Action Against Malnutrition Through Agriculture (AAMA) Plus MNP Study
- Conditions
- Anemia
- Interventions
- Other: AAMA project activities (HFP and IYCF BCC)Dietary Supplement: MNP (micro-nutrient powders)
- Registration Number
- NCT01488305
- Lead Sponsor
- Helen Keller International
- Brief Summary
Helen Keller International (HKI), the ministry of health and population, and ministry of agriculture and cooperatives, of Nepal and local non-governmental organizations (NGO) partners are currently implementing a USAID funded Action Against Malnutrition Through Agriculture (AAMA) project in Baitadi district located in far Western development region of Nepal. HKI is undertaking this study within the AAMA project to test whether providing micro-nutrient powders (MNPs) in a programmatic context along with homestead food production (HFP) and an intensive community level Infant and Young Child Feeding Behavior change communication (IYCF-BCC) intervention will have a greater impact on reducing anemia and improving growth in young children than only providing the HFP and IYCF-BCC intervention without MNPs or a control with no intervention.
- Detailed Description
The AAMA project uses the homestead food production (HFP) model that focuses on increasing households year round access to nutritious food as a platform to deliver a proven essential nutrition actions (ENA) related messages to household with children less than 2 years old. The AAMA project seeks to examine the effects of household level HFP on malnutrition. So the recipient and other partners wishes to undertake a study to explore a plausible delivery mechanism for MNPs along with HFP and intensive community level IYCF-BCC and their impact on infant/child growth and anemia.
The study is a cluster randomized controlled trial with a three arm factorial design. The trial involve 330 randomly selected children aged 6-9 months at the time of enrollment (n=110 per each of the three study arms). MNPs distributed through FCHVs to 110 children selected from communities that already have the HFP and IYCF-BCC intervention. This group of children will be compared on outcome parameters for anemia, growth (stunting, underweight and wasting) and infections (diarrhea, fever and cough) to a similar sub-set of children (n=110) who receive only the HFP and IYCF-BCC intervention and to a third sub-set of control children of similar age (n=110) who are not receiving either of these interventions. Children aged 6-9 months were chosen for the study because this age range captures the recommended age for introduction of complementary foods to children and our chosen age group also falls within the 0-24 month age range which is considered the period of rapid growth and development and therefore period of highest nutrient requirements in children.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 334
- Children 6-9 months of age during enrollment time
- Mothers who want to enroll their children in study
- Severe anemia
- Children age below six months and age over 23 months during study time
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description AAMA arm (HFP and IYCF BCC) AAMA project activities (HFP and IYCF BCC) Second arm is AAMA project intervention which includes HFP activities, ENA and BCC activities MNP added in AAMA MNP (micro-nutrient powders) It is actually a intervention arm MNP added in AAMA AAMA project activities (HFP and IYCF BCC) It is actually a intervention arm
- Primary Outcome Measures
Name Time Method Anemia One year All three arms anemia status will be compared after one year of MNP distribution (assess the additional value of MNP)
- Secondary Outcome Measures
Name Time Method Impact on growth of children one year Assess the growth of children (wasting, underweigh and stunting)after one year of MNP distribution (MNP distribution started in March 2011)
Trial Locations
- Locations (1)
Helen Keller International, Nepal
🇳🇵Baitadi, Nepal