Linking Microcredit, Technology, and Promotion of IYCF Breastfeeding Guidelines in Bauchi State, Nigeria

NCT01352351 | Completed

• 1 other identifier: 11-0534
• Study Type: interventional
• Target: 485
• Locations: 0 countries
• Sites: N/A

Brief Summary

The University of North Carolina (UNC) and Partners for Development (PFD), an American non-governmental organization, will conduct a 2-year cluster-randomized controlled trial in Bauchi State, Nigeria, to test the effectiveness of two behavior change strategies for increasing the proportion of participants who exclusively breastfeed their infants until 6 months. The investigators will build upon PFD's existing microcredit and reproductive health program by adding face-to-face breastfeeding education during borrowers' meetings and bi-weekly cell phone breastfeeding messages. The hypothesis is that the control group will remain at the baseline level for exclusive breastfeeding to 6 months, while the intervention group will increase by 15%. The investigators will measure the effectiveness of the intervention by conducting baseline and final surveys with a cohort of 485 female borrowers who are pregnant at time 1 and who have a 6-month-old infant at time 2. The data will be analyzed using logistic regression adjusting for possible confounders and the effect of clustering.

Conditions

Breast Feeding Exclusive; Initiation of Breastfeeding

Keywords

Breast feeding Exclusive; Initiation of breastfeeding

Outcome Measures

Primary Outcomes (1)

• Proportion of women who exclusively breastfeed to 6 months

  The outcome will be measured when the infant is 6-7 months old.

Secondary Outcomes (4)

• Proportion of women who exclusively breastfeed for 0-1 month

  The outcome will be measured when the infant is 6-7 months old.

• Proportion of women who exclusively breastfeed for 2-3 months

  The outcome will be measured when the infant is 6-7 months old.

• Initiation of breastfeeding within 1 hour of birth

  The outcome will be measured when the infant is 6-7 months old.

• Proportion of infants who receive pre-lacteal feeds

  The outcome will be measured when the infant is 6-7 months old.

Study Arms (2)

Breastfeeding promotion intervention

EXPERIMENTAL

Intervention: * Group breastfeeding counseling during monthly microcredit borrower group meetings * Weekly cell phone messages about breastfeeding

Behavioral: Breastfeeding promotion intervention

No intervention

NO INTERVENTION

The no intervention group will participate in their regular microcredit borrower group meetings, but will not receive breastfeeding counseling or cell phone messages.

Interventions

Breastfeeding promotion intervention BEHAVIORAL

* Breastfeeding counseling during monthly microcredit meetings * Weekly cell phone messages about breastfeeding

Breastfeeding promotion intervention

Eligibility Criteria

• Age: 15 Years - 45 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Participation in a microcredit borrower group sponsored by Partners for Development in Bauchi, Dass, or Ganjuwa Local Government Authority in Bauchi State, Nigeria
• Female (15-45 years)
• Pregnant at baseline

You may not qualify if:

• Female (\<15 years)
• Not pregnant

Sponsors & Collaborators

• University of North Carolina, Chapel Hill: lead
• University of California, Davis: collaborator
• Partners for Development: collaborator
• The Alive & Thrive Small Grants: collaborator

Related Publications (1)

• Flax VL, Negerie M, Ibrahim AU, Leatherman S, Daza EJ, Bentley ME. Integrating group counseling, cell phone messaging, and participant-generated songs and dramas into a microcredit program increases Nigerian women's adherence to international breastfeeding recommendations. J Nutr. 2014 Jul;144(7):1120-4. doi: 10.3945/jn.113.190124. Epub 2014 May 8.

  PMID: 24812071 DERIVED

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Study Officials

• Margaret E. Bentley, PhD

  Carolina Population Center, University of North Carolina at Chapel Hill

  PRINCIPAL INVESTIGATOR

• Valerie L. Flax, PhD

  Carolina Population Center, University of North Carolina at Chapel Hill

  PRINCIPAL INVESTIGATOR

• Mekebeb Negerie, DrPH

  Partners for Development/Nigeria

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 10, 2011
• First Posted: May 11, 2011
• Study Start: May 1, 2011
• Primary Completion: January 1, 2013
• Study Completion: January 1, 2013
• Last Updated: February 8, 2013

Record last verified: 2013-02