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Table 3 Intervention packages in the pre- and peri-conception period, pregnancy and postnatal perioda

From: Impact of an integrated nutrition, health, water sanitation and hygiene, psychosocial care and support intervention package delivered during the pre- and peri-conception period and/or during pregnancy and early childhood on linear growth of infants in the first two years of life, birth outcomes and nutritional status of mothers: study protocol of a factorial, individually randomized controlled trial in India

Period

Intervention group

Control group

Health

Nutrition

Psychosocial care

WASH

Pre- and peri-conception

Screen and treat medical conditions

Screen and treat malnutrition and anemia;

Promote positive thinking and problem-solving skills

Promote personal, menstrual and hand hygiene

Only weekly IFA supplementation as part of National Program (National Iron Plus Initiative)

Provide iron-folic acid, multiple micronutrients, locally-prepared snacks, egg or milk

Pregnancy

> 8 antenatal contacts, screen and treat medical conditions, calcium and vitamin D supplementation

Provide iron-folic acid, multiple micronutrients, locally-prepared snacks and milk, monitor weight

Promote positive thinking and problem-solving skills

Provide water filters, soap, hand washing station, disinfectant

Routine antenatal care

Postnatal

Empower family to identify danger signs and seek care early

0–6 mo: lactation support for early and exclusive breastfeeding

Promote early child play and responsive care

Provide play mat and potty

Routine Postnatal care

Childhood

6–24 mo: promote timely complementary feeding and continued breastfeeding, provide quality food, monitor inadequate weight gain

Mothers (0 to 6 mo)

Facilitate postnatal visit at 6 weeks

Iron-folic acid, multiple micronutrients, calcium and Vitamin D, locally-prepared snacks and milk supplementation

Promote positive thinking and problem-solving skills

Provide water filters, soap, hand washing station, disinfectant

  1. aElectronic monitoring to track women and children with problems to improve intervention delivery across all periods