Integrating MIYCN Counseling in Urban Health Services
A Feasibility Study of Integrating Maternal, Infant and Young Child Nutrition (MIYCN) Counseling Services in Urban Maternal, Neonatal and Child Health (MNCH) Services in Bangladesh: A Quasi-experimental Evaluation
1 other identifier
interventional
4,128
1 country
1
Brief Summary
The study will use a quasi-experimental design to examine the feasibility of standardizing MIYCN counseling services in existing health facilities to improve the quality of MIYCN services. The impact of standardized and upgraded services on client utilization, knowledge and behavior will also be measured. 8 NGO-run urban health facilities in Dhaka will receive intensified MIYCN interventions, while another 8 NGO-run urban health facilities will serve as a comparison group. No randomization will take place.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2019
Typical duration 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
First Submitted
Initial submission to the registry
March 12, 2019
CompletedFirst Posted
Study publicly available on registry
March 20, 2019
CompletedStudy Start
First participant enrolled
November 15, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2022
CompletedSeptember 26, 2023
February 1, 2022
2.6 years
March 12, 2019
September 25, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
Facility readiness for nutrition services
Total standardized scores of resources and staffing available to provide nutrition services at the health facility, with higher scores representing higher readiness.
15-16 months after baseline in a cross-sectional endline survey scheduled for May-June 2022
Service provider knowledge on topics related to maternal and child nutrition
Total standardized scores of correct answers to questions related to maternal and child nutrition, with higher scores represent higher knowledge.
15-16 months after baseline in a cross-sectional endline survey scheduled for May-June 2022
Quality of nutrition counseling during ANC by health staff
Total standardized scores of correct messages on diet diversity and quantity, IFA and calcium supplementation, weight gain monitoring, early initiation of breastfeeding, and water, sanitation and health by health staff during counseling sessions, with higher scores representing higher quality of counseling.
15-16 months after baseline in a cross-sectional endline survey scheduled for May-June 2022
Quality of nutrition counseling during well-child or sick-child visits by health staff
Total standardized scores of correct messages on exclusive and early initiation of breastfeeding, complementary feeding, and water, sanitation and health provided by health staff during counseling sessions, with higher scores representing higher quality of counseling.
15-16 months after baseline in a cross-sectional endline survey scheduled for May-June 2022
Pregnant women's/mother's utilization of and satisfaction with MIYCN services
Total standardized scores of answers to questions related to utilization of and satisfaction with MIYCN services, with higher scores represent higher utilization and satisfaction.
15-16 months after baseline in a cross-sectional endline survey scheduled for May-June 2022
Pregnant women's/mother's knowledge of MIYCN topics
Total standardized scores of correct answers to questions related to maternal and child nutrition, with higher scores representing higher knowledge.
16 months after baseline in a cross-sectional endline survey scheduled for June 2022
Secondary Outcomes (6)
Diet diversity among pregnant women
16 months after baseline in a cross-sectional endline survey scheduled for June 2022
Maternal consumption of IFA tablets
16 months after baseline in a cross-sectional endline survey scheduled for June 2022
Maternal consumption of calcium tablets
16 months after baseline in a cross-sectional endline survey scheduled for June 2022
Early initiation of breastfeeding
16 months after baseline in a cross-sectional endline survey scheduled for June 2022
Exclusive breastfeeding among children aged 0-5.9 months
16 months after baseline in a cross-sectional endline survey scheduled for June 2022
- +1 more secondary outcomes
Study Arms (2)
MIYCN interventions
EXPERIMENTAL8 facilities run by 2 NGOs that will receive intensified MIYCN interventions.
Comparison facilities
NO INTERVENTION8 facilities run by 2 other NGOs, which will not receive any standardized MIYCN interventions.
Interventions
1. Capacity building for health providers and nutrition counselors (training on MIYCN SBCC from A\&T). 2. Dedicated room for MIYCN counseling at health facilities with standardized layouts, displays of government IYCF logo, and other specifications. 3. Availability of standardized MIYCN-specific BCC materials and job aids. 4. Standardized MIYCN counseling services (counseling on diet diversity and quantity, IFA and calcium supplementation, weight gain monitoring, exclusive and early initiation of breastfeeding, complementary feeding, and water, sanitation and health) provided by a dedicated MIYCN counselor hired by A\&T. 5. Dedicated community worker hired by A\&T to identify and mobilize beneficiaries needing services in the community (via satellite clinic outreach, distribute MIYCN flyers, and provision of MIYCN education via phone or home visits). 6. Supportive supervision of MIYCN counselors and community workers by program and facility managers, and field supervisors.
Eligibility Criteria
You may qualify if:
- Pregnant women who are visiting the health facilities for ANC visits (at least twice during her pregnancy, around half of clients)
- Mothers with children \<12 months of age who are visiting the health facilities for health check-ups or vaccination
You may not qualify if:
- Pregnant women with severe illness or complications
- Mothers with severely ill children
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Data Analysis and Technical Assistance Limited
Dhaka, Bangladesh
Related Publications (1)
Nguyen PH, Sununtnasuk C, Christopher A, Ash D, Ireen S, Kabir R, Mahmud Z, Ali M, Forissier T, Escobar-DeMarco J, Frongillo EA, Menon P. Strengthening Nutrition Interventions during Antenatal Care Improved Maternal Dietary Diversity and Child Feeding Practices in Urban Bangladesh: Results of a Quasi-Experimental Evaluation Study. J Nutr. 2023 Oct;153(10):3068-3082. doi: 10.1016/j.tjnut.2023.06.023. Epub 2023 Jun 23.
PMID: 37354978DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Purnima Menon, PhD
IFPRI
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 12, 2019
First Posted
March 20, 2019
Study Start
November 15, 2019
Primary Completion
June 30, 2022
Study Completion
November 30, 2022
Last Updated
September 26, 2023
Record last verified: 2022-02
Data Sharing
- IPD Sharing
- Will not share