Hens Hatching Hope

Study Overview
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Brief Summary
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The study is a prospective community-cluster non-randomized trial that will evaluate the effectiveness of a program that will provide 30-day egg vouchers to mothers of 6 to 24 month-old children living in rural areas of Intibucá, Honduras.

Official Title
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Program Evaluation: Eggs Hatching Hope. Providing Egg Vouchers to Women With Young Children in Rural Honduras.

Conditions
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Malnutrition, Child

Intervention / Treatment
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* Other: Egg vouchers
* Other: Standard of Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy children ages 6 to 24 months at the time the study begins No cerebral palsy, birth defect or condition that may affect their growth or development. Children living in the department of Intibucá, Honduras Exclusion Criteria: Children from families that are considering leaving the region within the next 12 months Known egg allergy

Ages Eligible for Study
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Minimum Age: 6 Months
Maximum Age: 24 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: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>30-day egg vouchers, in addition to the standard of care. | Other: Egg vouchers<br>* 30-day egg vouchers will be provided monthly, in addition to standard of care.<br>Other: Standard of Care<br>* Participants will continue to receive the standard of care. No egg vouchers.<br>|
| Active Comparator: Control group<br>Standard of care. | Other: Standard of Care<br>* Participants will continue to receive the standard of care. No egg vouchers.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Length/Height-for-age z-scores (zHAZ) from baseline at 6 months | Calculated using the 2006 World Health Organization Child Growth Standards | 6 months | 
| Changes in Length/Height-for-age z-scores (zHAZ) from baseline at 12 months | Calculated using the 2006 World Health Organization Child Growth Standards | Change from baseline zHAZ at 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in the prevalence of stunting from baseline at 6 months | Calculated using the 2006 World Health Organization Child Growth Standards (zHAZ <-2) | 6 months | 
| Changes in the prevalence of stunting from baseline at 12 months | Calculated using the 2006 World Health Organization Child Growth Standards (zHAZ <-2) | 12 months | 
| Changes in the prelavence of underweight (Weight-for-age z-score <-2) from baseline at 6 months | Calculated using the 2006 World Health Organization Child Growth Standards | 6 months | 
| Changes in the prelavence of underweight (Weight-for-age z-score <-2) from baseline at 12 months | Calculated using the 2006 World Health Organization Child Growth Standards | 12 months | 
| Assessment of rapid weight gain after 6 months of intervention | Defined as a zBMI upward percentile crossing (>+0.67 SD) Calculated using the 2006 World Health Organization Child Growth Standards | 6 months | 
| Assessment of rapid weight gain after 12 months of intervention | Defined as a zBMI upward percentile crossing (>+0.67 SD) Calculated using the 2006 World Health Organization Child Growth Standards | 12 months | 
| Changes in the prevalence of diarrhea from baseline at 12 months | Defined as three or more liquid or semisolid stools in 24 hours | 12 months | 
| Changes in the prevalence of Respiratory symptoms from baseline at 12 months | Defined as reported presence of cough, or nasal congestion, or ear ache, or sore throat in the last 7 days. | 12 months | 
| Changes in the prevalence of Respiratory infections from baseline at 12 months | Defined as reported presence of fever + any of the following symptoms: cough, or nasal congestion, or ear ache, or sore throat in the last 7 days | baseline and 12 months | 
| Changes in the food insecurity scores from baseline at 6 months | Measured using the 2012 Latin American and Caribbean scale of Food insecurity (Escala Latinoamercana y Caribeña de Seguridad Alimentaria) | 6 months | 
| Changes in the food insecurity scores from baseline at 12 months | Measured using the 2012 Latin American and Caribbean scale of Food insecurity (Escala Latinoamercana y Caribeña de Seguridad Alimentaria) | 12 months | 
| Changes in the dietary diversity scores from baseline at 6 months | Measured using the frequency of intake survey from the 2012 Latin American and Caribbean scale of Food insecurity (Escala Latinoamercana y Caribeña de Seguridad Alimentaria) | 6 months | 
| Changes in the dietary diversity scores from baseline at 12 months | Measured using the frequency of intake survey from the 2012 Latin American and Caribbean scale of Food insecurity (Escala Latinoamercana y Caribeña de Seguridad Alimentaria) | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stunting, Eggs, diarrhea, complementary foods