Eligibility

Eligible Ages

Between 1 Year and 5 Years

Eligible Sex

All

Accepts Healthy Volunteers

No

Criteria

Household Component

Inclusion

- Children aged 1-5 years experiencing stunting or its risk (defined as HAZ ≤ -1 SD at
baseline)

- Children's legal guardian agrees to participate in the study

- Full term pregnancy (defined as ≥ 37 weeks gestation and ≥ 2500g birth weight)

- Residence in study area attending Children International (NGO) centers

Exclusion

• Children who have current medical conditions requiring hospitalization:
gastrointestinal tract infections or inflammatory bowel disease; active tuberculosis;
acute hepatitis B or C; human immunodeficiency virus OR malignancy; cystic fibrosis;
immunodeficiency syndromes, congenital abnormalities of the respiratory tract, such as
lung and respiratory cilia; an unsuspected foreign body in the respiratory tract; asthma;
heart abnormalities; abdominal hernias; and known metabolic disorders, renal impairment,
or rheumatic diseases and diabetes

- Congenital condition

- Children with disabilities such as cerebral palsy, autism spectrum disorder,
neurodegenerative disorders

- Children with chronic or acute infections e.g. HIV, malaria

- Children who are taking medications or other agents that could potentially affect
body weight, including diuretics, appetite stimulants, steroids, and growth hormones

- Children who have genetic conditions impacting weight status such as but not limited
to: Bardet-Biedl Syndrome, Prader-Willi Syndrome

- Children already enrolled in a nutrition program that includes a supplement

- Participant has an allergy or intolerance to any ingredient in the study supplement,
as reported by the parent.

- Children with sleep disorders such as but not limited to: obstructive sleep apnea,
insomnia, parasomnias (sleepwalking, night terrors, bedwetting), delayed sleep phase
syndrome, behavioral sleep disorders, circadian rhythm disorders

- Mental health disorders such as but not limited to: anxiety, depression

Organization Component

Inclusion

- NGO staff taking part in nutrition screenings

- Agrees to participate in survey

Exclusion

- Not involved in the implementation of the study

- Not involved in working with pediatric stunting or its risk

- Declines participation in survey