Improving early childhood care and development, HIV-testing, treatment and support, and nutrition in Mokhotlong, Lesotho : study protocol for a cluster randomized controlled trial

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dc.contributor.authorTomlinson, Marken_ZA
dc.contributor.authorSkeen, Sarahen_ZA
dc.contributor.authorMarlow, Margueriteen_ZA
dc.contributor.authorCluver, Lucieen_ZA
dc.contributor.authorCooper, Peteren_ZA
dc.contributor.authorMurray, Lynneen_ZA
dc.contributor.authorMofokeng, Shoeshoeen_ZA
dc.contributor.authorMorley, Natheneen_ZA
dc.contributor.authorMakhetha, Moroesien_ZA
dc.contributor.authorGordon, Sarahen_ZA
dc.contributor.authorEsterhuizen, Tonyaen_ZA
dc.contributor.authorSherr, Lorraineen_ZA
dc.date.accessioned2017-01-25T12:07:02Z
dc.date.available2017-01-25T12:07:02Z
dc.date.issued2016-11-09
dc.date.updated2016-12-09T12:12:34Z
dc.descriptionCITATION: Tomlinson, M., et al. 2016. Improving early childhood care and development, HIV-testing, treatment and support, and nutrition in Mokhotlong, Lesotho : study protocol for a cluster randomized controlled trial. Trials, 17:538, doi:10.1186/s13063-016-1658-9.
dc.descriptionThe original publication is available at http://trialsjournal.biomedcentral.com
dc.description.abstractBackground: Since 1990, the lives of 48 million children under the age of 5 years have been saved because of increased investments in reducing child mortality. However, despite these unprecedented gains, 250 million children younger than 5 years in low- and middle-income countries (LMIC) cannot meet their developmental potential due to poverty, poor health and nutrition, and lack of necessary stimulation and care. Lesotho has high levels of poverty, HIV, and malnutrition, all of which affect child development outcomes. There is a unique opportunity to address these complex issues through the widespread network of informal preschools in rural villages in the country, which provide a setting for inclusive, integrated Early Childhood Care and Development (ECCD) and HIV and nutrition interventions. Methods: We are conducting a cluster randomised controlled trial in Mokhotlong district, Lesotho, to evaluate a newly developed community-based intervention program to integrate HIV-testing and treatment services, ECCD, and nutrition education for caregivers with children aged 1–5 years living in rural villages. Caregivers and their children are randomly assigned by village to intervention or control condition. We select, train, and supervise community health workers recruited to implement the intervention, which consists of nine group-based sessions with caregivers and children over 12 weeks (eight weekly sessions, and a ninth top-up session 1 month later), followed by a locally hosted community health outreach day event. Group-based sessions focus on using early dialogic book-sharing to promote cognitive development and caregiver-child interaction, health-related messages, including motivation for HIV-testing and treatment uptake for young children, and locally appropriate nutrition education. All children aged 1–5 years and their primary caregivers living in study villages are eligible for participation. Caregivers and their children will be interviewed and assessed at baseline, after completion of the intervention, and 12 months post intervention. Discussion: This study provides a unique opportunity to assess the potential of an integrated early childhood development intervention to prevent or mitigate developmental delays in children living in a context of extreme poverty and high HIV rates in rural Lesotho. This paper presents the intervention content and research protocol for the study.
dc.description.urihttp://trialsjournal.biomedcentral.com/articles/10.1186/s13063-016-1658-9
dc.description.versionPublisher's version
dc.format.extent13 pagesen_ZA
dc.identifier.citationTomlinson, M., et al. 2016. Improving early childhood care and development, HIV-testing, treatment and support, and nutrition in Mokhotlong, Lesotho : study protocol for a cluster randomized controlled trial. Trials, 17:538, doi:10.1186/s13063-016-1658-9
dc.identifier.issn1745-6215 (Online)
dc.identifier.otherdoi:10.1186/s13063-016-1658-9
dc.identifier.urihttp://hdl.handle.net/10019.1/100532
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Centralen_ZA
dc.rights.holderAuthor retains copyrighten_ZA
dc.subjectChild development -- Case studiesen_ZA
dc.subjectCare of childrenen_ZA
dc.subjectCognitive-developmental theoryen_ZA
dc.subjectHIV infections -- Treatmenten_ZA
dc.subjectHIV infections -- Careen_ZA
dc.titleImproving early childhood care and development, HIV-testing, treatment and support, and nutrition in Mokhotlong, Lesotho : study protocol for a cluster randomized controlled trialen_ZA
dc.typeArticle
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