Undernutrition
Conditions
Keywords
Stunting, Hidden Hunger, Diarrhea, Vitamin A Deficiency
Brief summary
This randomized, controlled effectiveness study examines Nutributter programming within an integrated package of maternal and child health services offered by Haiti's Ministry of Health (MSPP) to prevent undernutrition among young children in Haiti. The aim of the process evaluation is to better understand the uptake of Nutributter® as a complementary food in the diets of young children and its feasibility and acceptability as part of MSPP's package of services. This project is being carried out at a public hospital in Fort San Michel, an impoverished community outside of Cap Haitien, Haiti.
Interventions
DIETARY_SUPPLEMENTNutributter Program
Nutributter is a ready-to-use nutritional supplement that provides all vitamins and minerals required for healthy growth of infants 6 to 12 months of age. The paste is packaged in 20 gram sachets. One sachet corresponds to the recommended daily dose for a child.
OTHERIntegrated Package
The integrated package of services are provided through the Haitian Ministry of Health and includes childhood vaccinations, family planning messages, diarrhea prevention and control (e.g. water purification methods, promotion of positive sanitation and hygiene practices such as hand washing), and the promotion of positive child feeding practices (e.g. exclusive breastfeeding for six months; increased frequency of complementary feeding; and dietary diversity).
Sponsors
University of California, Davis
World Bank
United Nations World Food Programme (WFP)
Washington University School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Months to 12 Months
Healthy volunteers
No
Inclusion criteria
* Infants 6 to 12 months old * Lives in Fort San Michel
Exclusion criteria
* Moderately or severely malnourished * Peanut allergy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Length for Age | Once per month for 6 months, then once after 12 months. | Length (measured in centimeters) for age is an indicator of stunting, an outcome of chronic undernutrition during the first 2 years of life. Because our primary purpose is to prevent undernutrition, we are highly interested in this measurement. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Weight for Height | Once per month for 6 months, then once after 12 months | Weight (measured in kilograms) for height (measured in centimeters) is an indicator of moderate to severe acute malnutrition and if an infant is underweight, she/he could require immediate medical attention. We therefore weigh each participant to assess their current health status in this regard. |
Countries
Haiti
Outcome results
None listed