Outcomes | Measures |
---|---|
Primary outcome | |
Child development: gross motor, fine motor, language, and social development (t 6 ) | Malawi Developmental Assessment Tool (MDAT) |
Secondary outcomes (child) | |
Nutritional status (t 6 ) | Mid-upper arm circumference (MUAC) Weight-for-length or -height z scores (WLZ or WHZ) Presence of bilateral pitting oedema Height-for-age z scores (HAZ) |
Dietary intake (t 6 ) | 24-h dietary recall |
Readmission to hospital (t 5 –t 6 ) | Record of readmission to hospital for severe acute malnutrition (SAM) |
Mortality (–t 1 to t 5 or t 5 –t 6 ) | Death of child confirmed |
Secondary outcomes (primary caregiver and household) | |
Mental health status (t 6 ) | Self-Reporting Questionnaire-20 (SRQ-20) |
Nutritional status (t 6 ) | Mid-upper arm circumference (MUAC) Body mass index (BMI) |
Knowledge, attitudes, and practices (t 6 ) | Questionnaire about hygiene and sanitation, nutrition and feeding, and malnutrition 24-h dietary recall of child |
Stimulus and support for children in the household (t 6 ) | Home Observation of the Measurement of the Environment (HOME) Inventory |
Implementation outcomes | |
Participant engagement (t 1 ) | Number of enrolled participants who attend day 1 of the Kusamala Program |
Participant adherence (t 1 –t 4 ) | Number of enrolled participants who attend all 4 days of the Kusamala Program |
Fidelity of the intervention programme | Assessment form of Kusamala Program delivery |
Participant knowledge and attitudes of intervention content (t 5 ) | Questionnaire about hygiene and sanitation, nutrition and feeding, and malnutrition |