Community Based Management of Severe Malnutrition in Tribal Area of Melghat- Cluster Randomized Control Field Trial (SAMMAN)
Child Nutrition Disorders, Malnutrition
About this trial
This is an interventional treatment trial for Child Nutrition Disorders focused on measuring Severe Acute Malnutrition, Severe Underweight, IAP Grade III-IV, Severe Stunting, Village Health Workers, MAHAN RUTF & MAHAN Vit-Mim mix
Eligibility Criteria
Inclusion Criteria:
- Children suffering from severe malnutrition as per weight for height criteria (WHO), weight for age criteria (WHO), MUAC (WHO), IAP grade III & IV. Defacto method.
Exclusion Criteria:
- Children who have failed in appetite test and cannot tolerate oral F75 food. Also,
- Parents, guardian refuse to give consent.
Sites / Locations
- MAHAN Trust, Melghat (Dharni)
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention Arm
Control Arm
Intervention area: Provision of community based health care to severely malnourished children 6 months age in 16 tribal villages by trained semi-literate village health workers. Treatment of severely malnourished children through MAHAN RUTF & MAHAN Vit-Min mix Growth monitoring of all children below the age of 5 years Treatment of associated diseases like Diarrhea, Pneumonia, Malaria, etc. Management of resistant or relapsed severely malnourished cases by pediatrician. Intensive behavior change communication of parents of children below the age of 5 years for proper nutrition. Dose: 46 gms of proteins/kg/day & 100170 calories/kg/day with gradual escalation with micro nutrient supplementation Route: Oral Frequency: 4 times a day Duration: 12 weeks
Control area: In control area, the V.H.W. and supervisor records weight of all under 5 children. They also collect data related to birth, deaths and verbal autopsy.