Exclusive Breastfeeding Clinical Trial
Official title:
Impact Evaluation of Alive & Thrive's Multi-Sectoral Community-Based Approach to Improving Infant and Young Child Feeding in Amhara, Ethiopia
Alive & Thrive is an initiative that aims to scale up nutrition to save lives, prevent illness, and ensure healthy growth and development through improved infant young child feeding (IYCF) practices. The purpose of this study is to evaluate whether the Alive & Thrive intervention package, consisting of interpersonal communication, community mobilization activities, and radio campaign, can increase complementary feeding practices (minimum dietary diversity and minimum meal frequency) while sustaining exclusive breastfeeding rate among children less than two years of age. The impact evaluation uses a cluster-randomized design where 20 geographic clusters (woredas/districts) were randomized to two study arms - 10 intervention areas and 10 comparison areas. Repeated cross-sectional baseline and endline surveys will be used to assess program impact.
In Amhara, the median duration of exclusive breastfeeding (4.6 months) is the highest among
all the other regions in the country, but complementary feeding indicators lag behind (2%
minimum dietary diversity and 34% minimum meal frequency). As a result, A&T's program
emphasis will be placed on increasing mothers' knowledge and skills to improve complementary
feeding practices without compromising exclusive breastfeeding. Given the short duration of
implementation, the goal is to show that it is possible to achieve behavior change related to
IYCF through a multi-sector approach. The purpose of this study is to evaluate whether the
Alive & Thrive intervention package, consisting of interpersonal communication, community
mobilization activities, and radio campaign, can increase select complementary feeding
practices (minimum dietary diversity and minimum meal frequency increased by 10 percentage
points) while sustaining exclusive breastfeeding rate among children less than two years of
age.
A cluster randomized design with repeated cross-sectional surveys at baseline (2015) and
endline (2017) is used to assess impact of the A&T interventions in three western zones of
Amhara, Ethiopia. In the three zones, 20 woredas (districts) were randomly assigned as 10
intervention and 10 comparison/control areas. A&T intervention areas are expected to receive
intensive IYCF social and behavior change communication activities as well as exposure to a
region-wide radio campaign. In accordance with program objectives, sample sizes for the
household survey were estimated to detect changes in the three main impact indicators -
sustained exclusive breastfeeding, improved minimum dietary diversity, and improved minimum
meal frequency. The estimated household sample sizes are 400 children 0-5.9 months old for
exclusive breastfeeding in the A&T intervention areas only and 1350 children 6-23.9 months
old per study arm for complementary feeding practices, for a total sample size of 3100
children 0-23.9 months of age. Infant feeding practices will be assessed using before- and
after- intervention-comparison area group differences between the baseline survey
(March-April 2015) and endline survey (March-April 2017). In addition, surveys of frontline
workers will help document their awareness and knowledge about IYCF, training, supervision,
and delivery of interventions to beneficiary households.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT01338727 -
Breastfeeding Education and Support Trial for Obese Women (BESTOW)
|
N/A | |
Completed |
NCT05944471 -
The Effect of Telehealth on Feeding Exclusive Breastfeeding in the Perception of Insufficient Milk
|
N/A | |
Enrolling by invitation |
NCT04476940 -
COVID-19 Breastfeeding Guideline for African-Americans
|
N/A | |
Completed |
NCT03688217 -
The Philani Mobile Video Intervention for Exclusive Breastfeeding (MOVIE) Study
|
N/A | |
Completed |
NCT02263118 -
A Mobile-health Pilot Experiment Targeting Mothers With Newborns in Rural Areas of San Juan Sacatepequez, Guatemala
|
N/A | |
Completed |
NCT06286176 -
Breastfeeding Promotion in Lebanon Through a Salutogenic Intervention
|
N/A | |
Enrolling by invitation |
NCT05985876 -
KULEA-NET: A Mobile Application for African American/Black Mothers to Promote Exclusive and Continuous Breastfeeding
|
Phase 2 | |
Not yet recruiting |
NCT06236412 -
Effects of Breastfeeding Education Interventions During Pregnancy on Breastfeeding Practices in Rural South Ethiopia
|
N/A | |
Completed |
NCT04414527 -
Effects of Video-based Health Education on Maternal and Child Health in Ethiopia
|
N/A | |
Recruiting |
NCT04499404 -
A WeChat-based Intervention to Support Breastfeeding
|
N/A | |
Completed |
NCT02221167 -
Rx Milk Study of Donor Milk Supplementation to Improve Breastfeeding Outcomes
|
N/A | |
Completed |
NCT05959460 -
Assessing Exclusive Breastfeeding Practice
|
||
Completed |
NCT01869920 -
Effectiveness of an Educational Intervention to Maintain Exclusive Breastfeeding
|
N/A | |
Not yet recruiting |
NCT05477628 -
Nutrition Recommendation Intervention trialS in Children's Healthcare
|
N/A | |
Completed |
NCT04478682 -
Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application
|
N/A | |
Withdrawn |
NCT03752762 -
SPOON: Sustained Program for Improving Nutrition - Mexico
|
N/A | |
Completed |
NCT01676623 -
Impact Evaluation of a Social Franchise Model for Improving Infant and Young Child Feeding and Child Nutrition in Vietnam
|
N/A |