five?
- Does provision of animal feed, nutrition counseling, in combination with messaging pulling on existing local strategies to improve protected water access for animals and humans lead to a reduction in child acute malnutrition of children under five?
In preparation for the implementation of the intervention, we will conduct formative research to better contextualize the interventions and data collection. The formative research will seek to answer the following research questions.
- What is the water quality of and practices around different types of unimproved water sources?
- Which water sources are used by households, and what is their distance from the community?
- What zoonotic pathogens are present in animal and human fecal matter, and in milk?
- What is the highest acceptable (using the flavor rating assessment method - Table 5) concentration of chlorine to provide safe water for users?
研究设计
- 研究类型
- Observational
- 观察模型
- Ecologic Or Community
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 6 Months 至 5 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Communities selected for the research have to be near a seasonal river
- •Households (within those communities) have to have at least one child between the ages of 6 and 59 months.
- •Households (within those communities) have to have at least one Tropical Livestock Unit (TLU) of livestock. One TLU is equivalent to either one cow, one camel, 10 goats or 10 sheep.
- •Within those households, we will interview the female caretaker
- •Anthropometry data will be collected from children 6-59 months and the female caretaker
排除标准
- •lack of children under 5 years of age and/or a required livestock unit
结局指标
主要结局
Water Quality
时间窗: 2023-2026
Water quality: total coliform and E. coli
次要结局
未报告次要终点