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Effective Means to Address Moderately Malnourished Children

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00751582
Recruitment Status : Completed
First Posted : September 12, 2008
Last Update Posted : March 22, 2016
World Bank
Information provided by:
International Centre for Diarrhoeal Disease Research, Bangladesh

Brief Summary:

Supplementary feeding and intensive IEC at the community level will effectively reduce moderate PEM compared to the control children within 3 months .

Intensive nutrition education at the household level will reduce by at least one third of the prevalence of moderate malnutrition (40% of present level) within a short period of 3 months

Condition or disease Intervention/treatment Phase
Malnutrition Dietary Supplement: Food supplementation and nutrition education Behavioral: Nutrition education Other: Control Group Not Applicable

Detailed Description:
Bangladesh is one of the countries having highest proportions of malnourished children in the world. The Bangladesh Integrated nutrition Project (BINP) is a recent initiative of the Government of Bangladesh to reduce malnutrition of women and children under two years of age. The BINP includes a specific programme to address severely malnourished children at the community level, however there is no such programme directed toward moderately malnourished children. Moderately malnourished children form a large proportion of children in the community, and with success of the BINP, this proportion is growing, as severely malnourished children shift to the moderately malnourished category. To address this, operations research will be undertaken in a BINP thana named Shahrasti, in Chandpur District over a 6 month period. A total of 300 children in three groups from Community Nutrition Centres (CNC) will be studied. There will be groups in the study. In addition to usual component of the BINP, mothers of the first group of intervention will receive intensive nutrition education and motivation for child care, complementary food demonstration, and household food mobilization for child feeding weekly for first four weeks then reinforced every two weeks. The second intervention group will receive a packet of the usual BINP food supplement daily for 6 days a week for 3 months and nutrition education at the same intensity. The third group will be a control group and will receive only the usual programme inputs of BINP and their weight gain will be recorded. The CNP, women group and village nutrition committee will be involved. Focus group discussion will be held with mothers. Data on morbidity will be collected and necessary medical advise will be given equal to each group. Data collection, counseling on child caring practice, food demonstration and nutrition education using IEC will be organized and supervised by project staff. It is assumed that if the intervention is successful, and once the nutritional status improves, they are likely to maintain good health. The IEC on dietary practice will be communicated to the village members for preventive measures. Data will be analyzed for change in nutrition groups from moderate to mild malnutrition or normal nutrition and will be compared between the control and two intervention groups. It is expected that the results of the study will help to address to reduce moderate malnutrition existing in the large proportion of malnourished children. This will in turn reduce the risk of regressing to severe malnutrition.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 300 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Effective Means to Address Moderately Malnourished Children Within BINP Communities
Study Start Date : July 1998
Actual Primary Completion Date : November 1998
Actual Study Completion Date : November 1998

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Malnutrition

Arm Intervention/treatment
Experimental: 2
Food supplementation and nutrition education
Dietary Supplement: Food supplementation and nutrition education
Food supplementation and nutrition education for three months

Other: Control Group
No Nutrition Education

Experimental: 1
Nutrition Education only
Behavioral: Nutrition education
Nutrition education for children for three months

Primary Outcome Measures :
  1. Weight and length to assess nutritional status of the children [ Time Frame: 6 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   6 Months to 2 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Less than 2 years moderately malnourished children

Exclusion Criteria:

  • Nourished children

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00751582

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Dhaka, Bangladesh, 1212
Sponsors and Collaborators
International Centre for Diarrhoeal Disease Research, Bangladesh
World Bank
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Principal Investigator: Swapan K Roy, PhD, FRCP Senior Scientist, ICDDR,B
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Responsible Party: Principal Investigator, ICDDRB Identifier: NCT00751582    
Other Study ID Numbers: 98-018
First Posted: September 12, 2008    Key Record Dates
Last Update Posted: March 22, 2016
Last Verified: September 2008
Keywords provided by International Centre for Diarrhoeal Disease Research, Bangladesh:
Additional relevant MeSH terms:
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Nutrition Disorders