This is a pilot quasi-experimental study to evaluate the impact of adding a family garden intervention to an existing wrap-around nutrition intervention for children with chronic malnutrition and their family. The existing nutrition intervention is provided by community health workers affiliated with Wuqu' Kawoq \| Maya Health Alliance. A single community in rural Guatemala will participate in the intervention, with the goal to recruit approximately 70 families in the combined nutrition/garden intervention. A nearby community, also participating in the nutrition intervention, will serve as a nonrandom contemporaneous control. Aims of the study include: 1. Evaluate the impact of the garden intervention on maternal and child dietary diversity, child growth and household food insecurity. 2. Use the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework to conduct a preliminary implementation analysis, to guide a future, well-controlled study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
140
Subjects will be provided with a standard food ration and with a multiple micronutrient powder (Chispitas) or lipid-based nutrient supplement (Nutributter)
Health promoters will use 24-hour dietary recall information to assess meal frequency and dietary diversity and then provide tailored nutrition coaching to parents.
Health promoters will facilitate the building and maintenance of a family home garden using a square foot or container gardening method.
Wuqu' Kawoq
Tecpán Guatemala, Departamento de Chimaltenango, Guatemala
Change From Baseline in Mean Number of Food Groups Consumed Per Day at 6 Months - Child
Calculated from the World Health Organization Infant and Young Child Feeding Indicators 24 hour diet recall tool
Time frame: Baseline, 6 months
Change From Baseline in Mean Number of Solid Meals Consumed Per Day at 6 Months - Child
Calculated from the World Health Organization Infant and Young Child Feeding Indicators 24 hour diet recall tool
Time frame: Baseline, 6 months
Change From Baseline in Raw Household Food Insecurity Score at 6 Months
Standardized food insecurity score, using the Food and Agriculture Organization's Global Food Insecurity Experience Scale (possible score range 0-8), higher scores indicate more food insecurity
Time frame: Baseline, 6 months
Change From Baseline in Mean Number of Food Groups Consumed Per Day at 6 Months - Female Head of Household
Calculated from the Food and Agriculture Organization's Minimum Dietary Diversity for Women dietary recall
Time frame: Baseline, 6 months
Change in Height/Length for Age Z Score From Baseline to 6 Months
These are differences from 0 to 6 months (baseline to 6 months of intervention) z-scores calculated against the World Health Organization pediatric growth reference population (https://www.who.int/tools/child-growth-standards/standards)
Time frame: 0 months (baseline), 6 months
Change in Weight for Age Z Score From Baseline to 6 Months
These are differences from 0 to 6 months (baseline to 6 months of intervention) z-scores calculated against the World Health Organization pediatric growth reference population (https://www.who.int/tools/child-growth-standards/standards)
Time frame: 0 months (Baseline), 6 months
Change in Weight for Height/Length Z Score From Baseline to 6 Months
These are differences from 0 to 6 months (baseline to 6 months of intervention) z-scores calculated against the World Health Organization pediatric growth reference population (https://www.who.int/tools/child-growth-standards/standards)
Time frame: Baseline, 6 months
Mean Change in Household Crop Species From Baseline to 6 Months Diversity Score
Raw count of total crop species cultivated in the home
Time frame: Baseline, 6 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.