Effects of Complementary Feeding Counseling on Appropriate Complementary Feeding Practices and Child Undernutrition in West Gojjam Zone, Northwest Ethiopia: Cluster Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 776
- 试验地点
- 1
- 主要终点
- Change from baseline in appropriate complementary feeding practices of mothers for their children at 9 months.
研究概览
简要总结
Appropriate complementary feeding practices as per the World Health Organization recommendations is a window of opportunity to promote health and prevent acute and chronic undernutrition (stunting, wasting & underweight). Globally, the burden of undernutrition remains unacceptably high, and the progress of undernutrition reduction is unsatisfactorily slow. In Ethiopia, appropriate complementary feeding practices of mothers to their children are very low. In contrast, child undernutrition is a major public health problem.
详细描述
Appropriate nutrition during the first 1000 days of life lays the foundation for a child's health and well-being. Introduction of complementary foods within 6-8 months of age and step-wise increase of diversified plant and animal-based diets is necessary, for which exclusive breast milk is no longer enough to meet the nutritional needs. Appropriate complementary feeding practices as per the World Health Organization recommendations is a window of opportunity to promote health and prevent acute and chronic undernutrition (stunting, wasting & underweight). Globally, the burden of undernutrition remains unacceptably high, and the progress of undernutrition reduction is unsatisfactorily slow. In Ethiopia, appropriate complementary feeding practices of mothers to their children are very low. In contrast, child undernutrition is a major public health problem. This study aims to determine the effects of complementary feeding counseling on appropriate complementary feeding practices and child undernutrition through a community-based randomized controlled trial.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 6 Months 至 21 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Criteria: Inclusion Criteria:
- •Mother-child pairs whose children are 6 months old.
- •Mother-child pairs who reside in the study area for at least 6 months before the survey.
- •Mother-child pairs who have no intention of leaving the study area during the intervention period.
排除标准
- •Mothers with severe mental illness or who are unable to communicate (e.g., deaf).
- •Mother-child pairs with severe congenital malformations of their children.
研究组 & 干预措施
Complementary Feeding Counseling
Complementary feeding counseling to the mother-child pairs, in the intervention clusters, will be given by trained women development army (WDA) team leaders. The intervention process will have two components; training of WDA leaders, and counseling of mothers. Counselors' training will be given centrally by the principal investigator. During counseling, WDA leaders will use a counseling guide, which is prepared in Amharic, the local and the national language. The counseling guide contains seven key messages; complementary feeding: at 6 months, from 6-8 months, from 9-11 months, from 12-23 months, hygiene, breast feeding a sick child greater than 6 months, and signs that require mothers' special care of their children. Starting the children's 6 months of age, participants in the intervention group will receive in group counseling at convenient places, and individual counseling at each mother-child pair's home every month for 9 consecutive months (a total of 9 months follow up).
干预措施: Complementary feeding counseling (Behavioral)
Routine Complementary Feeding Counseling
Participants in the control clusters will receive the routine complementary feeding counseling, which is offered by heath extension workers and other health professionals.
干预措施: Complementary feeding counseling (Behavioral)
结局指标
主要结局
Change from baseline in appropriate complementary feeding practices of mothers for their children at 9 months.
时间窗: Time Frame: At baseline (from June 9 to December 30, 2023), and in 9 months (from September 30 to December 30, 2024).
Questions related to complementary feeding practices will be used to measure these practices of mothers for their children (Appropriate/Inappropriate). To measure appropriate complementary feeding practices, we will follow the World Health Organization recommendations for infant and young child feeding practices, continuation of breastfeeding, starting solid, semi-solid or soft foods at 6 months of age, the eight indicators used to calculate the dietary diversity, and the meal frequency will be asked. Minimum dietary diversity, minimum meal frequency, and consumption of egg and/or flesh food will be determined. Appropriate complementary feeding practice is defined if the four indicators: timely introduction of complementary foods, minimum dietary diversity, minimum meal frequency, and consumption of egg and/or flesh food are fulfilled. Otherwise, inappropriate if a child's feeding practices do not fulfill even one of the components of appropriate complementary feeding practices.
次要结局
- Change from baseline in child nutritional status at 9 months(Time Frame: At baseline (from June 9 to December 30, 2023), and in 9 months (from September 30 to December 30, 2024).)
研究者
Shiferaw Birhanu Aynalem, MSc
Principal investigator.
Bahir Dar University