Family Mid-Upper Arm Circumference (MUAC) Follow-up After Recovery From Acute Malnutrition (MODAM-fMUAC)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age6-59
SponsorAction Against Hunger USA

About this trial

Protocols for the community-based management of acute malnutrition (CMAM) have not changed significantly for more than 20 years, with relatively complex treatment protocols and persistent supply chain challenges that have limited overall program coverage, leaving millions of malnourished children without care annually. The overarching goal of this research project is to simultaneously test two novel simplified approaches in CMAM with potential to improve program coverage. The simplified approach includes two parallel clinical trials for SAM and MAM treatment. For the Family MUAC follow-up study, children who recover from these two parallel clinical trials will be enrolled in trial to test the effectiveness of MUAC screening at home by the child's caregivers as a self-referral strategy, compared to a scheduled health facility-led strategy and the standard of care of community-based follow-up visits.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

children 6-59 months of old who recovered from SAM or MAM following treatment in either the MODAM-SAM or MODAM-MAM trials

Disqualifiers

caregiver not planning on remaining in the local area for the subsequent 6 months

Trial design

Design model

Parallel

Treatments tested in this trial

  • nutrition, IYCF, WASH education

    Other intervention

    nutrition, IYCF, WASH education

  • scheduled anthropometric screening

    Other intervention

    anthropometric screening by health care workers at 1, 3, and 6 months

  • family MUAC

    Other intervention

    family MUAC training for the primary caregiver present at the time of recovery

Treatment groups

3,600 Participants
are divided into 3 treatment groups
Group A: Control GroupActive comparator 1 intervention
Group B: scheduled followupActive comparator 2 interventions
Group C: family MUACExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

number of episodes of relapse to acute malnutrition identified

Time frame
6 months

Secondary outcomes

1

weight-for-height Z-score (WHZ) at time relapse to acute malnutrition identified

Time frame
6 months
2

mid-upper arm circumference (MUAC) at time relapse to acute malnutrition identified

Time frame
6 months
3

number of episodes of relapse to edematous malnutrition / kwashiorkor identified

Time frame
6 months
4

recovery rates following treatment of relapse to acute malnutrition

Time frame
6 months

Other outcomes

Sponsors and contacts

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Action Against Hunger USA

Lead sponsor

University of Washington

Collaborator

Ethiopian Public Health Institute

Collaborator