Maternal and child nutrition and development Nutritional, Metabolic, Endocrine
Conditions
Interventions
The MAZIKO trial is aimed at evaluating the cost-effectiveness of using CBCCs and parenting care-groups as platforms to improve maternal diets, and child nutrition and development by providing nutriti
Sponsors
Power of Nutrition
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All women aged between 15 to 49 years who are pregnant living in the catchment area of the CBCC whose pregnancy is confirmed by a urine pregnancy test 2. Mothers (aged 15 to 49 years) of children aged <24 months and their youngest children (index) living in the catchment area of the CBCC
Exclusion criteria
Exclusion criteria: 1. Women residing in the study area who are pregnant during the enrolment period but do not consent to participate in the trial 2. Women residing in the study area who self-report being pregnant during the enrolment period but are unable to confirm their pregnancy. These women will be eligible for participation in the program 3. Children with major non-fatal disabilities will not be excluded from study procedures, but will be excluded from the final analysis sample if the disability is likely to directly affect growth and development
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The adequacy of nutrient intake in index women 15-49 years of age at baseline who are pregnant or mothers of index children 0-2 years at baseline, measured through 24 h recall at endline 2. Child development (motor, language and cognition) in index children (in utero to 2 years at baseline) measured using the Malawi Development Assessment Tool at endline | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Diet quality measured using the Global Diet Quality Score in index women 15-49 years of age at baseline who are pregnant or mothers of index children as measured through 24 h recall at endline 2. The adequacy of nutrient intake in index children measured through 24 h recall at endline 3. Height, HAZ, stunting (HAZ<-2), weight, weight for height, wasting (WHZ <-2), mid-upper arm circumference (MUAC) and head circumference in index children, as measured through anthropometric assessments at endline 4. Effects along the program impact pathways (PIPs) linking program implementation of each randomized interventions to nutrient adequacy of intake in index women and children, and other outcomes by assessing: 4.1. Fidelity of intervention implementation for each of the randomized interventions, defined as conformance with implementation specifications as measured through self-reports at endline 4.2. Quality of CBCC and Care Group training and supervision as measured through self-reports at endline 4.3. CBCC and Care Group volunteer capacity and service provision as related to the All Children Surviving and Thriving framework as assessed by questionnaire and observations at endline 4.4. Attained maternal knowledge and practices as related to the All Children Surviving and Thriving framework as assessed by questionnaire and direct observations at endline 5. Women’s empowerment measured using the women’s empowerment in agriculture (pro-WEAI) indicator at endline 6. Maternal depression measured using the Self-Reporting Questionnaire (SRQ) at endline 7. Household expenditure levels, shares of expenditures, poverty and food-insecurity levels assessed by questionnaire at endline 8. Household food consumption elasticities for calories and micronutrients assessed by questionnaire at endline 9. Mother’s willingness to pay (WTP) for nutrient-dense complementary foods assessed by questionnaire at endline If funding permits: 10. Haemoglobin concentration and anaemia prevalence in w | — |
Countries
Malawi, United States of America
Outcome results
None listed