nctId: NCT06380504 id: RSWITCH-Ethiopia briefTitle: Increasing the Coverage of Severe Acute Malnutrition (SAM) Treatment in Ethiopia acronym: R-SWITCH overallStatus: NOT_YET_RECRUITING date: 2024-04-29 date: 2026-06-30 date: 2027-06-30 date: 2024-04-24 date: 2024-04-24 name: International Food Policy Research Institute class: OTHER name: Ethiopian Public Health Association name: UNICEF briefSummary: The R-SWITCH intervention aims to address the low coverage of treatment for severe wasting (SAM) by leveraging existing community groups to deliver an integrated package focused on prevention, screening, referral, and treatment of SAM. It includes behavior change communication on child nutrition and health, active screening, improved passive screening at health posts, and follow-up of referred cases and those enrolled in outpatient treatment programs (OTP). The primary objectives of the R-SWITCH studies are to assess the intervention's impact on OTP coverage, identify implementation barriers and facilitators, and evaluate its cost-efficiency and cost-effectiveness. conditions: Acute Malnutrition, Severe conditions: Malnutrition, Child conditions: Wasting studyType: INTERVENTIONAL phases: NA allocation: RANDOMIZED interventionModel: PARALLEL interventionModelDescription: Cluster randomized controlled trial. Unit/cluster of assignment is health post catchment area. Parallel Assignment: baseline-endline design primaryPurpose: HEALTH_SERVICES_RESEARCH masking: NONE maskingDescription: Evaluator teams will be blinded from intervention allocation count: 1080 type: ESTIMATED name: R-SWITCH integrated intervention package measure: Period prevalence of SAM OTP treatment coverage in children 6-59 months of age measure: Point prevalence of SAM OTP treatment coverage in children 6-59 months of age measure: Period prevalence of SAM OTP treatment coverage in the subgroup of treatment eligible children 6-59 months of age measure: Screening coverage of SAM measure: Screening coverage of severe underweight measure: Platform specific screening coverage of SAM measure: Growth Monitoring Promotion (GMP) consultation attendance measure: AFD group meeting attendance measure: AFD home visit coverage measure: Prevalence of SAM measure: Prevalence of wasting measure: Prevalence of stunting measure: Prevalence of underweight and severe underweight measure: Mean height-for-age Z-score (HAZ) measure: Mean weight-for-height Z-score (WHZ) measure: Mean weight-for-age Z-score (WAZ) measure: Mean mid-upper arm circumference (MUAC) measure: Caregiver's knowledge related to breastfeeding, complementary feeding,child health and hygiene, the condition of severe acute malnutrition, outpatient therapeutic programs, screening of wasting measure: Vaccination coverage measure: Introduction of (semi) solid and soft complementary foods measure: Minimum dietary diversity in infants and young children (6-23 mo) measure: Nr of food groups consumed by infants and young children (6-59 mo) measure: Minimum meal frequency in infants and young children measure: Minimum acceptable diet in infants and young children measure: Continuous breastfeeding 12-23 months measure: Egg and/or flesh food consumption measure: Sweet beverage consumption measure: Zero vegetable or fruit consumption consumption measure: Minimum milk feeding frequency for non-breastfed children measure: Weight-for-length Z-score and MUAC at Severe Acute Malnutrition (SAM) Outpatient Therapeutic Feeding program (OTP) measure: SAM OTP adherence measure: Weight gain rate during SAM OTP measure: SAM OTP outcomes (drop-out, death, transfer, non-response rates) measure: SAM OTP duration sex: ALL minimumAge: 6 Months maximumAge: 5 Years stdAges: CHILD hasResults: False