Joint Infant and Young Child Nutrition Program and Malnutrition Prevention

Study Overview
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Brief Summary
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Study title: Joint Infant and young children nutrition program in Burkina Faso: Impact evaluation Hypothesis: The fortification of complementary foods associated with a counseling on feeding practices for infants and young children prevents malnutrition in 6-23 months-old children. Objective: to assess the effectiveness of a promotional care package in preventing malnutrition among children aged 6-23 months.

Detailed Description
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The 'Institut de Recherche en Sciences de la Santé (IRSS)', in collaboration with Micronutrient Initiative (MI), the Institute of Tropical Medicine (ITM) Antwerp (Belgium), and the Health District of Tougan, will conduct a study to assess the effectiveness of a promotional package in the prevention and management of malnutrition among children aged 6-23 months. This promotional package includes: A monthly follow-up sessions promoting growth in which detailed advice on feeding practices infant and young child feeding (IYCF) will be given to the mothers of children 6-23 months . These behavioral change informations be developed based on the rapid assessment of practices and foods available in the community and adaptation of the WHO manual. The distribution of micronutrient powders (MNP) (15 micronutrients) to mothers of children 6-23 months of age for home fortification of complementary foods Intensive counseling sessions and cooking demonstrations every two weeks for moderately malnourished children . Cooking demonstrations will include instructions on adding micronutrient powders and oil to meals .

Official Title
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Joint Infant and Young Child Nutrition Program in Burkina Faso : Impact Evaluation

Conditions
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Growth Failure, Good Infant and Young Child Feeding Practices

Intervention / Treatment
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* Other: MNP + IYCN counseling + cooking demonstrations


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Mothers of 6 to 23 months old children Reside in the study area Accept to use MNP Exclusion Criteria: Mothers of children aged less than 6 months or more than 23 months. Refusal

Ages Eligible for Study
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Minimum Age: 6 Months
Maximum Age: 23 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Programme<br>Distribution of Micronutrients powders (MNP) Intensive counseling on Infant and Young Child Nutrition Cooking demonstrations | Other: MNP + IYCN counseling + cooking demonstrations<br>* Growth monitoring and promotion sessions will take place every month at village level for all children 0-23 months of age and will serve as an entry point for all the interventions. During these sessions children under 24 months will be weighed monthly and screened for MAM and uncomplicated SAM for treatment in the community as well as complicated SAM for referral to health facility During the monthly sessions cooking demonstrations will take place in which the community Health workers will instruct the mother how to prepare a good complementary food for 6-23 months olds adding the MNP. These meals will be given to the child during the session. Mothers will be encouraged to prepare the same meal at home During the monthly sessions enhanced IYCN counseling will be given to the mothers of 6-23 months olds, using improved BCI messages developed based on the rapid assessment of practices and foods available in the community and adaptation of the WHO manual.<br>|
| No Intervention: Controle<br>Usual Infant growth monitoring and promotion activities No distribution of micronutrients powders No Intensive counseling No cooking demonstrations | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of children with Weight-for-height and/or Height-for-age ZScore <-2 |  | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of mothers who can describe at least 3 best practices about IYCN |  | 3, 6 and 12 months |