Assessing Cost and Effectiveness of Training and Supervision of Front Line Workers on Early Breastfeeding Practices

NCT ID: NCT01407224

Last Updated: 2011-08-02

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 1200 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2010-05-31
• Study Completion Date: 2011-06-30

Brief Summary

The aim of this operational research is to compare the cost-effectiveness of two methods for capacity building of existing TBAs/CVs to improve rates of delayed cord clamping, early skin to skin contact and infant-led initiation of breastfeeding, to reduce prelacteal feeding and increase early exclusive breastfeeding in research areas of rural Bangladesh.

Detailed Description

Suboptimal early infant feeding practices are the norm in Bangladesh, and contribute to its poor infant health and nutrition. However, the modern health services are unable to help because approximately 85% of births take place at home. The Government has begun the huge process of training the informal community traditional birth attendants (TBAs) who, along with community volunteers (CVs), deliver the majority of babies, especially in the rural areas. The proposed operations research will take place in one of the poorest rural districts. It will compare the cost effectiveness of practical training of these relatively uneducated community members, with or without supportive supervision in improving early infant feeding practices, using a cluster-randomized study design. The practices to be measured before and after on probability samples include: 1) delayed cord clamping, 2) early skin to skin contact and 3) newborn-led initiation of breastfeeding within one hour of birth, 4) avoidance of the traditional prelacteal feeds, and 5) exclusive breastfeeding, at least for the early months. Costs will be carefully monitored so as to compare the cost per behavior improved per infant.

Conditions

Malnutrition

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: SINGLE

Study Groups

Only training

Training on Early Breastfeeding Practices to front line health workers

Group Type: EXPERIMENTAL

Improve Early Breastfeeding

Intervention Type: BEHAVIORAL

One arm got only training, another arm training and supervision and third arm without any intervention as control.

Training and supervision

Training as well as supervision by field supervisor for six months intervention

Group Type: ACTIVE_COMPARATOR

Improve Early Breastfeeding

Intervention Type: BEHAVIORAL

One arm got only training, another arm training and supervision and third arm without any intervention as control.

Control

No intervention such as training or supervision

Group Type: NO_INTERVENTION

Improve Early Breastfeeding

Intervention Type: BEHAVIORAL

One arm got only training, another arm training and supervision and third arm without any intervention as control.

Interventions

Improve Early Breastfeeding

One arm got only training, another arm training and supervision and third arm without any intervention as control.

Intervention Type: BEHAVIORAL

Other Intervention Names

IYCFCH

Eligibility Criteria

Inclusion Criteria

• Lactating women of children ages 0 to 5 months and pregnant women with second and third trimester

Exclusion Criteria

• First trimester women and lactating women of children ages 6 to 23 months.

• Minimum Eligible Age: 1 Day
• Maximum Eligible Age: 5 Months
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of California, Davis

OTHER

Sponsor Role: collaborator

Eminence

INDUSTRY

Sponsor Role: lead

Responsible Party

UC Davis and Eminence

Principal Investigators

DR. Shamim Talukder, M.Phil

Role: PRINCIPAL_INVESTIGATOR

Eminence

Locations

Eminence

Dhaka, , Bangladesh

Countries

Bangladesh

References

Dewey KG,Talukder S, Greiner T, Farhana D, Shajedul H, Haider R. Assessing cost and effectiveness of training and supervision for front line health workers to improve breastfeeding practice The Lancet 330(13):913-919,2011

Reference Type: BACKGROUND

Gavine A, Shinwell SC, Buchanan P, Farre A, Wade A, Lynn F, Marshall J, Cumming SE, Dare S, McFadden A. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database Syst Rev. 2022 Oct 25;10(10):CD001141. doi: 10.1002/14651858.CD001141.pub6.

Reference Type: DERIVED

PMID: 36282618 (View on PubMed)

Related Links

http://www.eminence-bd.org

RCT of early breastfeeding practices in Bangladesh

Other Identifiers

09-000076-AT10,EMI

Identifier Type: -

Identifier Source: org_study_id