Maternal and child undernutrition Nutritional, Metabolic, Endocrine Maternal and child undernutrition
Conditions
Interventions
Three variants of a participatory, video-based, agricultural intervention will be tested. 148 village clusters will be randomly allocated to four trial arms (37 clusters per trial arm), stratified by
Sponsors
London School of Hygiene and Tropical Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: For intervention eligibility, all women in the cluster are eligible to receive the group-based interventions and video dissemination, with intended coverage of at least one woman per household attending the SHGs. Mothers in the 1000-day period (pregnant or with a child aged up to 23 months) are eligible to receive home visits. For the trial impact evaluation eligibility, children aged 0 to 23 months (and the mothers or primary caregivers of children aged 0 to 23 months) will be interviewed measured, so the trial effects are only generalisable to this sub-population. For participation in interventions: 1. Village clusters from four blocks (Patna, Keonjhar, Harichandanpur and Ghatgaon blocks) in Keonjhar district, Odisha, India are eligible to be randomly allocated to any of the four trial arms 2. In the intervention arms, all women are eligible to participate in the study and attend the women's SHGs 3. All pregnant women and primary caregivers of children aged 0 to 23 months are eligible to receive home visits For primary outcomes: 1. Children (male and female) aged 6 to 23 months 2. Non-pregnant, non-postpartum (added 06/08/2019) mothers or primary caregivers of children aged 0 to 23 months For secondary outcomes: 1. Children (male and female) aged 0 to 23 months 2. Mothers or primary caregivers of children aged 0 to 23 months
Exclusion criteria
Exclusion criteria: For participation in interventions: 1. Any of the 8 clusters selected for formative research 2. Any clusters with prior exposure to programmatic work by any of the implementing partners For primary, secondary and other outcomes: 1. Any discernible disability of children or primary caregivers that prevents them from responding to the survey, or impairs their recumbent length or standing height 2. Any primary caregiver who is not defined as a 'household member'. That is, primary caregivers who have not resided in the household regularly at least half of the time during the past 12 months (e.g. 3-4 days of each week for 12 months, or 6 full months of past 12 months), unless she joined the household through marriage less than 12 months ago. Residing means living in the households and eating from the same pot. A married mother who is temporarily visiting her parental home, and so has not lived at the parental home for the past 12 months, will not be included. Household members do include servants, lodgers, and agricultural labourers currently in the household who will be staying in the household for a longer period, even if they arrived less than 12 months ago. 3. Any primary caregiver not of reproductive age (that is, not aged 15 to 49 completed years)
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 06/08/2019: Secondary outcomes: 1. Percentage of mothers consuming >5 out of 10 food groups per day, based on a 24-hour dietary recall is assessed by a team of trained local data collectors, using a cross-sectional survey designed for the purpose of this study at baseline (before the interventions begins) and endline (32 months after baseline) 2. Percentage of children with a weight-for-height z-score 5 out of 10 food groups per day, based on a 24-hour dietary recall is assessed by a team of trained local data collectors, using a cross-sectional survey designed for the purpose of this study at baseline (before the interventions begins) and endline (32 months after baseline) 2. Percentage of children with a weight-for-height z-score 3 antenatal care visits by a qualified provider is measured by a team of trained data collectors, using a cross-sectional survey designed for the purpose of this study, at baseline and 32 months after baseline 6. Percentage of mothers receiving minimum iron and folic acid supplements during pregnancy is measured by a team of trained data collectors, using a cross-sectional survey designed for the purpose of this study, at baseline and 32 months after baseline 7. Percentage of mothers receiving tetanus injections is measured by a team of trained data collectors, using a cross-sectional survey designed for the purpose of this study, at baseline and 32 months after baseline 8. Percentage of children (0-23 months) receiving appropriate care during illness episodes is measured by a team of trained data collectors, using a cross-sectional survey designed for the purpose of this study, at baseline and 32 months after baseline 9. Percentage of households using WHO-recommended handwashing practices is measured by a team of trained data collectors, using a cross-sectional survey designed for the purpose of this study, at baseline and 32 months after baseline 10. Mean Women’s Empowerment in Agricultu | — |
Primary
| Measure | Time frame |
|---|---|
| 1. Percentage of children (aged 6 to 23 months) that consume four or more food groups per day, based on a 24-hour dietary recall, is assessed by a team of trained local data collectors, using a cross-sectional survey designed for the purpose of this study at baseline (before the interventions begin) and endline (32 months after baseline) 2. Mean maternal Body Mass Index (kg/m sq) for non-pregnant, non-postpartum women is measured by a team of trained anthropometrists, using stadiometers (Seca 213) to measure height and weighing scales to measure weight, in cross-sectional anthropometric surveys conducted at baseline and endline (32 months after baseline). All outcomes will be measured using repeat cross-sectional surveys conducted at baseline (October to December 2016) and endline (October to December 2019). | — |
Countries
India
Outcome results
None listed