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Completed

NCT Number: NCT03454100

Community Resilience to Acute Malnutrition

The study evaluates the impact of a multi-sectoral intervention (water, sanitation, and hygiene; training on climate smart activities; care groups for mothers; market gardens) on the prevalence of acute malnutrition as the primary outcome using a randomized intervention trial between 2012-2017 with four points of data collection (2012, 2014, 2015, and 2017).

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Key information

Conditions

Malnutrition, Child Child Nutrition Disorders Nutrition Disorders Nutritional and Metabolic Diseases

Age range

6 month–59 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Concern Worldwide Office

Goz Beida, Sila Region, Chad

About this study

Concern Worldwide has developed a model of intervention called Community Resilience to Acute Malnutrition (CRAM). This model is based on the need for (a) the introduction of longer-term programming to build community resilience to shocks, while recognising that there may be a need for humanitarian intervention, and (b) a multi-sectoral package of activities given experience in programming from other settings. The goal of the study is to rigorously test the impact of the model and associated activities on community resilience to shocks in the Goz Beida area of Chad. Where community resilience is proxied by the primary outcome variable: acute malnutrition.

In order to answer this question, 69 villages had been randomized to either receive the full multi-sectoral program or not. In each village, approximately 20 households were surveyed (randomly selected from a household list from a previous emergency distribution) for a total of 1420 households. Those households were then surveyed in November/December 2012 (prior to the intervention), and again a the same time period in 2014, 2015, and 2017.

Data was collected on household demographics, livelihoods, child health, and nutrition, including child (6-59 months) anthropometry.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • child is from household with B, C, or D wealth ranking (wealth ranking is from A-D with A being the highest wealth and D being the lowest wealth)
  • child is between the ages of 6-59 months
  • child is present in the selected household at the time of the survey

Exclusion criteria

  • child has a skin disorder
  • too ill to be measured on height board or weight scale

Treatment and study plan

multisectoral package of activities

Behavioral

A multi-sectoral package of village level activities, including having a well dug, a shared latrine installed, training on handwashing and hygiene across the water chain, training on conservation agriculture techniques, care groups for pregnant and breastfeeding mothers, and training on market gardens.

Primary outcomes

  1. Acute Malnutrition

    Time frame: 5 years

    prevalence of wasting (weight for age z-score<-2)

Secondary outcomes

  1. Chronic Malnutrition

    Time frame: 5 years

    prevalence of stunting (height for age z-score<-2)

  2. height for age

    Time frame: 5 years

    height for age z-score

  3. child morbidity

    Time frame: 5 years

    Child ill in the past two weeks

  4. weight for height

    Time frame: 5 years

    weight for height z-score

Sponsors and collaborators

Lead sponsor

Tufts University

Other

Collaborators

  • Concern Worldwide
  • Department for International Development, United Kingdom

Registry information

Acronym: CRAM

Important dates

Study start
2012
Primary completion
2018
Study completion
2018
First posted
Mar 5, 2018
Registry last updated
Mar 5, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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