OPTIMIZING ROUTINE DELIVERY OF ESSENTIAL CHILD HEALTH AND NUTRITION PACKAGE THROUGH PRIMARY HEALTH CARE CONTACTS
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Optimized package of child essential health and nutrition services, Standard package of essential child and nutrition services.
- Who it may be relevant to
- Registry conditions: Coverage of Vitamin A Supplementation, Coverage of Immunization, Feasibility and Fidelity of Implementation. Basic parameters: from 15 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Kenya, Senegal
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The primary objective of the study is to assess whether optimization of an essential package of health and nutrition services for children under five years of age using vitamin A supplementation touch points (i.e., the implementation model) in selected areas in Kenya and Senegal will increase the coverage of vitamin A supplementation and the coverage of other child health and nutrition services. In addition, the study will also assess the feasibility of the implementation model and the drivers of coverage outcomes.
Detailed description
Background: Countries have made significant progress over the last 20 years in improving child survival with under five mortality rates. Despite this progress, many countries still experience inequalities in the coverage of several essential child health and nutrition services, including vitamin A supplementation (VAS), growth monitoring and promotion (GMP), immunization, and regular nutrition screening for early detection of malnutrition. Optimizing the delivery of an Essential Child Health and Nutrition Package ("essential package") may address this issue.
Objective: The primary objective of the study is to assess the effect of optimizing the health system for the delivery of the essential package (the "implementation model"), on the coverage of VAS and on the coverage of immunization (as measured by vaccination for measles). In addition, the study will also assess the feasibility of the implementation model and the drivers of coverage outcomes.
Methods: Target population will be children 12-59 months of age and their caregivers in Kisii County in Kenya and Fatick Region in Senegal. The study will use an effectiveness-research implementation hybrid design with two arms: 1) health system will be optimized to deliver VAS to all children 12-59 months of age using all the routine primary health care (PHC) contact points plus current standard of care (Intervention) and 2) current standard of care (Control). The study will be conducted for a period of 18 months. The optimization model will be implemented for 12 months. Baseline and endline surveys that will collect quantitative and qualitative data will be conducted to assess the coverage of essential child health and nutrition services in both arms from study participants per arm in both baseline and endline surveys and to assess implementation feasibility. Implementation fidelity will be assessed through monthly visits by the research team to health facilities.
Interventions
- Other Optimized package of child essential health and nutrition services
Optimized package of child essential health and nutrition services - Other Standard package of essential child and nutrition services
Standard package of essential child and nutrition services
Primary outcome measures
- Children who received their age-appropriate VAS [Time frame: From enrollment to the end of intervention at 12 months]
- Children who are immunized with measles vaccine [Time frame: From enrollment to the end of intervention at 12 months]
- Implementation feasibility of new model perceived by health service providers, as assessed by key informant interviews and focus groups [Time frame: From enrollment to the end of intervention at 12 months]
- Fidelity of implementing the new model [Time frame: From enrollment to the end of intervention at 12 months]
Secondary outcome measures (6)
- Co-coverage of VAS and measles vaccine [Time frame: From enrollment to the end of intervention at 12 months]
- Children screened for malnutrition in the last 6 months [Time frame: From enrollment to the end of intervention at 12 months]
- Children who have received growth monitoring service [Time frame: From enrollment to the end of intervention at 12 months]
- Children who have received age-appropriate immunizations [Time frame: From enrollment to the end of intervention at 12 months]
- Caregivers who report receiving more than one service [Time frame: From enrollment to the end of intervention at 12 months]
- Caregivers who indicate are satisfied with the way the services are being delivered [Time frame: From enrollment to the end of intervention at 12 months]
Eligibility criteria
Inclusion criteria
- Caregivers of children 12-59 months of age
- Health service providers
Exclusion criteria
\- None
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Non-randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Health services research
Study locations
Kenya · 1 center
- Nutrition International- Kenya — Nairobi
Senegal · 1 center
- Nutrition International - Senegal — Dakar
Identifiers
NCT: NCT06949930 · Nutrition International