Evaluation Nutrition Education Intervention on Pulse and Cereal Mix for Complementary Food in Southern Ethiopia

Study Overview
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Brief Summary
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The overall purpose of the study is to evaluate nutrition education interventions to promote pulse incorporated complementary food to the wider rural community through the government system to improve maternal knowledge, attitude and practice (KAP) and nutritional status of young children (6 to 24 months). The hypothesis is that nutrition education improves mothers knowledge, attitude and practice of pulse incorporated complementary food and improves dietary intake of iron and zinc and nutritional status of young children.

Detailed Description
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Only 9% of the population in Southern Ethiopia consumes pulse and pulse total contribution of the diet is less than 4.9% for women and less than 3.3% for children.Young children are at risk of developing malnutrition because of dietary inadequacy. Educational interventions can improve feeding practices and growth of young children. The overall purpose of the study is to evaluate nutrition education interventions to promote pulse incorporated complementary food to the wider rural community through the government system to improve maternal knowledge, attitude and practice (KAP) and nutritional status of young children (6 to 24 months). The hypothesis is that nutrition education improves mothers knowledge, attitude and practice of pulse incorporated complementary food and improves dietary intake of iron and zinc and nutritional status of young children. Before, at midline and end of the intervention we will assess the KAP of mothers, dietary intake of iron and zinc and nutritional status of young children. The nutrition education intervention will be given for 9 months. Serum ferritin, serum zinc, C-Reactive protein and hemoglobin and dietary intake of iron and zinc of young children will be measured at the beginning and ending of the intervention.

Official Title
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Evaluation of the Effectiveness of Nutrition Education Intervention Among Rural Mothers on Pulse and Cereal Mix Complementary Food and Nutritional Status of Children Age 6-24 Months in Sidama Zone, Southern Ethiopia

Conditions
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Dietary Habits, Health Knowledge, Attitudes, Practices, Wasting

Intervention / Treatment
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* Other: enhanced education on pulse use in complementary foods


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 6-15 months Apparently healthy Being breastfed at time of recruitment The mothers are permanent residents of the kebele Exclusion Criteria: Infant undergoing treatment with supplemental foods for malnutrition

Ages Eligible for Study
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Minimum Age: 6 Months
Maximum Age: 15 Months

Sexes Eligible for Study
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All

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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Sham Comparator: Usual education<br>Households in the control clusters (kebeles) will receive usual nutrition education from Health extension workers, about complementary foods, over 9 months. | Other: enhanced education on pulse use in complementary foods<br>* Enhanced Nutrition education with sessions and counseling by health extension workers<br>|
| Experimental: Enhanced Education<br>Additional education sessions from Health extension workers (HEWs) trained on use of pulses for complementary foods (CF). HEWs provide nutrition education programs and counseling about pulse-cereal mix complementary foods, over 9 months. | Other: enhanced education on pulse use in complementary foods<br>* Enhanced Nutrition education with sessions and counseling by health extension workers<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal knowledge, attitudes and practices towards pulse-cereal mix complementary food | Using validated questions on knowledge, attitude and practices | 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weight for height Z-score of children | Change in z-score of measured weight and measured height (length) ratio at 9 months | 9 months | 
| Zinc status of children | Measurement of serum zinc against WHO standards | 9 months | 
| Iron status | iron status as determined by serum ferritin corrected for inflammation using markers, whole hemoglobin to define anemia status using WHO standards. | 9 months |