Evaluation of Two Community Based Screening Strategies for Severe Acute Malnutrition in Children Aged 6-59 Months in the Mirria District, Niger
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 4,429
- 试验地点
- 1
- 主要终点
- The coverage of the therapeutic nutritional program in the control and intervention health districts
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 6 Months 至 59 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •children aged 06-59 months at the time of the study
- •children who live in a village in the health district participating in the study
排除标准
- •children whose legal guardian refuses to participate in the study
研究组 & 干预措施
Screening by community health workers
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
干预措施: Active comparator: Screening by community health workers (Other)
Screening by mothers
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
干预措施: Screening by mothers (Other)
结局指标
主要结局
The coverage of the therapeutic nutritional program in the control and intervention health districts
时间窗: 12 months
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
次要结局
- Malnutrition program data for children referred by community health workers & mothers(12 months)