Community-based, Controlled, Open-label, Cluster-randomized Trial for the Reduction of Chronic Malnutrition in Children Under Two Years of Age, With Three Intervention Arms Grouped by Clusters, in Two Provinces in Southern Angola, Huíla and Cunene.
Malnutrition, Child
About this trial
This is an interventional prevention trial for Malnutrition, Child
Eligibility Criteria
Inclusion Criteria:
- Women of 16 years of age or older;
- Pregnancy confirmed through a test;
- Accept to participate in the study upon the informed consent form is signed by the community leader and confirmed by potential participants.
Exclusion Criteria:
- Women of 16 years of age or older, pregnant, who do not belong to the pre-selected districts/villages of the study;
- Women that, although in the household, are maids, reside in rented homes or are temporary visits;
- Women who have planned to travel or move outside of the district within the study follow-up period;
- Women who manifest the impossibility of completing follow-up visits;
- Alcohol-dependent women or with a history of alcohol abuse (considered as intake of >3 drinks on any day or >7 drinks per week);
- Any condition that, at the investigator's discretion, is non-compliant with interventions or follow-up controls;
- Pregnant women with acute malnutrition (brachial circumference < 21 cm).
Sites / Locations
- CuneneRecruiting
- Huíla provinceRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Experimental
Experimental
Standard Intervention (CONTROL Arm)
Standard Intervention plus nutritional supplementation (CONTROL+NUT Arm)
Standard Intervention plus money transfers (CONTROL+TM Arm)
The Standard package includes a series of actions carried out by the Community and Health Development Agents (ADECOS), who improves access to primary health care practices and promotes well-being behaviors at community levels. ADECOS has the potential to facilitate improvements in the health state and quality of life in rural communities. Activities performed by ADECOS can be grouped into two blocks: Health awareness-raising, and promotion activities at the community level (against malnutrition and promoting adequate nutrition). Preventive community activities involving the promotion of treatment against malnutrition at the community level and direct referral to local health facilities when necessary.
In addition to the services performed by the ADECOS, it is included a supply of complementary food rations (individual + family) at the relative level, being: One individual portion composed by nutritional lipid supplements in small quantities (SQ-LNS) One complementary family portion composed by local foods.
In addition to the services performed by the ADECOS, it will be delivered a total of 14,000.00 Kz per month and per relative with 4 or more people living in the same household by the end of the study. It will be delivered a total of 11,000.00 Kz per month and per relative with 3 or fewer people living in the same household by the end of the study. The monetary value will be delivered in cash with unconditional format, and it will not be determined by the investigator team the use and the destination of said amount and nothing will be requested in return.