Impact Assessment of Benazir Nashonuma Program (BNP) on Stunting Prevention Among Children 0-59 Months of Age in Pakistan
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 13,200
- 试验地点
- 2
- 主要终点
- Baseline to end-line change in the prevalence of stunting among children 0-59 months of age
研究概览
简要总结
The aim of the study is to evaluate the impact of Benazir Nashonuma Program (BNP) on prevalence of stunting among under-five children in low income setting of Pakistan. The research question that the study aims to answer is:
Is there any change in the prevalence of stunting among under-five children in districts where Benazir Nashonuma Program (BNP) is established compared to districts where BNP is not established?
Districts where BNP is functional, and women and children are receiving the intervention will be compared at baseline and end line with control districts where conventional reproductive care services are given. Prevalence of stunting among under-five children will be compared along with other nutritional and growth status indicators over a period of 4 years.
详细描述
Maternal and child malnutrition is a significant public health challenge, with 40% of under five children being stunted in Pakistan. Stunting is associated with morbidity and mortality with detrimental effects on the physical, social and cognitive development of children. The two key determinants include maternal undernutrition during in-utero and poor infant and child feeding practices in the first two years of life. The opportunity to improve maternal, infant, and child outcomes is provided by the interventions aimed at improving maternal and child nutrition throughout the first 1000 days, known as "window of opportunity". In this study, the investigators aim to assess the effectiveness of the Benazir Nashonuma Programme (BNP) on stunting reduction and related maternal and child health outcomes and to determine the uptake of BNP related services in the intervention districts in all provinces and regions of Pakistan.
The study will achieve the following objectives:
Primary Objective
• To determine the baseline to end-line change in the prevalence of stunting among children 0-59 months of age among low income settings
Secondary Objectives
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 1 Day 至 59 Months（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Baseline to end-line change in the prevalence of stunting among children 0-59 months of age
时间窗: 3 years (on study completion)
Height-for-age ≤-2 SD of the WHO Child growth standards median
次要结局
- Baseline to end-line change in the prevalence of institutional deliveries(3 years (on study completion))
- Baseline to end-line change in the prevalence of skilled birth attendance(3 years (on study completion))
- Baseline to end-line change in the prevalence of exclusive breastfeeding among infants 0-5 months of age(3 years (on study completion))
- Baseline to end-line change in the prevalence of underweight women of reproductive age (15-49 years)(3 years (on study completion))
- Baseline to end-line change in the number of antenatal care (ANC) visits during pregnancy(3 years (on study completion))
- Baseline to end-line change in prevalence of utilization of iron folic acid (IFA) during pregnancy(3 years (on study completion))
- Baseline to end-line change in the prevalence of food insecurity status at household level(3 years (on study completion))
- Baseline to end-line change in the prevalence of wasting among children 0-59 months of age(3 years (on study completion))
- Baseline to end-line change in the prevalence of infants who were ever breastfed(3 years (on study completion))
- Baseline to end-line change in the prevalence of Minimum dietary diversity for women (MDDW)(3 years (on study completion))
研究者
Dr Zulfiqar Ahmed Bhutta
Distinguished University Professor and Founding Director of the Institute for Global Health and Development and the Centre of Excellence in Women and Child Health
Aga Khan University