Early childhood health/nutrition and maternal well-being among rural households in China Not Applicable
Conditions
Interventions
Sampling and randomization
Townships located in four nationally designated poverty counties in Nanchong prefecture in Sichuan Province are included in the sampling frame. A canvas survey was conducted
Sponsors
Stanford University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Community-level inclusion criteria: 1. Located within four selected nationally designated poverty counties 2. Support from the township health centers and county maternal and child hospitals 3. At least one CHW candidate who is willing to participate in the training for the Healthy Future program 4. At least 12 households with pregnant women or children under 12 months of age Individual-level inclusion criteria: 1. Pregnant women or caregivers of children 0-6 months of age 2. Wiling to participate in the Healthy Future program 3. Willing to participate in the impact evaluation, including the household surveys, anthropometric measures, and hemoglobin tests 4. Able and willing to give informed consent
Exclusion criteria
Exclusion criteria: 1. Babies over 6 months at the time of enrollment 2. Babies and pregnant women who do not live in the township most of the time (e.g., live in the county seat; have a home in the township but typically stay somewhere else for work) 3. Infants with serious congenital diseases, infectious diseases, genetic metabolic diseases or other disabilities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Hemoglobin concentration of children aged 6 weeks - 18 months, measured using HemoCue 201+ test at baseline, 6 months and 12 months 2. Exclusive breastfeeding under 6 months (proportion of children aged <6 months who received only breastmilk in the previous day), measured using WHO Infant and young child feeding indicators at baseline, 6 months and 12 months 3. Dietary diversity (number of food groups consumed by children aged 6 – 18 months in the previous day), measured using WHO infant and young child feeding indicators at baseline, 6 months and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 20/12/2022: Secondary Health Outcomes: A. Secondary child health outcomes 1. Child growth indicators by WHO standards (i.e., length-for-age z-scores, weight-for-age zscores) measured by child’s weight, age and height at baseline, 6 months and 12 months; 2. Anemia status (hemoglobin concentration <110 g/l) measured using HemoCue 201+ test at baseline, 6 months and 12 months; 3. Proportion of children aged <18 months who had any illness in the past 14 days, measured by caregiver report of illness symptoms at baseline, 6 months and 12 months; 4. Proportion of children aged <18 months who had any unintended injuries in the past 14 days, measured by caregiver report at baseline, 6 months and 12 months; B. Secondary maternal well-being outcomes 1. Perinatal depression among pregnant women and mothers, measured using the Edinburgh Postnatal Depression Scale at baseline, 6 months and 12 months; 2. Mental health among caregivers, measured using the Depression, Anxiety, and Stress Scale at baseline, 6 months and 12 months; Secondary Behavioral Outcomes: A. Infant and young children feeding practices 1. Early initiation of breastfeeding: proportion of children born in the last 24 months who were put to the breast within 1 hour of birth, measured using WHO infant and young child feeding indicators at baseline and 6 months 2. Proportion of newborns who were given colostrum, measured using WHO infant and young child feeding indicators at baseline and 6 months 3. Proportion of children aged 6 – 12 months who were fed breastmilk in the previous day, measured using WHO infant and young child feeding indicators at baseline, 6 months and 12 months 4. Children ever breastfed: proportion of children born in the last 24 months who were ever breastfed, measured using WHO infant and young child feeding indicators at baseline, 6 months and 12 months 5. Predominant breastfeeding under 6 months: proportion of children < 6 months who received breastmi | — |
Countries
China, United States of America
Outcome results
None listed