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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
nutrition, IYCF, WASH education
Other interventionnutrition, IYCF, WASH education
scheduled anthropometric screening
Other interventionanthropometric screening by health care workers at 1, 3, and 6 months
family MUAC
Other interventionfamily MUAC training for the primary caregiver present at the time of recovery
Treatment groups
Trial outcomes
Primary outcomes
number of episodes of relapse to acute malnutrition identified
Secondary outcomes
weight-for-height Z-score (WHZ) at time relapse to acute malnutrition identified
mid-upper arm circumference (MUAC) at time relapse to acute malnutrition identified
number of episodes of relapse to edematous malnutrition / kwashiorkor identified
recovery rates following treatment of relapse to acute malnutrition
Sponsors and contacts
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Action Against Hunger USA
Lead sponsor
University of Washington
Collaborator
Ethiopian Public Health Institute
Collaborator