Community-based Nutrition Program Effectiveness Evaluation in Afghanistan
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- FHI 360
- 入组人数
- 4,076
- 试验地点
- 3
- 主要终点
- Proportion of children ages 6-23 months who receive a minimum acceptable diet
研究概览
简要总结
The study will be a mixed methods, two-arm, cluster-randomized controlled trial. The primary aim of this evaluation is to measure the effectiveness of the Community-Based Nutrition Package intervention on child feeding practices among parents/caregivers to children 6 to 23 months of age in Afghanistan.
详细描述
The study will be a mixed methods, two-arm cluster-randomized controlled trial (CRT). Health facilities eligible to implement the CBNP in their catchment areas will serve as the unit of implementation and be randomly allocated to treatment or control groups. For each health facility, up to four health posts, among the 6-10 health posts typically attached to a health facility, will be randomly selected. Households in communities served by selected health posts will be mapped and a list of households with eligible participants will generated from which a random sample will be selected. Structured questionnaires will be administered to separate samples of women with children 6-23 months of age at baseline then approximately 18 months later. Semi-structured, in-depth interviews will also be conducted with a sub-set of selected women and samples of their husbands and mothers-in-law at baseline and endline.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Married adult woman (all married women are considered adults in Afghanistan, regardless of age)
- •Has a child between 6 and 23 months of age. For women with more than one living child between ages 6 and 23 months, questions will be asked regarding dietary experiences for the elder of the two. For twins or multiple order siblings, the eldest will be selected based on birth order.
- •Resident in the household
排除标准
- •No specific exclusion criteria.
研究组 & 干预措施
Community-Based Nutrition Package
The Community-Based Nutrition Package (CBNP) is a multi-level intervention that comprises: advocacy and training for government stakeholders and employees; selection and training of master trainers who then cascade the training at provincial level; and selection and training of community-level Nutrition Mobilizing Teams. The Nutrition Mobilizing Teams then organize a 2-day community mobilization session in the catchment areas of each health post to develop a community nutrition plan, which is then implemented by community health workers and two additional volunteers under the mentorship of the Nutrition Mobilizing Teams and with the support of the community members that participated in the community mobilization session.
干预措施: Community Based Nutrition Package (CNBP) (Behavioral)
Standard of care
Current standard of existing community health services.
结局指标
主要结局
Proportion of children ages 6-23 months who receive a minimum acceptable diet
时间窗: 18 months
Proportion of children ages 6-23 months who receive a World Health Organization-defined minimum acceptable diet
次要结局
- Proportion of women who report exclusive breastfeeding for the first six months of a baby's life(18 months)
- Participation in household decision-making(18 months)
- Proportion of respondents who can name five critical times for washing hands to prevent disease transmission(18 months)
- Proportion of women who report initiating breastfeeding within one hour of delivery(18 months)
- Proportion of households with a handwashing facilities stocked with soap(18 months)
- Food Insecurity Experience Score(18 months)