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Climate-Responsive Nutrition, WASH, and Heat Counselling for Maternal and Child Health in Sindh, Pakistan
Sponsor: The Hospital for Sick Children
Summary
The goal of this clinical trial is to evaluate whether a climate- and gender-responsive integrated package of nutrition, hygiene (WASH), and heat-adaptation counselling can improve maternal and child health and nutrition outcomes among women of reproductive age and young children in rural Sindh, Pakistan. The main questions it aims to answer are: 1. Does training Lady Health Workers, at the community level improve women's knowledge, attitudes, and practices related to maternal nutrition, infant and young child feeding, hygiene, and heat-adaptation behaviours? 2. Does training healthcare providers at facilities improve women's knowledge, attitudes, and practices related to maternal nutrition, infant and young child feeding, hygiene, and heat-adaptation behaviours? Researchers will compare communities receiving the enhanced training package to those receiving standard care to determine its effectiveness. Participants will: 1. Receive counselling from trained Lady Health Workers and healthcare providers on nutrition, hygiene, and heat-adaptation practices. 2. Take part in household surveys assessing knowledge, attitudes, and practices. 3. Followed over time during pregnancy and early childhood (only applies to a cohort of participants).
Official title: Cluster-Randomized Controlled Trial to Evaluate the Effectiveness of Climate-Responsive Integrated Nutrition, WASH, and Heat Adaptation Counselling Strategies to Improve Maternal and Child Health and Nutrition Outcomes in Sindh Province, Pakistan - Protocol
Key Details
Gender
FEMALE
Age Range
15 Years - 49 Years
Study Type
INTERVENTIONAL
Enrollment
5000
Start Date
2026-02-19
Completion Date
2028-07
Last Updated
2026-10-07
Healthy Volunteers
Yes
Conditions
Interventions
Training of Lady Health Workers (LHWs)
Lady Health Workers receive training aimed at improving their ability to deliver climate- and gender-responsive information and counselling to women on maternal nutrition, infant and young child feeding, hygiene, and heat-adaptation behaviours.
Training of Healthcare Providers (HCPs) at Facilities
Healthcare providers at health facilities receive training to strengthen their delivery of climate- and gender-responsive information and counselling to women on maternal nutrition, infant and young child feeding, hygiene, and heat-adaptation behaviours.
Locations (1)
The Aga Khan University
Karachi, Sindh, Pakistan