Food Aid Quality Review Phase II Effectiveness Study: Preventing MAM and Stunting in Burkina Faso
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 6,039
- 试验地点
- 1
- 主要终点
- Incidence of MAM and Stunting
研究概览
简要总结
This research will serve as a follow-up on the review of Title II commodities performed by the Food Aid Quality Review at Tufts University in October 2011. The study in Burkina Faso will test the relative effectiveness and cost effectiveness of four supplementary foods in the prevention of MAM and stunting in normal programmatic settings.
The aims of this study are to:
- To compare the effectiveness of four alternative supplementary food commodities in preventing stunting and wasting, and promoting linear growth in children 6 - 23 months in the context of a preventive supplementary feeding program in Burkina Faso.
- To estimate the relative cost of implementing the supplementary feeding program using each commodity
- To estimate the relative cost/effectiveness of implementing the program using each commodity.
详细描述
Phase II of FAQR in Burkina Faso will assess the recommended improvements in the four arms of the study: CSB14 prepared with FVO, RUSF1, CSB+, and SC+.
The study will be a cluster-randomized, effectiveness trial. The study will use a mixed method technique of quantitative and qualitative data collection. The design of the study is quasi-experimental: food distribution sites (FDPs) (and the communities they serve) will be grouped into four clusters that are geographically contiguous with each other and sufficiently distant from each other so that the Beneficiaries are unlikely to have contact with each other. The four groups of food distribution points will be randomly assigned to one of four arms, defined by the specific food to be provided:
- Corn Soy Blend 14 (CSB14) (with whey protein concentrate and enhanced micronutrient profile), prepared with fortified vegetable oil (FVO); 75g CSB14/day, 22.5g FVO/day
- Ready-to use supplementary food 1 (RUSF1); 100g RUSF/day
- Super Cereal Plus (SC+)( has an enhanced nutrient profile, non-fat dry milk, and oil already embedded into the CSB); 122g SC+/day
- Corn Soy Blend Plus (CSB+) prepared with FVO; 75g CSB+/day, 22.5g FVO/day The CSB+ arm will act as a control
The intervention is implemented using the food distribution points providing supplementary food (CSB14, CSB+, RUSF, SC+) to children once they reach six months of age, and children from 6 to 23 months. This study will enroll all children as they turn six months of age and follow them through their 23rd month of age. Variables to be tracked include: age, sex, arm of study/commodity received ,Mid-Upper Arm Circumference (MUAC), height for age, weight for age, weight for height, month-to-month linear growth and weight gain, incidence of stunting (height for age below -2 Standard Deviations (SD)), incidence of wasting (weight for height below - 2 SD).
At 24 months, children stop receiving supplementary food. The study will continue to monitor these variables for at least an additional 6 months (through the age of 30 months).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 6 Months 至 23 Months（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The subjects are as follows:
- •Beneficiary Children that are weighed and measured Beneficiary Mothers/Caretakers that participate in interviews, focus group discussions, and in-home observations Health and Nutrition Promoters (HNP) that participate in individual interviews and FGD Community Health Agents that participate in individual interviews PVO staff members that participate in individual interviews Village Elders/Headmen Store owners/Market Vendors that participate in individual interviews
- •Beneficiary Children (Children 6 -23 months old)
- •Inclusion Criteria
- •Child enrolled in the ViM program to receive ration from a Food Distribution Point
排除标准
- •Children who are over 6 months of age when the study begins
- •Children receiving food rations from another organization (e.g. World Food Programme or UNICEF)
- •Beneficiary Mothers/Caretakers (Mothers/Caretakers of Children 6 -23 months old)
- •Inclusion Criteria
- •Beneficiary Mother/Caretaker whose child turns 6 months old and is enrolled in ViM program to receive ration during the study period
- •Beneficiary Mother/Caretaker has no age restrictions for inclusion (Note: Mothers/caretakers will be asked to participate regardless of age and consented appropriately; it is possible some mothers may be minors)
- •Subject who is voluntarily willing to participate and indicates by signing (or marking with a thumbprint) the consent form.
- •Exclusion Criteria • Beneficiary Mothers/Caretakers who participate in an interview, observation or FGD once for this study will not be eligible again for participation
- •Health and Nutrition Promoters (HNP) Inclusion Criteria
- •HNP who covers the catchment area of the FDPs
- •Subject who is voluntarily willing to participate by signing the consent form
- •Community Health Agents (CHA) Inclusion Criteria
- •Community Health Agents serving within the catchment area for the FDPs
- •Community Health Agents that have been present during the study period
- •Subject who is voluntarily willing to participate and indicates by signing the consent form
- •PVO Staff Members Inclusion Criteria
- •All staff members from ACDI/VOCA and Save the Children who are directly involved in the ViM program
- •Subject who is voluntarily willing to participate and indicates by signing the consent form Exclusion Criteria
- •PVO Staff members who joined too recently to have experience of the program change (new commodities)
- •Village Elders/Headmen Inclusion Criteria
- •Village elder/headmen in study commune
- •Subject who is voluntarily willing to participate and indicates by signing the consent form Exclusion Criteria
- •Village elder/headmen whose community is not involved in the feeding program
- •Store Owners/Market Vendor Inclusion Criteria
- •Store owner/market vendor in study communes who trades in the relevant products (food vendors)
- •Subject who is voluntarily willing to participate and indicates by signing the consent form Exclusion Criteria
- •Vendors who do not sell food.
- •The withdrawal/termination criterion for this study is not applicable as the subject's participation will not be terminated by the investigator, and there are no necessary precautions applied to those who withdraw.
- •Study subjects may not participate in another research study that provides supplementary food as a food ration to children between 6-23 months.
研究组 & 干预措施
CSB14
Isocaloric amount and cost-effectiveness of CSB14 (with whey protein concentrate and enhanced micronutrient profile), prepared with fortified vegetable oil (FVO).
干预措施: CSB14 (Dietary Supplement)
RUSF1
Isocaloric amount and cost-effectiveness of Ready-to Use Supplementary Food 1(RUSF1), USAID's Lipid-Based Nutrient Supplement (LNS) product
干预措施: RUSF1 (Dietary Supplement)
SC+
Isocaloric amount and cost-effectiveness of Supercereal Plus (SC+), the FBF used by WFP, which has an enhanced nutrient profile, dairy ingredient (non-fat dry milk), and oil already embedded into the flour
干预措施: SC+ (Dietary Supplement)
CSB+
Isocaloric amount and cost-effectiveness of Supercereal/CSB+ prepared with FVO.
结局指标
主要结局
Incidence of MAM and Stunting
时间窗: Monthly for 18 months
Primary outcomes to be measured are incidence of MAM and incidence of stunting during the 18 months of preventive supplementation (age 6 months to 23 months). Stunting will be defined as less than -2 SD of Height-for-Age Z-score and MAM will be defined as less than -2 SD Weight-for-Height (length) Z-score
次要结局
未报告次要终点