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Register:	ISRCTN
Last refreshed on:	4 July 2023
Main ID:	ISRCTN75175305
Date of registration:	10/09/2013
Prospective Registration:	No
Primary sponsor:	The World Bank (USA)
Public title:	Evaluation of the Rapid Results Approach to improve childhood nutrition in Nepal
Scientific title:	Evaluation of the Rapid Results Approach to improve childhood nutrition in Nepal: a cluster randomized trial
Date of first enrolment:	30/08/2013
Target sample size:	20586
Recruitment status:	Completed
URL:	https://www.isrctn.com/ISRCTN75175305
Study type:	Interventional
Study design:	Cluster randomized trial (Quality of life)
Phase:	Not Applicable

Countries of recruitment
England	Nepal	United Kingdom

Contacts

Name:
Address:
Telephone:
Email:
Affiliation:

Name:	Marcos Vera-Hernandez
Address:	Department of Economics University College London Gower Street WC1E 6BT London United Kingdom
Telephone:	-
Email:	m.vera@ucl.ac.uk
Affiliation:

Key inclusion & exclusion criteria

Inclusion criteria:
1. Children aged 0-24 months
2. Pregnant women
3. Women aged between 15 years and 25 years old

Exclusion criteria: Children who are unable to be measured

Age minimum:
Age maximum:
Gender: Both

Health Condition(s) or Problem(s) studied

Community interventions to improve nutritional and family planning outcomes
Nutritional, Metabolic, Endocrine

Intervention(s)

The Rapid Results Approach (RRA) will be implemented in randomly selected Village Development Committees. The RRA is a results-focused learning process aimed at jump-starting major change efforts and enhancing implementation capacity. It tackles large-scale medium and long term change efforts through a series of small-scale, results-producing and momentum-building initiatives. The approach creates motivation and confidence by defining goals and monitoring results in short periods (usually 100 days) and mobilizing communities to act and coordinate.
The control group are individuals living in randomly selected Village Development Committees which will not benefit from SHD for a two year period

Primary Outcome(s)

Current primary outcome measures as of 15/12/2015:
1.Height for age z-score for children 0-24 months
2. Percentage of children between 0-24 months that suffered from diarrhoea in the 15 days prior to the interview.

Previous primary outcome measures:
1. Percentage of unmet family planning needs among women 15-25 years of age
2. Percentage of pregnant women taking iron and folic acid supplements for 180 days
3. Percentage of children 0-6 months age who are exclusively breastfed
4. Percentage of children 6-24 months age who consume a minimum acceptable diet
The primary outcomes will be measured using structured questionnaires. They will be measured at baseline to assess the comparability of treatment and control Village Development Committees. They will also be measured 24 months after baseline to assess the impact of the intervention.

Secondary Outcome(s)

Current secondary outcome measures as of 15/12/2015:
1. Number of instances in which a mother (of children 0-24 months) reports to clean her hands with soap at critical times
2. Percentage of households that report to have human feces in the house, compound, or right outside the compound
3. Percentage of households that report to have animal feces in the house, compound, or right outside the compound
4. Percentage of households using safe sources of water
5. Percentage of children 6-24 months whose mother reported to consume a minimum acceptable diet on the day prior to the interview
6. Percentage of children 6-24 months whose mother reported to consume an animal sourced protein on the day prior to the interview
7. Percentage of pregnant women who report consuming an animal sourced protein on the day prior to the interview
8. Social capital
9. A composite index comprising outcomes related to the goals of SHD

Previous secondary outcome measures:
1. Percentage of children 0-24 months who are stunted (height for age z-score less than -2)
2. Percentage of children 0-24 months who suffer from underweight (weight for age z-score less than -2)
3. Social capital
4. A composite index comprising outcomes related to the 30 goals of SHD

Secondary ID(s)

Nepal01

Source(s) of Monetary Support

The World Bank (USA)

Secondary Sponsor(s)

Ethics review

Status:
Approval date:
Contact:

Old ethics approval format; 1. Nepal Health Research Council, reg. 79/2013 2. UCL Research Ethics Committee, protocol ID 1827/005

Results

Results available:	Yes
Date Posted:
Date Completed:	31/12/2015
URL:

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