The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial: Protocol for school-age follow-up
-
Published:2023-07-14
Issue:
Volume:8
Page:306
-
ISSN:2398-502X
-
Container-title:Wellcome Open Research
-
language:en
-
Short-container-title:Wellcome Open Res
Author:
Piper Joseph D.ORCID, Mazhanga Clever, Mwapaura Marian, Mapako Gloria, Mapurisa Idah, Mashedze Tsitsi, Munyama Eunice, Kuona Maria, Mashiri Thombizodwa, Sibanda Kundai, Matemavi Dzidzai, Tichagwa Monica, Nyoni Soneni, Saidi Asinje, Mangwende Manasa, Chidhanguro Dzivaidzo, Mpofu Eddington, Tome Joice, Mutasa Batsirai, Chasekwa Bernard, Smuk MelanieORCID, Smith Laura E., Njovo Handrea, Nyachowe Chandiwana, Muchekeza Mary, Mutasa Kuda, Sauramba Virginia, Langhaug Lisa F.ORCID, Tavengwa Naume V., Gladstone Melissa J.ORCID, Wells Jonathan C., Allen Elizabeth, Humphrey Jean H., Ntozini RobertORCID, Prendergast Andrew J.,
Abstract
Background: There is a need for follow-up of early-life stunting intervention trials into childhood to determine their long-term impact. A holistic school-age assessment of health, growth, physical and cognitive function will help to comprehensively characterise the sustained effects of early-life interventions. Methods: The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial in rural Zimbabwe assessed the effects of improved infant and young child feeding (IYCF) and/or improved water, sanitation and hygiene (WASH) on stunting and anaemia at 18 months. Among children enrolled to SHINE, 1,275 have been followed up at 7-8 years of age (1,000 children who have not been exposed to HIV, 268 exposed to HIV antenatally who remain HIV negative and 7 HIV positive children). Children were assessed using the School-Age Health, Activity, Resilience, Anthropometry and Neurocognitive (SAHARAN) toolbox, to measure their growth, body composition, cognitive and physical function. In parallel, a caregiver questionnaire assessed household demographics, socioeconomic status, adversity, nurturing, caregiver support, food and water insecurity. A monthly morbidity questionnaire is currently being administered by community health workers to evaluate school-age rates of infection and healthcare-seeking. The impact of the SHINE IYCF and WASH interventions, the early-life ‘exposome’, maternal HIV, and contemporary exposures on each school-age outcome will be assessed. We will also undertake an exploratory factor analysis to generate new, simpler metrics for assessment of cognition (COG-SAHARAN), growth (GROW-SAHARAN) and combined growth, cognitive and physical function (SUB-SAHARAN). The SUB-SAHARAN toolbox will be used to conduct annual assessments within the SHINE cohort from ages 8-12 years. Ethics and dissemination: Approval was obtained from Medical Research Council of Zimbabwe (08/02/21) and registered with Pan-African Clinical Trials Registry (PACTR202201828512110, 24/01/22). Primary caregivers provided written informed consent and children written assent. Findings will be disseminated through community sensitisation, peer-reviewed journals and stakeholders including the Zimbabwean Ministry of Health and Child Care.
Funder
Thrasher Research Fund National Institutes of Health Innovative Methods and Metrics for Agriculture and Nutrition Actions Wellcome Trust
Publisher
F1000 Research Ltd
Subject
General Biochemistry, Genetics and Molecular Biology,Medicine (miscellaneous)
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|