Clinical Trial: Community Based Management of Severe Malnutrition in Tribal Area of Melghat- Cluster Randomized Control Field Trial
Study Status: Completed
Recruit Status: Completed
Study Type: Interventional
Official Title: Community Based Management of Severe Malnutrition in Under 5 Children in Tribal Area of Melghat, Maharashtra- Cluster Randomized Control Field Trial
Brief Summary:
Provision of community based health care to severely malnourished children (Age group: 6 months through 5 years) in 16 tribal villages by trained semi-literate village health workers.
- Treatment of severely malnourished children.
- Growth monitoring of all children below the age of 5 years.
- Treatment of associated diseases like Diarrhea, Pneumonia, Malaria, etc.
- Management of resistant or relapsed severely malnourished cases by pediatrician.
- Intensive behavior change communication of parents of children below the age of 5 years for proper nutrition.
Detailed Summary:
1. Title of project: SAMMAN- Community based management of severe malnutrition in under 5 children in tribal area of Melghat region
2. Name of Institution: MAHAN Trust, Address: Mahatma Gandhi Tribal Hospital, Karmagram . Utavali, tehsil- Dharni, Melghat (Amaravati)
3. Objectives -
- To reduce the child mortality (in the age of group of 6 months to 5 years) due to severe malnutrition in tribal area of Melghat by 35% in usual residents population of 15000 (from 16 villages) over a period of 3 years.
- To reduce the prevalence of severe malnutrition (in the age of group of 6 months to 5 years) by at least 35% in usual residents population of 15000 from 16 villages in tribal area of Melghat over a period of 3 years.
- To achieve Case fatality rate of 2 % of treated severely malnourished children.
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Need and rational of the project :
Melghat is a hilly difficult to approach tribal forest terrain in Amaravati district of Maharashtra, India . Population is 2,80,000 & 75% of them are tribal. Most of the tribal (>90 %) are farmers or laborers, living below poverty line(>75%) & very hard life in huts without electricity (>90%) & illiterate (>50%). Medical facilities are worst in Melghat as compared to rest of Maharashtra. A detailed study conducted by MAHAN showed that more than 20% of tribal children are severely malnourished and the under 5 children mortality rate is more than 100 per 1000 live births due to lack of proper nutrition, medical facilities, superstitions & reluctance for hospitalization of severely malnourished childre
Sponsor: MAHAN Trust
Current Primary Outcome:
- Recovery rate of SAM (Severe Acute Malnutrition), SUW (Severe Underweight) and IAP Grade III,IV [ Time Frame: At the end of therapeutic cycle of 3 months ]
- Case fatality rate of treated severely malnourished children [ Time Frame: At the end of therapeutic cycle of 3 months ]
- Prevalence of severe malnutrition (SAM, SUW, IAP Grade III,IV) [ Time Frame: Over the period of 3 years ]
Original Primary Outcome: Same as current
Current Secondary Outcome: Child mortality rate ( 6 months to 60 months age group) [ Time Frame: 3 years ]
Original Secondary Outcome: Same as current
Information By: MAHAN Trust
Dates:
Date Received: January 10, 2016
Date Started: May 2011
Date Completion:
Last Updated: January 29, 2016
Last Verified: January 2016