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.

  1. Treatment of severely malnourished children.
  2. Growth monitoring of all children below the age of 5 years.
  3. Treatment of associated diseases like Diarrhea, Pneumonia, Malaria, etc.
  4. Management of resistant or relapsed severely malnourished cases by pediatrician.
  5. 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 -

  1. 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.
  2. 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.
  3. To achieve Case fatality rate of 2 % of treated severely malnourished children.

  4. 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