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Change in funding availability
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| Name | Class |
|---|---|
| UNICEF | OTHER |
| Ministry of Health, Liberia | OTHER |
| Liberia Institute of Statistics and Geo-Information Services | UNKNOWN |
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The purpose of this study is to evaluate the feasibility and effectiveness of weekly iron and folic acid (IFA) supplementation and one-time deworming treatment at the community level in improving hemoglobin levels among adolescent girls in Liberia, West Africa, and to assess the feasibility and effectiveness of a targeted nutrition education program in improving nutrition knowledge, attitudes, and practices in the same population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nutrition+ Intervention | Experimental | This group will receive a structured nutrition education package provided by Community Health Assistants (CHAs) based on a handbook on nutrition education developed by UNICEF with collaboration from the Liberia Ministry of Health. The structured nutrition education package will focus on four key areas: causes and prevention of anemia, healthy eating and food choices, hand washing, and physical exercise. Participants in the intervention group will also receive IFA supplementation on a weekly basis for the duration of the study, and a one-time oral deworming treatment (mebendazole), which will be administered once at the beginning of the study. |
|
| Control group - standard services only | Active Comparator | This group will receive only the current package of basic nutrition services provided at the health facility and at community level by health workers and CHAs, respectively. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Iron and folic acid (IFA) supplementation | Dietary Supplement | Weekly IFA supplementation for duration of the study. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in participants' hemoglobin level from enrollment to completion of the study | Point of care hemoglobin testing will be conducted at enrollment and at the conclusion of the study. | Baseline and Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in responses to questions in the Nutrition Knowledge, Attitudes, and Practice (KAP) survey from baseline to follow up evaluation | Increase in nutrition-related knowledge, and improvements in nutrition practices as evidenced by changes in responses to the KAP survey, which is based on validated measures of nutrition-related knowledge, attitudes, and practices, and has been modified for appropriateness to the target population of this study. |
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Inclusion Criteria:
Exclusion Criteria:
Will enroll females, assessed by participant self-identification
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| Name | Affiliation | Role |
|---|---|---|
| Julia Rubin-Smith, MD, MSPH | Boston Children's Hospital | Principal Investigator |
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| Targeted nutrition education | Behavioral | Structured nutrition education package delivered at household level by trained Community Health Assistants (CHAs) |
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| Mebendazole Pill | Drug | One-time deworming treatment with mebendazole. |
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| Standard nutrition services | Other | Basic nutrition services currently provided at the health facility and at community level in Liberia |
|
| Baseline and Week 12 |
| Feasibility of targeted intervention for scale-up to country-wide enhanced nutrition services | Successful completion of study visits by Community Health Assistants, specifically ability to conduct every scheduled visit without skipping visits or households, within the timeframe of scheduled work day. | 12 weeks |
| ID | Term |
|---|---|
| D044342 | Malnutrition |
| D001519 | Behavior |
| D005247 | Feeding Behavior |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001522 | Behavior, Animal |
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| ID | Term |
|---|---|
| D007501 | Iron |
| D005492 | Folic Acid |
| D019587 | Dietary Supplements |
| D008463 | Mebendazole |
| ID | Term |
|---|---|
| D019216 | Metals, Heavy |
| D004602 | Elements |
| D007287 | Inorganic Chemicals |
| D028561 | Transition Elements |
| D008670 | Metals |
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
| D002219 | Carbamates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D001562 | Benzimidazoles |
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