Efficacy of the Healthy Mother Healthy Baby Toolkit for Maternal and Child Nutrition in Ethiopia
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 594
- 试验地点
- 2
- 主要终点
- Maternal Weight gain during pregnancy
研究概览
简要总结
The objective of the research is to test whether integrating a mother-baby nutrition toolkit into routine antenatal care service can improve maternal and infant nutrition in Amhara, Ethiopia
详细描述
The high burden of undernutrition through the critical first 1,000 days persists in Ethiopia. Studies have indicated that approximately 1 in 4 women of reproductive age in Ethiopia are underweight, 17% of babies are born at low birth weight and nearly 50% of children are stunted by age 2. Inadequate diets of pregnant and breastfeeding women, both suboptimal quality and quantity, are a key contributor to maternal and infant undernutrition in Ethiopia.
The National Nutrition Strategy of Ethiopia, adopted in 2008, recommends one additional meal per day to support healthy pregnancy, and two extra meals per day to support lactation (US Agency for International Development (USAID), 2008).
Using the Health Belief Model for behavior change, the study team developed and has tested in other contexts a Healthy Baby Toolkit (HBT) designed to serve as a cue to action to improve maternal and family self-efficacy in providing mothers and their babies with adequate nutrition. The toolkit has previously been tested in India, Kenya, Malawi, and Ethiopia where it has demonstrated acceptability and feasibility, and demonstrated improvement in the diets of children between 6-23 months. This new trial aims to understand the added health benefits of introducing the toolkit to mothers during pregnancy and the early postpartum period when crucial child growth and development trajectories are established.
The study will evaluate the benefits of HBT on maternal nutrition and infant growth, especially during the first 500 days (pregnancy and first 6 months of life). It will also assess strategies for facility and community-based delivery of the toolkit for future rollout and scaling up. Findings from this study will create an evidence base for effective counseling strategies and support advocacy efforts to integrate the toolkit into routine nutrition education and counseling programs in Ethiopia.
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
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •<20 weeks gestation as determined by maternal report of last menstrual period
- •Intending to breastfeed and provide age-appropriate complementary feeding
- •Intend to continue services at the health center where they enrolled until their infant is at least 10 months old
排除标准
- •Women who participated in the formative phase of the HMHBT project
- •Women with an existing medical condition that merits precautions for a high-risk pregnancy and may affect study outcomes independently of the intervention. These include for example, uncontrolled or advanced diabetes, advanced kidney disease (stage 3 or higher); thyroid disease, autoimmune disorders such as lupus, moderate to severe rheumatoid arthritis, organ transplant; blood clotting or bleeding disorders, multiple sclerosis.
- •Women with a history of previous preterm delivery (<32w) or very low birth weight babies (<1.5kg)
- •Known history of serious obstetric complications that place the mother at increased risk for subsequent adverse events or complications. These include for example multiple miscarriages or stillbirths (>2); eclampsia, hemorrhage, placenta previa, placental abruption, uterine rupture
- •Women experiencing pregnancy loss, and neonatal or infant mortality will be excluded from further follow-up. Women who give birth to multiples will be retained but their data will be analyzed separately
结局指标
主要结局
Maternal Weight gain during pregnancy
时间窗: Baseline, third trimester
Maternal weight is measured using a high quality electronic scale (precision 0.10 kg)- SECA (UNICEF).
Infant Birth Weight
时间窗: At the time of birth
Infant birthweight will be collected as soon as possible after birth and at most within one week of birth. Birth weight captured by nurses immediately after delivery will be collected from health registers if the mother delivers in the facility, from the Antenatal care (ANC) card or by Research Assistants (RA) if she delivers at home
次要结局
- Infant Weight for age z scores(7 days post birth, 4 months post birth, 9 months post birth)
- Infant Length for age Z scores(7 days post birth, 4 months post birth, 9 months post birth)
- Infant Weight for Length Z scores(7 days post birth, 4 months post birth, 9 months post birth)
- Maternal Anthropometry: Mid-upper arm circumference(Baseline, Late pregnancy (32-42 weeks of gestation), 4 months, 9 months postpartum)
- Maternal Anthropometry: Height(Baseline)
- Maternal Dietary Data(Baseline, Third trimester, 4 months post partum, 9 months postpartum)
- Women's dietary diversity scores(Baseline, third trimester, 4 months post partum and 9 months post partum)
- Minimum acceptable diet(within 1 week of delivery, 4 months post birth, 9 months post birth)
- Exclusive breastfeeding(1 week postpartum, 4 months postpartum)