protocolSection identificationModule nctId: NCT06380504, orgStudyIdInfo id: RSWITCH-Ethiopia, briefTitle: Increasing the Coverage of Severe Acute Malnutrition (SAM) Treatment in Ethiopia, acronym: R-SWITCH, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-04-29, primaryCompletionDateStruct date: 2026-06-30, completionDateStruct date: 2027-06-30, studyFirstPostDateStruct date: 2024-04-24, lastUpdatePostDateStruct date: 2024-04-24, sponsorCollaboratorsModule leadSponsor name: International Food Policy Research Institute, class: OTHER, collaborators name: Ethiopian Public Health Association, collaborators name: UNICEF, descriptionModule 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., conditionsModule conditions: Acute Malnutrition, Severe, conditions: Malnutrition, Child, conditions: Wasting, designModule studyType: INTERVENTIONAL, phases: NA, designInfo 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, maskingInfo masking: NONE, maskingDescription: Evaluator teams will be blinded from intervention allocation, enrollmentInfo count: 1080, type: ESTIMATED, armsInterventionsModule interventions name: R-SWITCH integrated intervention package, outcomesModule primaryOutcomes measure: Period prevalence of SAM OTP treatment coverage in children 6-59 months of age, secondaryOutcomes measure: Point prevalence of SAM OTP treatment coverage in children 6-59 months of age, secondaryOutcomes measure: Period prevalence of SAM OTP treatment coverage in the subgroup of treatment eligible children 6-59 months of age, secondaryOutcomes measure: Screening coverage of SAM, secondaryOutcomes measure: Screening coverage of severe underweight, secondaryOutcomes measure: Platform specific screening coverage of SAM, secondaryOutcomes measure: Growth Monitoring Promotion (GMP) consultation attendance, secondaryOutcomes measure: AFD group meeting attendance, secondaryOutcomes measure: AFD home visit coverage, secondaryOutcomes measure: Prevalence of SAM, secondaryOutcomes measure: Prevalence of wasting, secondaryOutcomes measure: Prevalence of stunting, secondaryOutcomes measure: Prevalence of underweight and severe underweight, secondaryOutcomes measure: Mean height-for-age Z-score (HAZ), secondaryOutcomes measure: Mean weight-for-height Z-score (WHZ), secondaryOutcomes measure: Mean weight-for-age Z-score (WAZ), secondaryOutcomes measure: Mean mid-upper arm circumference (MUAC), secondaryOutcomes 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, secondaryOutcomes measure: Vaccination coverage, secondaryOutcomes measure: Introduction of (semi) solid and soft complementary foods, secondaryOutcomes measure: Minimum dietary diversity in infants and young children (6-23 mo), secondaryOutcomes measure: Nr of food groups consumed by infants and young children (6-59 mo), secondaryOutcomes measure: Minimum meal frequency in infants and young children, secondaryOutcomes measure: Minimum acceptable diet in infants and young children, secondaryOutcomes measure: Continuous breastfeeding 12-23 months, secondaryOutcomes measure: Egg and/or flesh food consumption, secondaryOutcomes measure: Sweet beverage consumption, secondaryOutcomes measure: Zero vegetable or fruit consumption consumption, secondaryOutcomes measure: Minimum milk feeding frequency for non-breastfed children, secondaryOutcomes measure: Weight-for-length Z-score and MUAC at Severe Acute Malnutrition (SAM) Outpatient Therapeutic Feeding program (OTP), secondaryOutcomes measure: SAM OTP adherence, secondaryOutcomes measure: Weight gain rate during SAM OTP, secondaryOutcomes measure: SAM OTP outcomes (drop-out, death, transfer, non-response rates), secondaryOutcomes measure: SAM OTP duration, eligibilityModule sex: ALL, minimumAge: 6 Months, maximumAge: 5 Years, stdAges: CHILD, contactsLocationsModule, hasResults: False