Climate-Responsive Nutrition, WASH, and Heat Counselling for Maternal and Child Health in Sindh, Pakistan
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age15-49
SponsorThe Hospital for Sick Children
About this trial
The goal of this clinical trial is to evaluate whether a climate- and gender-responsive integrated package of nutrition, hygiene (WASH), and heat-adaptation counselling can improve maternal and child health and nutrition outcomes among women of reproductive age and young children in rural Sindh, Pakistan.
The main questions it aims to answer are:
1. Does training Lady Health Workers, at the community level improve women's knowledge, attitudes, and practices related to maternal nutrition, infant and young child feeding, hygiene, and heat-adaptation behaviours? 2. Does training healthcare providers at facilities improve women's knowledge, attitudes, and practices related to maternal nutrition, infant and young child feeding, hygiene, and heat-adaptation behaviours?
Researchers will compare communities receiving the enhanced training package to those receiving standard care to determine its effectiveness.
Participants will:
1. Receive counselling from trained Lady Health Workers and healthcare providers on nutrition, hygiene, and heat-adaptation practices. 2. Take part in household surveys assessing knowledge, attitudes, and practices. 3. Followed over time during pregnancy and early childhood (only applies to a cohort of participants).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Household has at least one pregnant or lactating woman (PLW) OR woman of reproductive age (WRA) with a child less than 24 months old
Resident of the selected clusters of the district
Permanent resident of the household
Willing and able to provide informed consent
Disqualifiers
Household does not include a pregnant or lactating woman (PLW) OR a woman of reproductive age (WRA) with a child less than 24 months
Household does not provide informed consent
Woman is a known case of chronic hypertension
Woman is a known case of pre-eclampsia
Trial design
Design model
Parallel
Treatments tested in this trial
Training of Lady Health Workers (LHWs)
BehavioralLady Health Workers receive training aimed at improving their ability to deliver climate- and gender-responsive information and counselling to women on maternal nutrition, infant and young child feeding, hygiene, and heat-adaptation behaviours.
Training of Healthcare Providers (HCPs) at Facilities
BehavioralHealthcare providers at health facilities receive training to strengthen their delivery of climate- and gender-responsive information and counselling to women on maternal nutrition, infant and young child feeding, hygiene, and heat-adaptation behaviours.
Treatment groups
5,000 Participants
are divided into 2 treatment groupsGroup A: Control ArmNo intervention 0 interventions
Group B: Intervention ArmExperimental treatment 2 interventions
Trial outcomes
Primary outcomes
1
Knowledge, Attitudes, and Practices (KAP)
Knowledge, attitudes, and practices (KAP) regarding nutrition, infant and young child feeding (IYCF), IYCF-related hygiene, WASH and heat adaptation measures.
Time frame
Baseline (pre-intervention) and endline (immediately post-intervention, approximately 30 months after baseline).Secondary outcomes
1
Anthropometric Measures - Mid-Upper Arm Circumference (MUAC)
Measurement of mid-upper arm circumference in centimeters and/or millimeters to assess nutritional status.
Time frame
Baseline (pre-exposure to information and counselling) and follow-up assessment after exposure to information and counselling delivered by trained Lady Health Workers or healthcare providers.2
Anthropometric Measures - Length-For-Age
Length-for-age is an indicator of a child's linear growth and will be measured relative to the child's age and sex. It will be used to assess growth and the prevalence of stunting among children under 24 months.
Time frame
Baseline (pre-exposure to information and counselling) and follow-up assessment after exposure to information and counselling delivered by trained Lady Health Workers or healthcare providers.3
Anthropometric Measures - Weight-For-Age
Weight-for-age is an indicator of a child's body weight and will be measured relative to the child's age and sex. It will be used to assess overall growth status and the prevalence of underweight among children under 24 months.
Time frame
Baseline (pre-exposure to information and counselling) and follow-up assessment after exposure to information and counselling delivered by trained Lady Health Workers or healthcare providers.4
Anthropometric Measure - Weight-For-Length
Weight-for-length is an indicator of a child's weight relative to their length. It will be used to assess acute undernutrition and the prevalence of wasting among children under 24 months.
Time frame
Baseline (pre-exposure to information and counselling) and follow-up assessment after exposure to information and counselling delivered by trained Lady Health Workers or healthcare providers.Sponsors and contacts
Click on the lead sponsor to view all of their trials.
The Hospital for Sick Children
Lead sponsor
Aga Khan University
Collaborator
Global Affairs Canada
Collaborator
Source ClinicalTrials.gov