A Follow-up Study on the Sustained Impact of Alive & Thrive Interventions on Infant and Young Child Feeding Practices
1 other identifier
interventional
2,400
1 country
1
Brief Summary
Alive \& Thrive (A\&T) is a multi-year initiative to improve infant and young child feeding (IYCF) practices. During Phase 1 (A\&T-1, 2009-2014), funded by the Bill \& Melinda Gates Foundation, A\&T aimed to reduce undernutrition and death caused by suboptimal IYCF practices in three countries - Bangladesh, Ethiopia, and Viet Nam. In 2014, IFPRI in collaboration with DATA conducted the endline survey in Bangladesh. The overall findings of the evaluation indicate that A\&T's work in Bangladesh is a remarkable success story of scaling up what has been challenging to date in the field of nutrition: complex, high intensity and at-scale behavior change communications interventions. In 2016, a follow up study will be conducted to determine the sustained impacts on IYCF practices, expansion of operations and promoted practices into new areas, and diffusion of IYCF information, two years after the termination of external project support.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2016
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2016
CompletedFirst Submitted
Initial submission to the registry
April 7, 2016
CompletedFirst Posted
Study publicly available on registry
April 15, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2016
CompletedOctober 16, 2019
February 1, 2017
2 months
April 7, 2016
October 14, 2019
Conditions
Outcome Measures
Primary Outcomes (3)
Exclusive breastfeeding (EBF) among children 0-6 months of age
The proportion of infants less than 6 months who have been exclusively breastfed on the day preceding the interview
2 years after endline
Early initiation of breastfeeding
The proportion of newborns aged less than 24 months who were breastfed within 1 hour of birth.
2 years after endline
Complementary feeding among children 6-23.9 months of age
Complementary feeding indicators that include timely introduction of complementary foods (infants 6-8 months), dietary diversity (consumed at least 4 food groups), minimum meal frequency, will be measured using questionnaire.
2 years after endline
Secondary Outcomes (3)
Extension of exposure to IYCF and nutrition behavioral change communication
2 years after endline
Diffusion of IYCF information though social network
2 years after endline
Knowledge of infant and young child feeding
2 years after endline
Study Arms (2)
Non-intensive group
ACTIVE COMPARATOREssential Health Care (EHC) only This arm is the basic comparison arm, which will receive the standard package of health services offered through BRAC's essential health care (basic antenatal care, basic counseling on health and nutrition through health worker home visits. In addition, a nationwide mass media campaign on IYCF practices will ensure exposure to some messages about IYCF behaviors in this arm.
Intensive group
EXPERIMENTALInterpersonal behavioral change communication This arm will have a behavior change communications intervention to improve infant and young child feeding practices. The intervention will be delivered primarily by the frontline health workers who will visit mothers in their homes and counsel them on essential IYCF practices. In addition, a nationwide mass media campaign on IYCF practices will ensure exposure to some messages about IYCF behaviors in this arm.
Interventions
This arm includes home visits to mothers with infants and young children. Frontline health workers will counsel and support mothers in relation to breastfeeding and complementary feeding practices
A nationwide mass media campaign of TV and radio spots on infant and young child feeding practices will be aired in 2011, 2012 and 2013. All intervention arms will be exposed to this campaign.
Eligibility Criteria
You may qualify if:
- Women with children \<24 months of age
You may not qualify if:
- Age \<18
- Mental disorders that cannot understand and answer the questions
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- International Food Policy Research Institutelead
- FHI 360collaborator
Study Sites (1)
International Food Policy Research Institute
Washington D.C., District of Columbia, 20006, United States
Related Publications (2)
Nguyen PH, Frongillo EA, Kim SS, Zongrone AA, Jilani A, Tran LM, Sanghvi T, Menon P. Information Diffusion and Social Norms Are Associated with Infant and Young Child Feeding Practices in Bangladesh. J Nutr. 2019 Nov 1;149(11):2034-2045. doi: 10.1093/jn/nxz167.
PMID: 31396621DERIVEDKim SS, Nguyen PH, Tran LM, Sanghvi T, Mahmud Z, Haque MR, Afsana K, Frongillo EA, Ruel MT, Menon P. Large-Scale Social and Behavior Change Communication Interventions Have Sustained Impacts on Infant and Young Child Feeding Knowledge and Practices: Results of a 2-Year Follow-Up Study in Bangladesh. J Nutr. 2018 Oct 1;148(10):1605-1614. doi: 10.1093/jn/nxy147.
PMID: 30169665DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 7, 2016
First Posted
April 15, 2016
Study Start
April 1, 2016
Primary Completion
June 1, 2016
Study Completion
November 1, 2016
Last Updated
October 16, 2019
Record last verified: 2017-02