Nutri-CAP: Nutrition for Children, Adolescent Girls, and Pregnant Women in Slums of Dhaka City
International Centre for Diarrhoeal Disease Research, Bangladesh
3,278 participants
Apr 1, 2022
INTERVENTIONAL
Conditions
Summary
The objective of the research project is to establish an evidence-based sustainable nutrition service delivery platform for optimizing pregnancy weight gain, increasing dietary diversity of adolescent girls, and ensuring proper physical growth of under 2 children. Hypothesis 1. Pregnant Women: Intensive nutrition and WASH counseling, iron-folate, calcium supplementation during pregnancy, can improve gestational weight gain and improve hemoglobin status in pregnant women in a slum of Dhaka city 2. Adolescent girl: Iron and zinc supplementation and nutrition counseling on dietary diversity could improve nutritional status and dietary diversity score in adolescent girls of slums in Dhaka 3. Children \<2 years: Counselling on IYCF, growth monitoring, and promotion, ensuring six-monthly vitamin A supplementation, counseling on WASH, treatment of acute malnutrition, and daily 1 egg supplementation for 3 months for severely stunted children can improve the nutritional status of children 4. Counselling to improve Water, Sanitation and Hygiene (WASH) practice: WASH intervention can improve EED biomarkers
Eligibility
Inclusion Criteria17
- Pregnant women:
- Age 18-39 years
- Before 16 weeks of gestation
- BMI 15-24.99 kg/m2 measured on enrolment
- Have the plan to stay in the study area till delivery
- Willing to participate in the study
- Not enrolled in any nutrition project/programme currently
- Adolescent girls:
- Aged 11-19 years
- Willing to participate in the study
- Not involved in any nutrition project/programme
- Will stay in the study area for the next 2 years
- Children:
- Aged 0-24 months
- Youngest child of the household
- Caregivers have the plan to stay in the study area at least up to two years of age
- Not enrolled in any nutrition project/programme currently
Exclusion Criteria16
- Pregnant women:
- Subject not willing to provide consent
- Subject has the plan to migrate outside of the study area during the study period
- Subject has a plan to go elsewhere ( village/ parents' house) for delivery
- Any reported/diagnosed chronic diseases (such as hypertension, heart disease, chronic obstructive pulmonary disease, chronic kidney disease, chronic liver disease, pancreatic diseases, diabetes mellitus, thyroid dysfunction, immunological diseases, malignancy, or any other diseases which could impede compliance with the study protocol)
- Extremely obese
- Subject involved in any nutrition programme/ intervention currently
- Adolescent girls:
- Subject not willing to give assent/consent
- Subject has the plan to migrate outside the study area during the study period
- Subject involved in any nutrition programme/intervention currently
- Children:
- Caregiver/guardian not willing to provide consent
- Have the plan to migrate outside of the study area during the study period
- Child with any congenital anomaly
- Subject involved in any nutrition programme/intervention currently
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Interventions
Pregnant women: Intensive dietary counseling using diet chart for locally available food, and to attend antenatal care services from local ANC providers, daily Iron, folic acid, and calcium supplementation. Adolescent girls: Group sessions in the nutrition centers with the adolescent girls will be conducted twice monthly for 6 months. Iron and folic acid (200 mg ferrous fumarate and 400 μg folic acid); once weekly for 3 months; zinc 10 mg daily for 1 month. Children \<2 years: Behavioral counseling sessions through monthly home visits on Infant and Young Child feeding, Growth monitoring and promotion, and water sanitation and hygiene, and food safety. Intensive WASH counselling: Intensive WASH counseling will be provided to separate group of child participants twice a month for 6 months. Severely stunted children: 1 egg supplementation for 3 months and 1 sachet of multiple micronutrient powder (1 RDA of vitamin A and C, iron-folic acid, and zinc) daily for 2 months.
Locations(1)
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NCT05311436