Psychosocial stimulation of children with Severe Acute Malnutrition
Conditions
Interventions
Psychosocial Stimulation for Children and Health Education for Mothers
Standard Care without Psychosocial Stimulation for Children and Health Education for Mothers
Sponsors
Jimma University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: - Children age 6 – 59 months with the diagnosis of SAM fulfilling the inpatient admission criteria based on the national protocol for the management of SAM. - The mother/ caregiver of the child has a plan to stay in the study area for at least six months after the discharge of her children from the Nutrition Unit - The mother/ caregiver of the child agrees for the inpatient care of SAM during Phase 2 treatment in the SC - The mother/ caregiver of the child agrees to present at the Nutrition Unit during the inpatient care
Exclusion criteria
Exclusion criteria: - Children with the diagnosis of other chronic medical conditions including TB, and HIV/AIDS that could be identified by the health workers during admission or later - Children with clinically apparent congenital abnormalities, obvious disabilities, mobility problems and sensory impairments (hearing and visual problems) that could affect outcome measurements and those children with twin birth - Families of children living far from the health included in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Child Development is the Primary Outcome. The five areas of child development including personal-social, fine motor, language, gross motor, and social-emotional skills will be measured. The first four of the developmental dimensions will be measured using the Denver II-Jimma which is culturally adapted, standardized and translated tool previously used in the Ethiopian context to assess the developmental performance of children age less than six years. The remaining social-emotional dimensions of the child development will be measured using the parent-completed Ages and Stages Questionnaire: Social-Emotional (ASQ:SE). The tool was adapted and translated for the Ethiopian context and previously used in the number of studies. | — |
Secondary
| Measure | Time frame |
|---|---|
| Treatment outcome is the secondary outcome. Death rate, recovery/cure rate, defaulter rate, non-responder rate, the average rate of weight gain, and the average length of stay of children in the nutrition unit will be calculated based on the Ethiopian Guidelines for the Management of Acute Malnutrition (Ethiopian FMoH, 2016). The proportion of cases that will have relapsed SAM within the six months follow up period will be calculated. Children will be considered to a have relapse, when their WFL/H will be less than 70 % of the WHO reference median or less than – 3 Z score OR having a pitting Edema of both feet OR MUAC <11.5 cm for child length greater than 65 cm.;Child Growth is the secondary outcome. The Weight, Length/height and Mid Upper Arm Circumference (MUAC) of the children will be measured following the standard procedure expressed in the Ethiopian Guidelines for the Management of Acute Malnutrition. The anthropometric Z-scores and percentile of the median will be compared with the WHO reference population. | — |
Countries
Ethiopia
Contacts
Public ContactAndamlak Gizaw Alamdo
Lecturer
Outcome results
None listed