Benefits of a Household WASH Package to Community-based Management of Acute Malnutrition (CMAM) Program, Chad (OUADINUT)

Primary Investigator

  • Mathias Altmann

Study Period

April 2015 - May 2016

Study Description

The objective of the research is to assess the effectiveness of adding a Household WASH component to the standard outpatient treatment of severe acute malnutrition.

Study design: cluster-randomized controlled trial comparing two interventions:

  1. Control group: outpatient management of children diagnosed for severe acute malnutrition only
  2. Intervention group: outpatient management of children diagnosed for severe acute malnutrition + "household WASH package"

2000 children, aged between 6 and 59 months, admitted to 20 OTP (Outpatient Therapeutic Program) centers for SAM will be included into the study and followed for 8 months (2 months of treatment, and 6 months after successful discharge).

Study Arms

  • Experimental: Intervention group: Outpatient management of children diagnosed with SAM + "household WASH package" (soap and aquatab for 3 months, 20 liters Jerry can, a cup, a plastic kettle for hand washing and the instructions leaflet)
  • Active Comparator: Control group: Outpatient management of children diagnosed with SAM

Primary Outcomes

  • Difference in the proportion of post-recovery relapse cases

Study Interventions

  • Water, sanitation, hygiene (WASH)
  • Standard Lipid-Based Nutrient Supplements (LNS)

Research Gaps

  • Effectiveness

    How well do different food compositions and interventions prevent or treat undernutrition, when implemented "on the ground"?

  • Innovation

    What novel food-based products and programming methods effectively prevent and treat undernutrition?

Study Population

1572