Evaluating a new system for treating malnourished children in Chad

Cluster-Randomized Trial of the Implementation of the Responses to Illness Severity Quantification System (RISQ) in Children With Acute Malnutrition Six to Fifty-nine Months of Age in Ngouri, Chad

Not applicable Interventional The Hospital for Sick Children · NCT06123390

This study is testing a new system to see if it can help reduce deaths and improve care for malnourished children aged 6 to 59 months in Chad compared to the usual treatment.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment20000 (estimated)
Ages6 Months to 59 Months
SexAll
SponsorThe Hospital for Sick Children Academic / other
Locations1 site (Ngouri)
Trial IDNCT06123390 on ClinicalTrials.gov

What this trial studies

This study aims to assess the impact of the Responses to Illness Severity Quantification (RISQ) system on mortality and care processes for children aged 6 to 59 months suffering from acute malnutrition in Ngouri, Chad. It is a 12-month cluster randomized trial comparing the RISQ system to usual care within the OptiMA nutrition program. The RISQ system includes a severity score, documentation form, recommendations, and an implementation package designed to improve clinical decision-making. The trial will measure all-cause mortality and the effectiveness of the intervention in enhancing care for these vulnerable children.

Who should consider this trial

Good fit: Ideal candidates for this study are children aged 6 to 59 months who are acutely malnourished and enrolled in the OptiMA program.

Not a fit: Patients who are allergic to milk, peanuts, or ready-to-use therapeutic food, or those not residing in the study areas may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could significantly reduce mortality rates among acutely malnourished children in Chad.

How similar studies have performed: Other studies have shown promise with similar clinical decision support systems, indicating potential for success in this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

Children:

1. age: 6 to 59 months at enrolment on the day of their admission/re-admission to the OptiMA program
2. written consent to participate

Front line staff providing care to patients enrolled in the Optima program:

\[1\] Registered Nurses \[2\] Medical Doctors

Exclusion Criteria:

Children:

1. Children allergic to milk, peanuts and/or ready-to-use therapeutic food (RUTF)
2. Children not residing in one of the study areas.

Where this trial is running

Ngouri

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Severe Acute Malnutritiondecision supportmortalityillness severityrisk score
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.