Double Duty Interventions and Its Impact on Double Burden of Malnutrition in Children Under Five Years
- Conditions
- Malnutrition, ChildUndernutritionThinnessMalnutritionObesity
- Interventions
- Behavioral: double duty intervention packages
- Registration Number
- NCT05791305
- Lead Sponsor
- Debre Berhan University
- Brief Summary
Background: Double burden of malnutrition is an emerging public health problem among children under-five years due to the inevitable consequences of nutritional transition. Addressing these two contrasting forms of malnutrition (undernutrition and overnutrition) simultaneously brings an enormous challenge to the food and nutrition policies of developing countries like Ethiopia. Children under five ages are more vulnerable to DBM, especially during the first year of their life due to high growth and inadequate diet. Hence, there has been a paradigm shift in thinking to reduce its effect on the health of children. However, interventions that are used to address these different kinds of malnutrition are implemented through different governance and still, they are isolated and disintegrated each other. Therefore, double-duty interventions can tackle the risk of both nutritional problems simultaneously in an integrated approach through nutrition behavior change communication.
Objective: Therefore, the main aim of this pilot study is to assess the effect of selected double-duty interventions on the double burden of malnutrition among children under five years in Debre Berhan City, Ethiopia.
- Detailed Description
Background: Double burden of malnutrition is an emerging public health problem among children under-five years due to the inevitable consequences of nutritional transition. Addressing these two contrasting forms of malnutrition (undernutrition and overnutrition) simultaneously brings an enormous challenge to the food and nutrition policies of developing countries like Ethiopia. Children under five ages are more vulnerable to DBM, especially during the first year of their life due to high growth and inadequate diet. Hence, there has been a paradigm shift in thinking to reduce its effect on the health of children. However, interventions that are used to address these different kinds of malnutrition are implemented through different governance and still, they are isolated and disintegrated each other. Therefore, double-duty interventions can tackle the risk of both nutritional problems simultaneously in an integrated approach through nutrition behavior change communication.
Objective: Therefore, the main aim of this pilot study is to assess the effect of selected double-duty interventions on the double burden of malnutrition among children under five years in Debre Berhan City, Ethiopia.
Methods: A cluster randomized controlled trial will be conducted among 456 under-five children (228 for each group) from January 25, 2023 to December 30, 2023. This pilot study will be used a one-year two-arm parallel cluster randomized controlled trial using clusters as a unit of randomization.
Expected outcomes: The endpoints expected from this pilot study are decreased double burden of malnutrition, improved minimum dietary diversity score, and decreased frequency of morbidity among children using double-duty interventions in the study area.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 456
- who attend the intervention
- who are not attended the intervention
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention arm double duty intervention packages Will be provided an intervention.
- Primary Outcome Measures
Name Time Method Proportion of low frequency of morbidity 10 months Number of Mother of children who received double-duty interventions on the frequency of morbidity in children.
Proportion of Double burden of malnutrition 10 months Number of Mother of children who received double-duty interventions to reduce the DBM of children
Proportion of dietary diversity score 10 months Number of Mother of children who received double-duty interventions to improve the dietary diversity score of children.
- Secondary Outcome Measures
Name Time Method Proportions of mothers with good maternal nutritional status 10 months Proportions of mothers with good maternal nutritional status through questionnaire
Trial Locations
- Locations (2)
Debre Berhan University
🇪🇹Addis Ababa, Amhara, Ethiopia
Health
🇪🇹Debre Birhan, Amhara, Ethiopia