Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Effectiveness of a Nutrition Education Package in Improving Feeding Practices, Dietary Adequacy and Growth of Infants and Young Children in Rural Tanzania
Brief Summary: Building on the success of community-based peer education and counselling in breastfeeding, it is possible to address young child feeding and health practices in the surveyed district. Opportunities that can optimise success and encourage behaviour change in the district include mothers willingness to modify some feeding options; support of family members; seasonal availability and accessibility of foods; established set-up of village peers and existence of health centres and health staff in some villages. This study has developed a feasible, context-specific nutrition education package for use in rural Tanzania. The package is composed of 4 components, namely 1) education and counselling of mothers, 2) training of community-based nutrition counsellors, 3) sensitisation meetings with health staff and family members, and 4) supervision of community-based nutrition counsellors. The intervention will use a parallel cluster-randomised controlled trial design where infants will be recruited when aged 6 months and followed up for 9 months. The intervention expects to provide information and, where appropriate, recommendations to strengthen the nutrition component in the health education programme of the Tanzania child health services.

The study hypothesises that the nutrition education package will be more effective than the routine health education in improving feeding practices, dietary adequacy and growth of infants and young children. Specific objectives of the study include:

* To evaluate the effectiveness of a nutrition education package on feeding practices and dietary adequacy
* To determine the effectiveness of a nutrition education package in improving growth and health of infants and young children
* To document the process of implementation of the nutrition education package to promote optimal feeding and health practice


Options:
A: Arm Label: Zalewa; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Household model | Arm Label: Ligowe and Magaleta; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Household model | Arm Label: Neno District Hospital and Neno Parish; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Household model | Arm Label: Matope; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Household model | Arm Label: Matandani and Nsambe; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Household model | Arm Label: Luwani, Nkula, and Midzemba; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Household model | Intervention Type: BEHAVIORAL; Name: Household model; Assigned to Arm(s): Ligowe and Magaleta, Luwani, Nkula, and Midzemba, Matandani and Nsambe, Matope, Neno District Hospital and Neno Parish, Zalewa
B: Arm Label: nothing at home level; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Home management of malaria; Type: EXPERIMENTAL; Interventions: Other: home/community case management | Arm Label: Home management of malaria and pneumonia; Type: EXPERIMENTAL; Interventions: Other: home/community case management | Intervention Type: OTHER; Name: home/community case management; Assigned to Arm(s): Home management of malaria, Home management of malaria and pneumonia
C: Arm Label: Proactive Community Case Management (ProCCM); Type: EXPERIMENTAL; Interventions: Other: Proactive Community Case Management, Other: Removal of point-of-care user fees, Other: Infrastructure improvements at primary health centre, Other: Training of primary health centre staff | Arm Label: integrated Community Case Management (iCCM); Type: ACTIVE_COMPARATOR; Interventions: Other: Integrated Community Case Management, Other: Removal of point-of-care user fees, Other: Infrastructure improvements at primary health centre, Other: Training of primary health centre staff | Intervention Type: OTHER; Name: Proactive Community Case Management; Assigned to Arm(s): Proactive Community Case Management (ProCCM) | Intervention Type: OTHER; Name: Integrated Community Case Management; Assigned to Arm(s): integrated Community Case Management (iCCM) | Intervention Type: OTHER; Name: Removal of point-of-care user fees; Assigned to Arm(s): Proactive Community Case Management (ProCCM), integrated Community Case Management (iCCM) | Intervention Type: OTHER; Name: Infrastructure improvements at primary health centre; Assigned to Arm(s): Proactive Community Case Management (ProCCM), integrated Community Case Management (iCCM) | Intervention Type: OTHER; Name: Training of primary health centre staff; Assigned to Arm(s): Proactive Community Case Management (ProCCM), integrated Community Case Management (iCCM)
D: Arm Label: Routine health education; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Routine health education | Arm Label: Nutrition education package; Type: EXPERIMENTAL; Interventions: Behavioral: Nutrition education, Behavioral: Routine health education | Intervention Type: BEHAVIORAL; Name: Nutrition education; Assigned to Arm(s): Nutrition education package | Intervention Type: BEHAVIORAL; Name: Routine health education; Assigned to Arm(s): Nutrition education package, Routine health education

Answer: D