Malnutrition, Undernutrition
Conditions
Keywords
malnutrition, undernutrition, Z-score, Guinea-Bissau, food aid
Brief summary
This study will test the effectiveness of a weekly village distribution of canned herring for prevention of malnutrition in children aged 2-5 years old during a food-insecure time of the year in rural villages in Guinea-Bissau. The study will use community health workers to conduct the herring distribution, making this a test that will provide valuable information on what could become a practical food aid supplementation practice. The primary study hypothesis is that distribution of canned herring as a weekly food supplement to families with young children at the beginning of the rainy season will prevent a seasonal decrease in weight-for-age Z-score (primary variable) of children with mild to moderate malnutrition at baseline.
Interventions
Families with children in this study arm will receive a weekly ration of herring throughout the 8-10 week study period (2 cans herring/day per study child).
Sponsors
Study design
Eligibility
Inclusion criteria
* Village leaders willing to allow the study to take place in their village * Village must have community health workers who are willing to do the weekly distribution of herring to enrolled families and are able to keep the necessary records documenting the distribution. * Children age 2-5 currently living in a selected village * Parents willing to participate in the study
Exclusion criteria
* There are no eligibility exclusions for this study. * If a child is identified with severe malnutrition at the baseline measurement, the family will be advised to take the child for treatment rather than participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from Baseline in weight-for-age Z-score | baseline, 8-10 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| height-for-age Z-score | baseline, 8-10 weeks | — |
| mid upper arm circumference (MUAC) measurement | baseline, 8-10 weeks | measurement of circumference of the mid upper arm |
| weight | baseline, 8-10 weeks | — |
| height | baseline, 8-10 weeks | — |