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To establish effective nutrition protocol for community based management of children with Severe Acute Malnutrition and to demonstrate operational feasibility through the existing Government system in Nandurbar district of Maharashtra in India

Not Applicable
Conditions
Health Condition 1: null- CHILDREN WITH SEVERE ACUTE MALNUTRITION (SAM) AND MODERATE ACUTE MALNUTRITION (MAM)
Registration Number
CTRI/2014/09/004958
Lead Sponsor
nited Nations Childrens Fund
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
9000
Inclusion Criteria

• Children with Severe Acute Malnutrition based on following criteria,

o Weight for height less than -3 SD based new WHO growth standard table for weight for height and / or

o MUAC less than 11.5 cm and / or

o Bilateral pitting oedema of any grade

• Children with Severe Acute Malnutrition passing appetite test

• Children with Severe Acute Malnutrition after successfully completing initial treatment at facility based care

• Children with above criteria and parent gives informed consent to participate

• For children with MAM â?? Children with weight for height between â??2 SD to â??3 SD

Exclusion Criteria

• Children under six months of age

• Children with Severe Acute Malnutrition and having any medical complications will be referred to facility based care for initial management / stabilization

• Children where parent rejects to participate

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Children with SAM and MAM are cured, i.e. MUAC more than 12.5 cm / weight for height more than -2 SD and Clinically well and no oedema <br/ ><br>2. Average weight gain more than 5 g/kg/day <br/ ><br>3.Average length of stay for cure is about 6 weeks <br/ ><br>4. Reduction in child mortality by 50%Timepoint: 1. 8 weeks <br/ ><br>2. 8 weeks <br/ ><br>3. 8 weeks <br/ ><br>4. 1 year
Secondary Outcome Measures
NameTimeMethod
1. Relapse rate less than 10% <br/ ><br>2. Non-responder rates less than 10% <br/ ><br>3. Reduction in morbidity profile â?? number of attacks of diarrhea and RTI <br/ ><br>4. Reduction in the prevalence of children with SAMTimepoint: 1 year
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