Evaluation of Two Community Based Screening Strategies for Severe Acute Malnutrition in Children 6-59 Months in Mirria District, Niger

Alliance for International Medical Action4,429 enrolled

Overview

The objective of this study is to determine the efficacity of a community strategy for screening children 06-59 months old for Severe Acute Malnutrition (SAM) conducted by their mothers' compared with a community screening strategy conducted by Community Health Workers.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

4,429

Conditions

Malnutrition

Interventions

Screening by mothersOTHER

Active comparator: Screening by community health workersOTHER

Eligibility

Sex: ALLMin age: 6 MonthsMax age: 59 Months

Medical Language ↔ Plain English

Inclusion Criteria: * children aged 06-59 months at the time of the study * children who live in a village in the health district participating in the study Exclusion Criteria: * children whose legal guardian refuses to participate in the study

Locations (1)

Mirriah health district

Mirriah, Zinder Region, Niger

Outcomes

Primary Outcomes

The coverage of the therapeutic nutritional program in the control and intervention health districts

Coverage of the the therapeutic nutritional treatment program is defined as the proportion of children 06-59 months with Severe Acute Malnutrition (Mid Upper Arm Circumference \<115mm and/or oedema) receiving treatment in the program, amongst the total number of children diagnosed with Severe Acute Malnutrition

Time frame: 12 months

Secondary Outcomes

Malnutrition program data for children referred by community health workers & mothers

Nutritional status at admission (mid upper arm circumference +/- oedema) Type of admission to the programme (out-patient or immediate transfer for in-patient care) Source of reference to the programme (Community Health Worker, Mother, other) Date of discharge from the programme Weight at admission to the programme Discharge criteria (cured, died, failed to attend, non-response to treatment, transfer for in-patient nutrition care, transfer to other health care structures) Number of children screened by mothers confirmed to have SAM at the treatment centre Number of children screened by community health workers confirmed to have SAM at the treatment centre

Time frame: 12 months

Data from ClinicalTrials.gov

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