Evaluation of Integrating MIYCN Interventions in Existing CGPP of PCI

Study Overview
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Brief Summary
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The study has two arms; both experimental and control areas will receive standard interventions given under polio eradication program of PCI. Participants in the experimental arm receive additional interventions on nutrition (improve diet diversity in pregnant women and children of 6-23 months) for exact 12 months. The study includes awareness generation (regarding nutrition) through community mobilization, counseling and capacity building of community mobilization.

Detailed Description
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The experimental arm will receive the following interventions: Interpersonal communication (IPC) to reach target women (Women in their 2nd or 3rd trimester of pregnancy and women with 6-23 months old child) to deliver messages on maternal nutrition package and complementary feeding through home visits made by Community Mobilization Coordinator (CMC). Expanded community mobilization involving key influencers in family like husbands and mothers -in-law and community opinion leaders, religious leaders, Village Health Sanitation and Nutrition Committee (VHSNC) members. The aims are to improve awareness, shift norms and perceptions, engage husbands and local opinion leaders to promote healthy behaviour practices related to maternal nutrition and complementary feeding. Strategic use of data to design a context-specific program and track the progress of the program with regards to impact on social norms and behaviors at household/community level and demonstrate the feasibility of integrating select MIYCN interventions in polio eradication platforms. Convergence: The convergence will mainly focus on three Cs - maintain consistency, avoid conflict and enhance cooperation. This will aid in passing consistent MIYCN messages to the target community and ensure effective teamwork, collaboration and mutual support

Official Title
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Evaluation of Integrating Selected MIYCN Interventions in Existing Polio Eradication Platform of Project Concern International (PCI) in UP

Conditions
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Polio

Intervention / Treatment
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* Other: Maternal dietary diversity
* Other: Diet diversity in complementary feeding
* Other: Exclusive Breast Feeding
* Other: Community mobilization
* Other: Capacity Building
* Other: Use of existing platforms VHSND
* Other: Strategic use of data


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: For Community • Women aged 15-49 years Willing and able to provide consent Women in 2nd and 3rd trimester of pregnancy and / or Women with children aged 6-23 months For CMC Women aged 18+ Currently appointed a CMC in a selected HRA Willing and able to provide consent Exclusion Criteria: Women in first trimester of pregnancy Women whose index child (youngest child, between 6-23 months of age) is not her biological child Women whose index child is not currently living with the mother

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 49 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental area PCI<br>In this arm, in addition to the standard care for Polio eradication program activities of CGPP project, the following interventions are added: Maternal dietary diversity; Diet diversity in complementary feeding; Exclusive breast feeding; Community mobilization; Capacity building; Convergence;Use of existing platforms VHSND; Strategic Use of Data | Other: Maternal dietary diversity<br>* Counsel pregnant women for proper dietary intake and create awareness among family members and community to support her on maternal nutrition<br>Other: Diet diversity in complementary feeding<br>* Counsel mothers of children of 6-23 months on diet diversity in complementary feeding by demonstration during home-visits and seek support from father and family members<br>Other: Exclusive Breast Feeding<br>* Counselling on exclusive breast feeding among children under 6 months-Provide information to mothers of children of 3-6 months for exclusive breast feeding through home visits, and mothers meetings<br>Other: Community mobilization<br>* Engagement of local/religious leader, husbands to support diet diversity for pregnant women and doctors and fathers to support diet diversity for complementary feeding<br>Other: Capacity Building<br>* Capacity Building-Training of Community mobilization coordinator and mentoring for knowledge enhancement on nutrition for pregnant women and children below 2 years<br>Other: Use of existing platforms VHSND<br>* Convergence- Strengthen Village Health Sanitation and Nutrition Day for creating awareness on diet diversity for maternal nutrition and complementary feeding<br>Other: Strategic use of data<br>* Strategic use of data-Data analysis for concurrent monitoring,planning and decision making to improve the performance of CMCs<br>|
| No Intervention: Control area PCI<br>This arm will receive standard care with respect to Polio eradication program activities of CGPP such as awareness generation around Polio and routine immunization, hand washing and sanitation | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dietary Diversity in Maternal Nutrition | Percentage of Women in their 2nd or 3rd trimester of pregnancy from targeted households who consumed food from at least 5 specific nutrient rich food groups out of 10 defined food groups. | 12 months | 
| Minimum Dietary Diversity in Complementary Feeding | Percentage of children 6-23 months of age from targeted households who receive foods from 4 or more food groups (separately for breastfed and non-breastfed children) | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Timely Introduction of Complementary Feeding | Percentage of children 6-23 months of age who were initiated with complementary feeding in their seventh month. | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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UP- Uttar Pradesh, CMC- Community Mobilization Coordinator, MIYCN -Maternal Infant Young Child Nutrition, CGPP - Core Group Polio Project, A&T- Alive and Thrive, PCI- Project Concern International, VHSNC -Village Health, Sanitation and Nutrition Committee