In a recently completed intervention study, more than 50% of children in Lusaka were found to be stunted by age two, even when nutritional supplements were provided. It seems likely that these high rates of stunting are primarily due to inadequate basic nutritional intake. The main goal of this project is investigate this conjecture through a small pilot study that will be conducted in the urban area of Lusaka.
This is very small cluster-randomized trial, with 64 families recruited from 4 selected neighbourhoods. 2 of these neighbourhoods will be selected for nutritional counselling and food support. Children ages 6-12 months old and their caregivers will be included. Exclusion criteria: low birth weight; planning to move; twins. All families will complete a baseline and endline assessment - each lasting approximately 30-45 minutes. Children in the two intervention clusters will receive a visit every two weeks to discuss child nutrition, and to monitor height and weight gains. We will also provide additional food/groceries to mothers in the treatment group, i.e. to the 32 families in the two neighborhoods selected for treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
64
For women in the intervention group, we will develop a nutritional plan for the child in collaboration with the mother. Mothers will then receive a visit every other week - during this visit, children's health and nutrition will be discussed, and height and weight will be measured by field officers. Detailed food recommendations will be made based on national and international infant and young child feeding guidelines. To ensure appropriate foods are available, field workers will drop off local foods on a weekly basis.
Innovations for Poverty Action Zambia
Lusaka, Lusaka Province, Zambia
Height-for-age z-score
Children's height for age z-score after six months of interventions
Time frame: measured approximately 6 months after initiation of intervention
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