District-based Mainstreaming Nutrition Project in Rural Pakistan

Study Overview
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Brief Summary
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This study aims to provide evidence regarding the feasibility of integrating an enhanced maternal and child care health education package into the existing curricula of the National Program for Family Planning and Primary Health Care (LHW Program) and evaluating the feasibility of scaling-up as well as the impact on birth outcomes, nutritional status, morbidity patterns and overall survival patterns at the community level.

Detailed Description
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This project aims to do the following: To evaluate the operational feasibility of integrating an enhanced health education and nutrition package into the existing curriculum of the National Program for FP/PHC (LHW Program) Impact of the implementation of the full package of evidence-based nutrition interventions on the nutrition status, morbidity patterns and overall survival patterns in the district

Official Title
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Scaling up Evidence-based Nutrition Interventions to Address Maternal and Child Health Outcomes in Pakistan: a District-based Demonstration Project in Rural Sindh

Conditions
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Malnutrition

Intervention / Treatment
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* Behavioral: Enhanced education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Live born infants and young children from all registered pregnancies within participating villages and catchment population pregnant women Consent given by at least one of the parents Exclusion Criteria: Children born with congenital malformations or serious birth injury Suspected non-compliance (mobile and poorly motivated parents). Failure to give consent
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: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Routine LHW Advice<br>Arm receiving routine advice by their local Lady Health Workers (LHWs) | |
| Active Comparator: Enhanced LHW Advice<br>Arm receiving enhanced nutrition and health advice from the local Lady Health Workers (LHWs)during their routine community visits. | Behavioral: Enhanced education<br>* Enhanced Nutritional education/counseling to mothers on the following topics: During Pregnancy: diet during pregnancy; antenatal care; iron tablets; colostrum Postpartum period: difficulties during lactation; diet during lactation; EBF; childhood vaccination; newborn care Complementary Feeding General Health: vitamin A; diarrhea management; iodine; hygiene for health; protection from malaria; ARI & protection against ARI<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| mother pregnancy weight gain in 3rd trimester |  | at time of enrollment, 2 weeks before delivery | 
| mothers Hb level |  | at time of enrollment, 2 weeks before delivery | 
| child's birthweight |  | at birth | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| young child's growth |  | 0, 3, 6, 12, 18 mths, at end of study | 
| dietary diversity of CF |  | 6 mths, 9mths, 12mths, 18 mths | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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malnutrition, growth