Social Transfers for Exclusive Breastfeeding

NCT ID: NCT05665049

Last Updated: 2025-01-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-01

Study Completion Date

2027-12-31

Brief Summary

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The goal of this study is to assess the effectiveness of social transfers on exclusive breastfeeding rates in Lao PDR. The main questions it aims to answer are:

1. Are social transfers effective at increasing exclusive breastfeeding rates at 6-months
2. Are social transfers cost-effective
3. What are the long-term impacts of social transfers for breastfeeding on child development

Participants will be randomly assigned to one of three groups: 1) control, no social transfer 2) non-conditional social transfer at 6-months postpartum, and 3) conditional social transfer at six months postpartum; conditional upon the mothers exclusive breastfeeding status.

All participants receive education about the benefits of exclusive breastfeeding and current international recommendations.

Researchers will compare the intervention groups to the control group to see if social transfers are effective at increasing exclusive breastfeeding rates at six months postpartum.

Detailed Description

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Conditions

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Breast Feeding, Exclusive Breastfeeding Development, Child Development, Infant

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Control Group

Only educational materials focused on the benefits of exclusive breastfeeding and the current international recommendations are provided.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention Group 1 - Non-Conditional Social Transfer

Educational materials focused on the benefits of exclusive breastfeeding and the current international recommendations are provided. At the baseline visit, participants are told that at the 6-month visit, they will receive a gift of their choice - which is meant to show our appreciation and support for their efforts in breastfeeding.

Group Type EXPERIMENTAL

Social Transfer

Intervention Type BEHAVIORAL

Social transfers are defined as a cash or in-kind transfer. Using results from a qualitative study, we identified the following culturally grounded social transfer options that is responsive to the identified needs of new mothers. Based on the monthly Lao PDR minimum wage and an estimated 15 full working days needed to exclusively breastfeed over a 6-month period, a social transfer of approximately $75 would fairly subsidize women's breastfeeding efforts. Therefore all social transfer options equate to approximately 75 USD. The options include: diapers, child developmental toys, cash, or a combination of these.

Intervention Group 2 - Conditional Social Transfer

Educational materials focused on the benefits of exclusive breastfeeding and the current international recommendations are provided. At the baseline visit, participants are told that at the 6-month visit, they will receive a gift of their choice if they are still exclusively breastfeeding.

Group Type EXPERIMENTAL

Social Transfer

Intervention Type BEHAVIORAL

Social transfers are defined as a cash or in-kind transfer. Using results from a qualitative study, we identified the following culturally grounded social transfer options that is responsive to the identified needs of new mothers. Based on the monthly Lao PDR minimum wage and an estimated 15 full working days needed to exclusively breastfeed over a 6-month period, a social transfer of approximately $75 would fairly subsidize women's breastfeeding efforts. Therefore all social transfer options equate to approximately 75 USD. The options include: diapers, child developmental toys, cash, or a combination of these.

Interventions

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Social Transfer

Social transfers are defined as a cash or in-kind transfer. Using results from a qualitative study, we identified the following culturally grounded social transfer options that is responsive to the identified needs of new mothers. Based on the monthly Lao PDR minimum wage and an estimated 15 full working days needed to exclusively breastfeed over a 6-month period, a social transfer of approximately $75 would fairly subsidize women's breastfeeding efforts. Therefore all social transfer options equate to approximately 75 USD. The options include: diapers, child developmental toys, cash, or a combination of these.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Given birth in the last four weeks
* Exclusively breastfeeding at time of recruitment
* Lives in Vientiane in one of the following districts: Chanthabury, Sikhottabong, Sangthong, or Parkngum and is included in the VITERBI cohort

Exclusion Criteria

* Plans to move permanently outside study area
* Has a medical, intellectual or psychological disability
* Contraindication for breastfeeding
* Preterm births
* Children born with \< 2500 grams
Minimum Eligible Age

18 Years

Maximum Eligible Age

42 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Lao Tropical and Public Health Institute (Lao TPHI)

UNKNOWN

Sponsor Role collaborator

University of Basel

OTHER

Sponsor Role collaborator

Swiss National Science Foundation

OTHER

Sponsor Role collaborator

Swiss Tropical & Public Health Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jordyn T Wallenborn, PhD, MPH

Role: PRINCIPAL_INVESTIGATOR

Swiss Tropical and Public Health Institute, University of Basel

Locations

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Lao Tropical and Public Health Institute (Lao TPHI)

Vientiane, , Laos

Site Status

Countries

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Laos

References

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Wallenborn JT, Sonephet S, Sayasone S, Siengsounthone L, Kounnavong S, Fink G. Conditional and Unconditional Social Transfers, Early-Life Nutrition, and Child Growth: A Randomized Clinical Trial. JAMA Pediatr. 2025 Feb 1;179(2):129-136. doi: 10.1001/jamapediatrics.2024.5079.

Reference Type DERIVED
PMID: 39680397 (View on PubMed)

Sonephet S, Kounnavong S, Zinsstag L, Vonaesch P, Sayasone S, Siengsounthone L, Odermatt P, Fink G, Wallenborn JT. Social Transfers for Exclusive Breastfeeding (STEB) Intervention in Lao People's Democratic Republic: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2024 May 3;13:e54768. doi: 10.2196/54768.

Reference Type DERIVED
PMID: 38700928 (View on PubMed)

Other Identifiers

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steb1

Identifier Type: -

Identifier Source: org_study_id

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