Treatment of severe acute malnutrition delivered by Community Health Workers in Niger

A cohort study comparing treatment for Severe Acute Malnutrition (SAM) in children between 6-59 months, delivered by Community Health Workers (CHWs) compared to a traditional facility based model in Mayahi district, Niger

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN31143316

Enrollment

700

Registered

2018-08-03

Start date

2018-05-01

Completion date

Unknown

Last updated

2024-04-15

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

Conditions

Severe acute malnutrition Nutritional, Metabolic, Endocrine Severe acute malnutrition (SAM)

Interventions

The study is carried out in two areas within the district of Mayahi with similar sociodemographic, cultural and education characteristics. Disease prevalence is matched to create 2 groups: Guidan Amou

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Age 6 to 59 months 2. Diagnosed with SAM according to any of the following criteria: 2.1. MUAC < 115 mm 2.2. Bilateral edema 2.3. Weight-to-height ratio < -3 Z-score 3. Parents or guardians can provide informed consent

Exclusion criteria

Exclusion criteria: 1. Residence outside the study areas 2. Complications that require treatment in the stabilization center in Mayahi

Design outcomes

Primary

Measure	Time frame
The following performance indicators will be measured using the clinical and individual data obtained from ongoing care for the patients through the reporting system and procedures, including the children monitoring cards: 1. Cure rate, assessed at every visit to the healthy facility or with the CHW (weekly basis), defined as: 1.1. Weight-to-height ratio > 1.5 1.2. MUAC (mid-upper arm circumference) > 125 cm 2. Death rate, determined over the course of the study 3. Defaulter rate - if children do not attend visits on 2 consecutive weeks, they are discharged as defaulters	—

Measure

Time frame

The following performance indicators will be measured using the clinical and individual data obtained from ongoing care for the patients through the reporting system and procedures, including the children monitoring cards: 1. Cure rate, assessed at every visit to the healthy facility or with the CHW (weekly basis), defined as: 1.1. Weight-to-height ratio > 1.5 1.2. MUAC (mid-upper arm circumference) > 125 cm 2. Death rate, determined over the course of the study 3. Defaulter rate - if children do not attend visits on 2 consecutive weeks, they are discharged as defaulters

—

Secondary

Measure	Time frame
Coverage of the interventions is measured using coverage assessment using the SQUEAC methodology (Semi-Quantitative Evaluation of Access and Coverage) in both areas at the baseline and at the end of the study. SQUEAC uses the following 3 stages: 1. Identification of low or high coverage areas, along with factors negatively influencing coverage by using routine data for the program and qualitative data gathered from key informers, with the goal of ensuring triangulation and exhaustiveness of sources and methods 2. Confirmation of low and high coverage areas, and of the factors explaining low coverage identified in stage 1 3. Estimation of program coverage using the Bayesian technique	—

Measure

Time frame

Coverage of the interventions is measured using coverage assessment using the SQUEAC methodology (Semi-Quantitative Evaluation of Access and Coverage) in both areas at the baseline and at the end of the study. SQUEAC uses the following 3 stages: 1. Identification of low or high coverage areas, along with factors negatively influencing coverage by using routine data for the program and qualitative data gathered from key informers, with the goal of ensuring triangulation and exhaustiveness of sources and methods 2. Confirmation of low and high coverage areas, and of the factors explaining low coverage identified in stage 1 3. Estimation of program coverage using the Bayesian technique

—

Countries

Niger

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 8, 2026