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Effect of Leveraging Community-level Structures to Strengthen Prevention, Screening and Treatment of Severe Acute Malnutrition in Ethiopia

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The R-SWITCH intervention aims to address the low coverage of treatment for severe wasting (SAM) by leveraging existing community groups to deliver an integrated package focused on prevention, screening, referral, and treatment of SAM. It includes behavior change communication on child nutrition and health, active screening, improved passive screening at health posts, and follow-up of referred cases and those enrolled in outpatient treatment programs (OTP). The primary objectives of the R-SWITCH studies are to assess the intervention's impact on OTP coverage, identify implementation barriers and facilitators, and evaluate its cost-efficiency and cost-effectiveness.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 6 months
Maximum Age: 5
Healthy Volunteers: t
View:

• Child 6-59 months of age

• Suffering from SAM (defined as MUAC \< 115mm or presence of bilateral pitting edema or Weight-for-Length Z-score \<-3) OR currently enrolled in SAM OTP

Locations
Other Locations
Ethiopia
Kersa and Jeldessa woredas
RECRUITING
Jimma
Contact Information
Primary
Lieven Huybregts, PhD
l.huybregts@cgiar.org
202 862-6481
Backup
Alemayehu Haddis, PhD
alemayehuh@etpha.org
Time Frame
Start Date: 2024-05-02
Estimated Completion Date: 2027-06-30
Participants
Target number of participants: 1080
Treatments
No_intervention: Standard of Care
* Usual screening of wasting by health extension workers (HEW) using MUAC~* Previous introduction of Family-led MUAC (not maintained)~* Behavior Change Communication (BCC) offered by Health extension worker (low intensity)~* Treatment of SAM at health post or health center~* Follow-up of SAM OTP defaults through home visits by HEW (very low intensity)
Experimental: R-SWITCH integrated intervention package
1. Monthly group meetings of AFD community groups~2. Introduction of weight-for-age Z-score \<-3 as an additional screening criterion~3. Promotion of Family-led MUAC screening and SAM awareness to fathers, community and religious leaders~4. Follow-up and counselling during home visits by AFD leaders~5. Strengthening communication between HEW and AFDs
Related Therapeutic Areas
Malnutrition
Sponsors
Leads: International Food Policy Research Institute
Collaborators: UNICEF, Ethiopian Public Health Association

This content was sourced from clinicaltrials.gov

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