NutFish and Nutrient Supplementation in Pregnancy Class to Improve Maternal and Birth Outcomes
NutFish and Nutrient Supplementation in Pregnancy Class to Improve Maternal and Birth Outcomes
This study evaluates the intervention of Nut Fish based food, micro nutrients supplementation
 and pregnancy class to improve maternal and birth outcome. This is cluster randomized trial
 with two arms. The intervention group will receive Nut Fish based supplementation, multiple
 micro nutrients, and pregnancy class. The control group will receive government food
 supplementation, iron folic acid supplementation, and pregnancy class.
Objectives: To investigate whether a nut fish based food and dietary supplementation
 delivered to pregnant mothers with health education would benefit maternal and birth outcomes
 compared with the government standard of care.

 Design. A randomized control trial will be implemented in rural community in Indonesia.

 Intervention. The 2 trial arms will be control group (government standard of care) and
 intervention group with nut fish based food and dietary supplementation and health education
 series in the pregnancy class. A control group will receive government food supplementation
 package, Iron Folic acid pills and pregnancy class. An intervention group will receive
 NutFish based food supplementation, multiple micro nutrients, and pregnancy class. As a pilot
 study, all the intervention packages will be delivered by research team members.

 Subjects. A total 72 first trimester of pregnant mothers will be enrolled with 36 pregnant
 mothers each group.

 Outcome measures. Maternal outcome at 1 and 2 month after intervention namely weight
 increment, energy and protein intake, mid upper arm circumference, and complications. Birth
 outcomes include APGAR score, birth weight and length, preterm birth.

 Analysis. Linear, logistic and multinomial logistic regression.
Inclusion Criteria:

 -  First trimester of pregnancy

 -  Anemic or Mid Upper Arm Circumference < 23.5cm or no weight gain

 -  Plan to deliver at village midwives

 -  residence in the study area

 Exclusion Criteria:

 -  severe anemia < 7.0g/dl