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Custodio E, Herrador Z, Trigo E, Romay-Barja M, Ramirez F, Aguado I, Iraizoz E, Silva-Gerardo A, Faria ML, Martin-Cañavate R, Marques T, Vargas A, Gómez A, Molina I. Nutrition supplementation plus standard of care versus standard of care alone or standard of care plus unconditional cash transfer in the prevention of chronic malnutrition in Southern Angola: study protocol for the MuCCUA study, a cluster randomized controlled trial. BMC Public Health 2024; 24:429. [PMID: 38341528 PMCID: PMC10858546 DOI: 10.1186/s12889-024-17858-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2023] [Accepted: 01/23/2024] [Indexed: 02/12/2024] Open
Abstract
BACKGROUND Chronic malnutrition is a condition associated with negative impacts on physical and cognitive development. It is multi-causal and can start very early in life, already in utero, thus it is especially challenging to find appropriate interventions to tackle it. The government of Angola is implementing a standard of care program with potential to prevent it, and the provision of cash transfers and the supplementation with small quantity lipid-based nutrients (SQ-LNS) are also promising interventions. We aimed to evaluate the impact of the standard of care program alone and of the standard of care plus a cash transfer intervention in the lineal growth of children less than 2 years old and compare it to the effectiveness of a nutrition supplementation plus standard of care program in Southern Angola. METHODS/DESIGN The three-arm parallel cluster randomised controlled trial is set in four communes of Huila and Cunene provinces. Clusters are villages or neighbourhoods with a population around 1075 people. A total of twelve clusters were selected per arm and forty pregnant women are expected to be recruited in each cluster. Pregnant women receive the standard of care alone, or the standard of care plus unconditional cash transfer or plus nutritional supplementation during the first 1000 days, from pregnancy to the child reaching 24 months. The primary outcome is the prevalence of stunting measured as height-for-age Z-score (HAZ) < -2 in children below 2 years. Impact will be assessed at 3, 6, 12, 18 and 24 months of children's age. Secondary outcomes include mortality, morbidity, caring, hygiene and nutrition behaviours and practices, and women and children's dietary diversity. Quantitative data are also collected on women's empowerment, household food security, expenditure and relevant clinical and social events at baseline, endline and intermediate time points. DISCUSSION The results will provide valuable information on the impact of the standard of care intervention alone as well as combined with an unconditional cash transfer intervention compared to a nutrition supplementation plus standard of care intervention, carried out during the first 1000 days, in the children´s growth up to 2 years and related outcomes in Southern Angola. TRIAL REGISTRATION Clinical Trials NCT05571280. Registered 7 October 2022.
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Affiliation(s)
- E Custodio
- Centro de Investigación Biomédica en Red de Enfermedades Infecciosas, (CIBERINFEC), Instituto de Salud Carlos III, Madrid, 28029, Spain.
- Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Avda. Monforte de Lemos, 3, Madrid, 28029, Spain.
| | - Z Herrador
- Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Avda. Monforte de Lemos, 3, Madrid, 28029, Spain
| | - E Trigo
- Tropical Medicine Unit Vall d'Hebron-Drassanes, Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Barcelona, 08035, Spain
| | - M Romay-Barja
- Centro de Investigación Biomédica en Red de Enfermedades Infecciosas, (CIBERINFEC), Instituto de Salud Carlos III, Madrid, 28029, Spain
- Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Avda. Monforte de Lemos, 3, Madrid, 28029, Spain
| | - F Ramirez
- Tropical Medicine Unit Vall d'Hebron-Drassanes, Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Barcelona, 08035, Spain
| | - I Aguado
- Tropical Medicine Unit Vall d'Hebron-Drassanes, Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Barcelona, 08035, Spain
| | - E Iraizoz
- Action Against Hunger Spain, C/Duque de Sevilla 3, Madrid, 28002, Spain
| | - A Silva-Gerardo
- Faculdade de Medicina da Universidade Mandume Ya Ndemufayo, Bairro Comercial, Avenida Hoji Ya Haenda nº30, caixa postal 201, Lubango, Huíla, Angola
| | - M L Faria
- Fundo Apoio Social-Local Development Institute, Avenida Pedro de Castro Vandunem, Luanda, Angola
| | - R Martin-Cañavate
- Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Avda. Monforte de Lemos, 3, Madrid, 28029, Spain
| | - T Marques
- Tropical Medicine Unit Vall d'Hebron-Drassanes, Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Barcelona, 08035, Spain
| | - A Vargas
- Action Against Hunger Spain, C/Duque de Sevilla 3, Madrid, 28002, Spain
| | - A Gómez
- Action Against Hunger Spain, C/Duque de Sevilla 3, Madrid, 28002, Spain
| | - I Molina
- Centro de Investigación Biomédica en Red de Enfermedades Infecciosas, (CIBERINFEC), Instituto de Salud Carlos III, Madrid, 28029, Spain
- Tropical Medicine Unit Vall d'Hebron-Drassanes, Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Barcelona, 08035, Spain
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Gomez-Barroso D, Herrador Z, San Martín JV, Gherasim A, Aguado M, Romero-Maté A, Molina L, Aparicio P, Benito A. Spatial distribution and cluster analysis of a leishmaniasis outbreak in the south-western Madrid region, Spain, September 2009 to April 2013. Euro Surveill 2015; 20:11-20. [DOI: 10.2807/1560-7917.es2015.20.7.21037] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Binary file ES_Abstracts_Final_ECDC.txt matches
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Affiliation(s)
- D Gomez-Barroso
- Network Biomedical Research Centre in Epidemiology and Public Health (CIBERESP in Spanish), Madrid, Spain
- These authors contributed equally to this article
- Health Institute Carlos III (ISCIII), Madrid, Spain
| | - Z Herrador
- Network Biomedical Research on Tropical Diseases (RICET in Spanish), Madrid, Spain
- National Centre for Tropical Medicine, ISCIII, Madrid, Spain
- These authors contributed equally to this article
| | - J V San Martín
- Fuenlabrada University Hospital, Madrid, Spain
- Network Biomedical Research on Tropical Diseases (RICET in Spanish), Madrid, Spain
| | - A Gherasim
- National Centre for Tropical Medicine, ISCIII, Madrid, Spain
| | - M Aguado
- Fuenlabrada University Hospital, Madrid, Spain
| | | | - L Molina
- Fuenlabrada University Hospital, Madrid, Spain
| | - P Aparicio
- Network Biomedical Research on Tropical Diseases (RICET in Spanish), Madrid, Spain
- National Centre for Tropical Medicine, ISCIII, Madrid, Spain
| | - A Benito
- National Centre for Tropical Medicine, ISCIII, Madrid, Spain
- Network Biomedical Research on Tropical Diseases (RICET in Spanish), Madrid, Spain
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Lenglet A, Herrador Z, Magiorakos AP, Leitmeyer K, Coulombier D. Surveillance status and recent data for Mycoplasma pneumoniae infections in the European Union and European Economic Area, January 2012. ACTA ACUST UNITED AC 2012; 17. [PMID: 22321134 DOI: 10.2807/ese.17.05.20075-en] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
In January 2012, the European Centre for Disease Prevention and Control (ECDC) conducted an email based survey of European Union and European Economic Area countries to describe the existing surveillance activities for Mycoplasma pneumoniae infections, recent findings and existence of clinical guidelines for the treatment of M. pneumoniae infection. Of the 20 countries that participated in the survey, seven reported increases in M. pneumoniae infections observed during the autumn and winter of 2011.
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Affiliation(s)
- A Lenglet
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
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