Low quality diets, poor nutrition and health status Nutritional, Metabolic, Endocrine Low quality diets, poor nutrition and health status
Conditions
Interventions
Sixty community-based childcare centres (CBCCs) in rural communities around Zomba district (Malawi) arerandomly assigned to one of two treatment arms
Control group: CBCCs are supporte
engaging parents, adolescents and other adults in the community in the planning and preparation of meals for children within CBCCs
improving agricultural production of nutritious foods and food diversification by using CBCC gardens as a learning site for communities
forming Village Savings and Loans groups to help communities save and access funds to purchase supplies for the CBCC garden and CBCC meals or to start new home gardens
and by organising farmers into collectives to increase their purchasing and selling power. The training materials and approaches used will draw on existing materials developed and validated.
Sponsors
PATH
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Child inclusion criteria: 1. Aged 0-5 years 2. Living in the catchment area of the targeted preschool 3. Provision of informed consent from parent or guardian Caregiver inclusion criteria: Caregiver to a participating child.
Exclusion criteria
Exclusion criteria: 1. Child, parent or guardian unwilling to participate in the study 2. Child known to have a chronic medical condition which will affect participation in the CBCC in the long run
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Dietary intake is measured though 24 hour caregiver recall at baseline and 12 months 2. Childcare practices are assessed through caregiver recall compared to the WHO IYCF definitions at baseline and 12 months 3. Pre-school enrolment and attendance is measured over 7 days through caregiver recall at baseline and 12 months 4. Household food production is measured through recall of previous harvest at baseline and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Child’s nutrition status is measured through anthropometry (weight-for-age, height-for-age, weight-for- age z-scores and MUAC) at baseline and 12 months 2. Child development is measured through the Malawi Development Assessment Tool z-scores (fine motor, gross motor, language and social domains) at baseline and 12 months | — |
Countries
Malawi
Outcome results
None listed