Prevention of iron deficiency anaemia during pregnancy Pregnancy and Childbirth
Conditions
Interventions
Tailored virtual counselling will be conducted with pregnant women and their families by nutrition assistants (NAs) using zoom (or similar) video conferencing on tablets containing SIM cards that have
Sponsors
HERD International
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Pregnant girl/woman aged between 13 to 49 years 2. Able to respond to questions 3. Resident of study cluster (whether at husband’s or parental home) 4. Less than or equal to 28 weeks’ gestation estimated from recall of last menstrual period (or expected date of delivery given by a health worker) 5. Plans not to leave the country during the follow-up period 5 weeks since enrolment 6. Does not have another pregnant woman in her household already enrolled in the trial 7. Consents to participate in the trial
Exclusion criteria
Exclusion criteria: 1. Aged =50 years 2. Not-consenting to participate in the trial 3. Unable to respond to questions 4. =28 weeks’ gestation at enrolment as estimated from LMP (or expected date of delivery given by a health worker) 5. Planning to leave the country during follow up period. 6. Has another pregnant woman in her household already enrolled in the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of pregnant women consuming IFA on at least 80% of the days (i.e. on 12 or more days out of 14 days recalled) at endline interview which will be at least two weeks after the second virtual counselling session (17-36 weeks’ gestation). | — |
Secondary
| Measure | Time frame |
|---|---|
| All secondary outcomes will be recalled by trial participants during face-to-face or telephone interviews and recorded in electronic questionnaires collected at endline: 1. Count of Antenatal (ANC) visits between enrolment and endline interview 2. 24 hour Women’s Diet Diversity Score collected using the women’s dietary diversity score updated 2021 tool collected at endline (mean per arm) 3. Consumption of intervention-promoted foods (green leafy veg with lemon, organ meat or and meat/fish) in the 24 hours preceding the endline interview. 4. Practicing ways to enhance bioavailability in the 7 days preceding the at endline questionnaire. This will be scored as 1 if the pregnant woman reports having done any of the following in the previous 7 days and will otherwise be scored as 0: - using lemon or other vitamin C-rich foods with meals, - eating sprouted grains or pulses, - avoiding tea/coffee 1 hr either side of meals, - spreading meat-eating over two eating occasions rather than one. 5. Knowledge of iron-rich foods: a count of the number of iron-rich food groups correctly recalled at the endline interview. Exploratory outcomes on the impact pathway: 1. Timing of first ANC (in completed months’ gestation) – collected at baseline if ANC has been initiated, otherwise collected at endline. 2. Timing of first IFA (in completed weeks’ gestation) – collected at baseline if ANC has been initiated, otherwise collected at endline. 3. Quality of Antenatal care received between baseline and endline. This will comprise a score constructed from recall of advice received, measurement of height/ weight/ blood pressure/ fetal heartbeat, tetanus vaccination, deworming tablet receipt/intake, blood and urine tests, checking position of the baby). Data will be collected at endline. 4. Understanding of why blood tests are taken at antenatal check-ups. Measured as the proportion of women who had a blood test at their ANC visits who could correctly explain one or more reason for ha | — |
Countries
Nepal
Contacts
Public ContactSanju Bhattarai
Outcome results
None listed