An evaluation of community prevention of acute malnutrition (CPAM) in Jharkhand, India

Accredited Social Health Activists (ASHA) and ASHA Facilitators supporting participatory learning and action meetings with women’s groups, home visits and referrals to reduce wasting among children aged 0-36 months in Jharkhand, India: a mixed-methods evaluation

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN10587368

Enrollment

9080

Registered

2021-11-10

Start date

2021-11-15

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prevention of acute malnutrition (wasting) in children 0 to 36 months Nutritional, Metabolic, Endocrine

Interventions

This non-randomised controlled trial has one intervention and one control arm. Participants are eligible to participate in interventions if they are resident in the 18 clusters across the 6 early-impl

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. All pregnant women; 2. All mothers of children aged 0-36 months; and 3. All children aged 0-36 months (including multiple births) residing in any of the 76 villages across 36 clusters in 9 control (non-CPAM) and 6 early CPAM intervention blocks

Exclusion criteria

Exclusion criteria: 1. Children whose mothers have died, 2. Children with severe congenital anomalies, 3. Women with severe hearing or other communication impairments that may prevent them from taking part in the survey 4. Women who have not resided in the study clusters in the six months prior to the survey

Design outcomes

Primary

Measure	Time frame
Mean weight-for-height or length z score (WHZ) calculated using 2006 WHO growth standards among children aged 0-36 months, measured in baseline and endline (3 years) cross-sectional surveys.	—

Secondary

Measure	Time frame
Measured in baseline and endline (3 years) surveys are defined as follows: 1. % of women achieving minimum dietary diversity (MDD-W, i.e., >=5/10 food groups) Pregnant women and mothers of children aged 0-36 months 2. % of children wasted (WHZ=5/10 food groups) in pregnancy All pregnant women 3. % achieving WDD-W (i.e., >=5/10 food groups) in the postpartum period All mothers of children aged 0-36 months 4. % of women sleeping under a bed net in the previous night All mothers of children aged 0-36 months and all pregnant women 5. Decision-making score about own health, and child’s health care and diet All mothers of children aged 0-36 months and all pregnant women 6. Mother’s mental health - K10 scale All pregnant women and mothers of children aged 0-36 months 7. % children who were breastfed for up to 2 years Children aged 24-36 months 8. % of children with Minimum Acceptable Diet (combined DDS and minimum meal frequency) Children aged 6-36 months 9. % of children with Minimum DDS Children aged 6-36 months 10. % of children who received timely initiation of complementary feeding Children aged 6-9 months 11. % of children with fever who received a malaria diagnosis following a blood test Children aged 0-36 months who had a blood test 12. % children who slept under a bed net in the past night Children aged 0-36 months 13. % of children given ORS during diarrhoea Children aged 0-36 months who had diarrhoea 14. % of children with Severe Acute Malnutrition (WHZ<-3 SD) Children aged 0-36 months 15. % of children underweight (WAZ <-2 SD) Children aged 0-36 months 16. % of children with severe underweight (WAZ<-3 SD) Children aged 0-36 months	—

Measure

Time frame

Measured in baseline and endline (3 years) surveys are defined as follows: 1. % of women achieving minimum dietary diversity (MDD-W, i.e., >=5/10 food groups) Pregnant women and mothers of children aged 0-36 months 2. % of children wasted (WHZ=5/10 food groups) in pregnancy All pregnant women 3. % achieving WDD-W (i.e., >=5/10 food groups) in the postpartum period All mothers of children aged 0-36 months 4. % of women sleeping under a bed net in the previous night All mothers of children aged 0-36 months and all pregnant women 5. Decision-making score about own health, and child’s health care and diet All mothers of children aged 0-36 months and all pregnant women 6. Mother’s mental health - K10 scale All pregnant women and mothers of children aged 0-36 months 7. % children who were breastfed for up to 2 years Children aged 24-36 months 8. % of children with Minimum Acceptable Diet (combined DDS and minimum meal frequency) Children aged 6-36 months 9. % of children with Minimum DDS Children aged 6-36 months 10. % of children who received timely initiation of complementary feeding Children aged 6-9 months 11. % of children with fever who received a malaria diagnosis following a blood test Children aged 0-36 months who had a blood test 12. % children who slept under a bed net in the past night Children aged 0-36 months 13. % of children given ORS during diarrhoea Children aged 0-36 months who had diarrhoea 14. % of children with Severe Acute Malnutrition (WHZ<-3 SD) Children aged 0-36 months 15. % of children underweight (WAZ <-2 SD) Children aged 0-36 months 16. % of children with severe underweight (WAZ<-3 SD) Children aged 0-36 months

—

Countries

India

Contacts

Public ContactShibanand Rath

shibanand.ekjut@gmail.com+91-9437229651

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026