Evaluation of Two Community Based Screening Strategies for Severe Acute Malnutrition in Children 6-59 Months in Mirria District, Niger

Not Applicable

Completed

• Conditions: Malnutrition
• Interventions: Other: Screening by mothers

• Registration Number: NCT01863394
• Lead Sponsor: Alliance for International Medical Action

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-05
• Study First Submitted: 2013-05-07
• Study First Submitted QC: 2013-05-28
• Study First Posted: 2013-05-29
• Primary Completion: 2014-04
• Study Completion: 2014-04
• Status Verified: 2014-07
• Last Update Submitted: 2014-07-14
• Last Update Posted: 2014-07-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 4429

Inclusion Criteria

• 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

Exclusion Criteria

• children whose legal guardian refuses to participate in the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Screening by mothers	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

Primary Outcome Measures

Name	Time	Method
The coverage of the therapeutic nutritional program in the control and intervention health districts	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

Secondary Outcome Measures

Name	Time	Method
Malnutrition program data for children referred by community health workers & mothers	12 months	Nutritional status at admission (mid upper arm circumference +/- oedema) Type of admission to the programme (out-patient or immediate transfer for in-patient care) Source of reference to the programme (Community Health Worker, Mother, other) Date of discharge from the programme Weight at admission to the programme Discharge criteria (cured, died, failed to attend, non-response to treatment, transfer for in-patient nutrition care, transfer to other health care structures) Number of children screened by mothers confirmed to have SAM at the treatment centre Number of children screened by community health workers confirmed to have SAM at the treatment centre

Trial Locations

Locations (1)

Mirriah health district; 🇳🇪 Mirria, Zinder, Niger