416
Participants
Start Date
March 1, 2016
Primary Completion Date
July 31, 2019
Study Completion Date
July 31, 2019
Nutritional education
4 week home delivered educational program that will focus on breast feeding and complimentary feeding. If child remains WHZ \< -2 at by 9 months of age families will be shown 10 minute educational video detailing best practices for complimentary feeding.
Ready to Use Therapeutic Food
If child remains WHZ \< -2 despite nutritional education then will be managed according to Pakistan's Community Management of Acute Malnutrition protocol. This will include provision of ready to use therapeutic food (RUTF) to the child at home with close follow up. Utilization of the RUTF will be monitored closely by bi-weekly home visits.
Upper gastrointestinal endoscopy with biopsy
If child remains at WHZ \< -2 despite educational and dietary interventions, then will undergo medical evaluation for assessment of need for more advanced workup of malnutrition, including UGI endoscopy at AKUH. Results of the advanced work up, including the UGI endoscopy, will guide future management of these children.
Aga Khan University, Karachi
University of Virginia
OTHER
Children's Hospital Medical Center, Cincinnati
OTHER
Bill and Melinda Gates Foundation
OTHER
Washington University School of Medicine
OTHER
Massachusetts General Hospital
OTHER
Aga Khan University
OTHER