Anemia, Food Insecurity, Stunting, Underweight, Wasting
Conditions
Keywords
Food Insecurity, Stunting, Wasting, Underweight, Anemia, Complimentary Foods, Food Fortification, Complimentary Feeding
Brief summary
This repeated measures, cluster randomized, cohort trial design was carried out in three provinces in the northern mountainous area of Vietnam. Communes here were randomly selected for community based interventions with local production complimentary foods and marketing and distribution of fortified complimentary foods.
Detailed description
In rural northern Vietnam, childhood stunting rates are high. In Lào Cai province, female subsistence farmers grow crops, but face barriers sending produce to markets. The present intervention purchases local crops from local women subsistence farmers which are processed in local small-scale food processing facilities to produce instant fortified complementary foods for weaning. Methods: A repeated measures survey was conducted from October to November 2016, with Caregiver-Child(\<2y) pairs (n=800) in the provinces of Lai Chau, Lao Cai and Ha Giang. Anthropometric data of mother/child dyads was assessed and logistic regression analysis of stunted and underweight children explored associated factors. These included: core infant and young child feeding practices indicators, food insecurity, antenatal care check-ups, core water/sanitation, anemia and hygiene indicators. This project leveraged the experience of the National Institute of Nutrition of Vietnam to ensure HACCP standards during manufacture. Locally grown rice was combined with a Zn/Fe premix before extrusion and hammer-milling. Local vegetables such as: Sweet leaf (Sauropus androgynous), pumpkin, Shiitake mushrooms (Lentinula edodes) and carrots were made into complimentary foods and sold locally.
Interventions
None listed
Sponsors
Toronto Metropolitan University
Global Affairs Canada
International Development Research Centre, Canada
National Institute of Nutrition, Vietnam
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
6 Months to 2 Years
Healthy volunteers
Yes
Inclusion criteria
* Child participants must be younger than 2y at baseline. * Caregivers must volunteer and were required to give informed written consent
Exclusion criteria
* Free from oedema * Free from physical and mental disabilities * Free from memory disorders and/or mental illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Household Food Insecurity Access Scale | Nov 2016-June 2018 | Score from 1-27 indicating household food Insecurity. Where higher scores indicate greater food insecurity. This was taken at the beginning of intervention in Nov 2016 till completion in June 2018. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Weight in kilograms | Nov 2016-June 2018 | Stunting (Height-for-age Z score \<-2SD), Underweight (Weight-for-age Z score\<-2SD), Wasting (Weight-for-height Z score\<-2SD) compared with World Health Organization's growth charts. |
| Height in Meters | Nov 2016-June 2018 | Stunting (Height-for-age Z score \<-2SD), Underweight (Weight-for-age Z score\<-2SD), Wasting (Weight-for-height Z score\<-2SD) compared with World Health Organization's growth charts. |
| Age in Months | Nov 2016-June 2018 | Stunting (Height-for-age Z score \<-2SD), Underweight (Weight-for-age Z score\<-2SD), Wasting (Weight-for-height Z score\<-2SD) compared with World Health Organization's growth charts. |
| Hemoglobin Levels of Children (<2y) | Nov 2016-June 2018 | Hemoglobin levels among Children participants assessed by finger prick blood sampling. |
Outcome results
None listed