Community Based Management of Severe Malnutrition in Under 5 Children in Tribal Area of Melghat, Maharashtra- Cluster Randomized Control Field Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 824
- 试验地点
- 2
- 主要终点
- Recovery rate of SAM (Severe Acute Malnutrition), SUW (Severe Underweight) and IAP Grade III,IV
研究概览
简要总结
Provision of community based health care to severely malnourished children (Age group: 6 months through 5 years) in 16 tribal villages by trained semi-literate village health workers.
- Treatment of severely malnourished children.
- Growth monitoring of all children below the age of 5 years.
- Treatment of associated diseases like Diarrhea, Pneumonia, Malaria, etc.
- Management of resistant or relapsed severely malnourished cases by pediatrician.
- Intensive behavior change communication of parents of children below the age of 5 years for proper nutrition.
详细描述
1. Title of project: SAMMAN- Community based management of severe malnutrition in under 5 children in tribal area of Melghat region
2. Name of Institution: MAHAN Trust, Address: Mahatma Gandhi Tribal Hospital, Karmagram . Utavali, tehsil- Dharni, Melghat (Amaravati)
3. Objectives -
- To reduce the child mortality (in the age of group of 6 months to 5 years) due to severe malnutrition in tribal area of Melghat by 35% in usual residents population of 15000 (from 16 villages) over a period of 3 years.
- To reduce the prevalence of severe malnutrition (in the age of group of 6 months to 5 years) by at least 35% in usual residents population of 15000 from 16 villages in tribal area of Melghat over a period of 3 years.
- To achieve Case fatality rate of 2 % of treated severely malnourished children.
- Need and rational of the project :
Melghat is a hilly difficult to approach tribal forest terrain in Amaravati district of Maharashtra, India . Population is 2,80,000 & 75% of them are tribal. Most of the tribal (>90 %) are farmers or laborers, living below poverty line(>75%) & very hard life in huts without electricity (>90%) & illiterate (>50%). Medical facilities are worst in Melghat as compared to rest of Maharashtra. A detailed study conducted by MAHAN showed that more than 20% of tribal children are severely malnourished and the under 5 children mortality rate is more than 100 per 1000 live births due to lack of proper nutrition, medical facilities, superstitions & reluctance for hospitalization of severely malnourished children. There is an immediate need to fight severe malnutrition in children between the ages of 6 months to 5 years. This project is being implemented as a pilot project in 16 villages of Melghat which has potential for replication in all tribal and rural part of India. 5. Methodology Study design: The study is a cluster randomized parallel group controlled field trial Study area: 35 tribal villages selected from 5 clusters of Melghat by lottery method divided into intervention and control area.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 6 Months 至 60 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children suffering from severe malnutrition as per weight for height criteria (WHO), weight for age criteria (WHO), MUAC (WHO), IAP grade III & IV. Defacto method.
排除标准
- •Children who have failed in appetite test and cannot tolerate oral F75 food. Also,
- •Parents, guardian refuse to give consent.
结局指标
主要结局
Recovery rate of SAM (Severe Acute Malnutrition), SUW (Severe Underweight) and IAP Grade III,IV
时间窗: At the end of therapeutic cycle of 3 months
Case fatality rate of treated severely malnourished children
时间窗: At the end of therapeutic cycle of 3 months
Prevalence of severe malnutrition (SAM, SUW, IAP Grade III,IV)
时间窗: Over the period of 3 years
次要结局
- Child mortality rate ( 6 months to 60 months age group)(3 years)