Malnutrition Clinical Trial
Official title:
Saving Brains In Uganda And Burkina Faso (PROMISE Saving Brains)
The study will estimate the effect of peer-counseling for exclusive breast feeding (EBF) in the first 6 months of life on cognition and other determinants of human capital formation including behavioral and emotional status; school readiness and attainment; health status; fine and gross motor skills; physical growth; and household economic status.
Between 2006 and 2008 we carried out a cluster randomized study (PROMISE-EBF) to establish
the effect of individual home based peer counselling on exclusive breast feeding (EBF). The
results, published in the Lancet in 2011 were remarkable(Tylleskar T, et al). The
PROMISE-EBF trial which compared mothers in the intervention arm that were offered at least
5 peer-visits promoting EBF to mothers in the control arm, that received the standard of
care showed a doubling in the prevalence of EBF in the intervention arm. Community-based
peer counsellors increased the EBF rate in Uganda and Burkina Faso from about 40% to 80%.
The current study will trace and re-enrol at least 70% of the children involved in the
PROMISE-EBF study. These children are now aged between 5 and 7 years.
The primary objective of the current study is to evaluate the effect of peer-counselling for
EBF in the first six months of life on human capital formation among children in Uganda and
Burkina Faso.
This study will contribute to a crucial wider discussion on external validity regarding the
relationship between EBF and intellectual performance and mental health. In the social area,
this study will identify solutions to potential barriers that limit scale up for
peer-counselling for EBF. From the business perspective, the study will identify the best
business model for affordable, acceptable and cost effective ways of delivering peer
counselling for EBF in Burkina Faso and Uganda. If this intervention is found effective, and
is adopted, it could improve productivity in adulthood and work towards breaking the cycle
of poverty.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Health Services Research
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