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Evaluation Nutrition Education Intervention on Pulse and Cereal Mix for Complementary Food in Southern Ethiopia

Not Applicable
Completed
Conditions
Dietary Habits
Health Knowledge, Attitudes, Practices
Wasting
Interventions
Other: enhanced education on pulse use in complementary foods
Registration Number
NCT02638571
Lead Sponsor
University of Saskatchewan
Brief Summary

The overall purpose of the study is to evaluate nutrition education interventions to promote pulse incorporated complementary food to the wider rural community through the government system to improve maternal knowledge, attitude and practice (KAP) and nutritional status of young children (6 to 24 months). The hypothesis is that nutrition education improves mothers knowledge, attitude and practice of pulse incorporated complementary food and improves dietary intake of iron and zinc and nutritional status of young children.

Detailed Description

Only 9% of the population in Southern Ethiopia consumes pulse and pulse total contribution of the diet is less than 4.9% for women and less than 3.3% for children.Young children are at risk of developing malnutrition because of dietary inadequacy. Educational interventions can improve feeding practices and growth of young children. The overall purpose of the study is to evaluate nutrition education interventions to promote pulse incorporated complementary food to the wider rural community through the government system to improve maternal knowledge, attitude and practice (KAP) and nutritional status of young children (6 to 24 months). The hypothesis is that nutrition education improves mothers knowledge, attitude and practice of pulse incorporated complementary food and improves dietary intake of iron and zinc and nutritional status of young children. Before, at midline and end of the intervention we will assess the KAP of mothers, dietary intake of iron and zinc and nutritional status of young children. The nutrition education intervention will be given for 9 months. Serum ferritin, serum zinc, C-Reactive protein and hemoglobin and dietary intake of iron and zinc of young children will be measured at the beginning and ending of the intervention.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
772
Inclusion Criteria
  • Age 6-15 months
  • Apparently healthy
  • Being breastfed at time of recruitment
  • The mothers are permanent residents of the kebele
Exclusion Criteria
  • Infant undergoing treatment with supplemental foods for malnutrition

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Enhanced Educationenhanced education on pulse use in complementary foodsAdditional education sessions from Health extension workers (HEWs) trained on use of pulses for complementary foods (CF). HEWs provide nutrition education programs and counseling about pulse-cereal mix complementary foods, over 9 months.
Usual educationenhanced education on pulse use in complementary foodsHouseholds in the control clusters (kebeles) will receive usual nutrition education from Health extension workers, about complementary foods, over 9 months.
Primary Outcome Measures
NameTimeMethod
Maternal knowledge, attitudes and practices towards pulse-cereal mix complementary food9 months

Using validated questions on knowledge, attitude and practices

Secondary Outcome Measures
NameTimeMethod
Weight for height Z-score of children9 months

Change in z-score of measured weight and measured height (length) ratio at 9 months

Iron status9 months

iron status as determined by serum ferritin corrected for inflammation using markers, whole hemoglobin to define anemia status using WHO standards.

Zinc status of children9 months

Measurement of serum zinc against WHO standards

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