Clinical trial NCT05890378: Integrated Livestock Management for Nutrition in Children Under Five Years of Age in Chad
Official title: Integrated Livestock Management for Nutrition in Children Under Five Years of Age
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Malnutrition, Child
Keywords: malnutrition
Lead sponsor: Tufts University
Sponsor class: OTHER
Collaborators: name: Food and Agriculture Organization of the United Nations
First posted: 2023-06-06
Enrollment: 15000
Sex: ALL
Minimum age (years): 6
Maximum age (years): 5
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Although the final target for many nutrition messages will be women with young children, their ability to carry out promoted practices depends on the influence and control of a range of actors. Likewise, both men and women in households with livestock make decisions that affect resources provided to milking animals and access to milk - and these individuals are affected by a range of other actors in the community.

Brief summary: The main objective of this study is to determine the effectiveness of a livestock management intervention, with considerations for animal food security, water contamination from animals, and nutrition counseling, in reducing the risk of acute malnutrition among children under the age of 5 years in Kanem and Bahr El Ghazel (BeG) in Chad.

Detailed description: The main objective of this study is to determine the effectiveness of a livestock management intervention, with considerations for animal food security, water contamination from animals, and nutrition counseling, in reducing the risk of acute malnutrition among children under the age of 5 years in Kanem and Bahr El Ghazel (BeG) in Chad. To get at this objective we will be comparing across four study arms: 1) fodder provision, 2) water management/treatment, 3) combination of fodder and water management/treatment and 4) a control. All four arms will receive nutrition counseling, animal vaccination, and animal deworming.

Specifically, the study aims to answer the following research questions in the implementation research:

1. Does provision of animal feed and nutrition counseling lead to a reduction in child acute malnutrition of children under five?
2. Does messaging pulling on existing local strategies to improve protected water access for animals and humans, provision of a chlorine dispenser, and nutrition counseling lead to a reduction in child acute malnutrition of children under five?
3. Does provision of animal feed, nutrition counseling, in combination with messaging pulling on existing local strategies to improve protected water access for animals and humans lead to a reduction in child acute malnutrition of children under five?

In preparation for the implementation of the intervention, we will conduct formative research to better contextualize the interventions and data collection. The formative research will seek to answer the following research questions.

1. What is the water quality of and practices around different types of unimproved water sources?
2. Which water sources are used by households, and what is their distance from the community?
3. What zoonotic pathogens are present in animal and human fecal matter, and in milk?
4. What is the highest acceptable (using the flavor rating assessment method - Table 5) concentration of chlorine to provide safe water for users?

The study will be done in a phased approach:

* Year 1: formative research
* Year 2: impact evaluation
* Year 3: sustainability study

Eligibility criteria: Inclusion Criteria:

* Communities selected for the research have to be near a seasonal river
* Households (within those communities) have to have at least one child between the ages of 6 and 59 months.
* Households (within those communities) have to have at least one Tropical Livestock Unit (TLU) of livestock. One TLU is equivalent to either one cow, one camel, 10 goats or 10 sheep.
* Within those households, we will interview the female caretaker
* Anthropometry data will be collected from children 6-59 months and the female caretaker

Exclusion Criteria:

* lack of children under 5 years of age and/or a required livestock unit

Primary outcomes:
measure: Water Quality
timeFrame: 2023-2026
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
References: