Anaemia and diarrhoea Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged between 6 months and 17 months, 29 days of age 2. Residents of Villa El Salvador, Lima, Peru 3. Born at term 4. Birth weight equal or higher than 2500g 5. Healthy 6. Parents agree to sign the informed consent form
Exclusion criteria
Exclusion criteria: 1. Age less than 6 months, or equal to/greater than 18 months 2. Not residents in the area of intervention 3. Children with an initial haemoglobin equal to or less than 8g/dL will be evaluated by a doctor to rule out some additional pathology and will receive treatment according to Peruvian Ministry of Health (Ministerio de Salud [MINSA]) norms 4. Weight/Length less than -2 Standard Deviations (SD) 5. Any chronic, congenital, or severe illnesses 6. Children that regularly consume other micronutrient supplements
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Anemia: Haemoglobin (Hb) is measured by HemoCue® at baseline and 6 months later (end of the study participation). Prevalence of anaemia is the percentage of children with Hb below 11 g/dl (WHO definition). We will also compare mean Hb values at baseline and end of the study. 2. Diarrhoea: Morbidity is recorded by home surveillance once a week and we register the daily morbidity, prevalence of diarrhoea is registered as the days with morbidity over the number of observation days x 100, incidence as number of episodes of diarrhoea per 100 days of observations. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Incidence of severe diarrhoea: Severe diarrhoea is defined as = 6 liquid or loose stools in the last 24 hr, number of episodes of severe diarrhoea per 100 days of observations. 2. Duration of diarrhoea: Number of days with diarrhoea ( = 3 liquid or loose stools in the last 24 hr). 3. Adherence to supplementation: Number of sachets consumed during the study per over the number of sachets given x 100. 4. Changes in weight and length: Anthropometric measures weight and length will be taken on infants at baseline and monthly through 6 months of intervention, and Z scores determined for weight-for-age (WAZ), length-for-age (LAZ), and weight-for-length (WLZ) compared to WHO references. 5. Serum zinc: Measured at entry and 6 months post supplementation. | — |
Countries
Peru