Flexisign 12 Trial
Sesampainya dirumah Gery aku beristirahat sejenak sembari menunggu Rifki dan Irfan Tertinggal dibelakang, Tidak lama berselang Irfan dan Rifki sampai yang berbarengan dengan Gery yang membawakan seikat rambutan dan air dingin, Sontak kami langsung menikmati suguhan yang diberikan Gery. Tidak lama sesudahnya Irfan mendapat telfon dari Afif yang katanya minta dijemput di depan komplek karena ingin ikut mengerjakan tugas. Cerpen tentang cinta.
Background Prevalence of stunting among under-five children in Bangladesh is 36%, varying with geographic and socio-economic characteristics. Previously, research groups statistically modelled the effect of 10 individual nutrition-specific interventions targeting the critical first 1000 days of life from conception, on lives saved and costs incurred in countries with the highest burden of stunted children. However, primary research on the combined effects of these interventions is limited. Our study directly addresses this gap by examining the effect of combinations of 5 preventive interventions on length-for-age z-scores (LAZ) among 2-years old children. Methods This community-based cluster randomised trial (c-RCT) compares 4 intervention combinations against one comparison arm. Intervention combinations are: 1) Behaviour change communication (BCC) on maternal nutrition during pregnancy, exclusive breastfeeding, and complementary feeding, along with prenatal nutritional supplement (PNS) and complementary food supplement (CFS); 2) BCC with PNS; 3) BCC with CFS; and 4) BCC alone.
Flexisign 12 User Manual
The comparison arm receives only routine health and nutrition services. From a rural district, 125 clusters were selected and randomly assigned to any one of the five study arms by block randomisation. A bespoke automated tab-based system was developed linking data collection, intervention delivery and project supervision. Total sample size is 1500 pregnant women, with minimum 1050 resultant children expected to be retained, powered to detect a difference of at least 0.4 in the mean LAZ score of children at 24 months, the main outcome variable, between the comparison arm and each intervention arm.