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

July 31, 2011 updated by: Eminence

Assessing the Cost and Effectiveness of Training and Supervision of Front Line Workers on Early Breastfeeding Practices (Bangladesh)

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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.

Study Type

Interventional

Enrollment (Actual)

1200

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 day to 5 months (Child)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Only training
Training on Early Breastfeeding Practices to front line health workers
Behavioral: Improve Early Breastfeeding
One arm got only training, another arm training and supervision and third arm without any intervention as control.
Other Names:
  • IYCFCH
Active Comparator: Training and supervision
Training as well as supervision by field supervisor for six months intervention
Behavioral: Improve Early Breastfeeding
One arm got only training, another arm training and supervision and third arm without any intervention as control.
Other Names:
  • IYCFCH
No Intervention: Control
No intervention such as training or supervision
Behavioral: Improve Early Breastfeeding
One arm got only training, another arm training and supervision and third arm without any intervention as control.
Other Names:
  • IYCFCH

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Increased proportions of mothers who follow the recommended infant feeding behaviors
Time Frame: six months intervention
Practice related to early breastfeeding and cord clumping
six months intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Improve practice on breastfeeding, early initiation and cord clumping .
Time Frame: six months intervention
Evaluation studies are carried out before and after six months of intervention
six months intervention
Improved capacity of TBAs on breastfeeding counseling and knowledge.
Time Frame: Six months
Increase capacity of TBAs on breastfeeding counseling and knowledge.
Six months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Eminence

Collaborators

University of California, Davis

Investigators

  • Principal Investigator: DR. Shamim Talukder, M.Phil, Eminence

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2010

Primary Completion (Actual)

May 1, 2011

Study Completion (Actual)

June 1, 2011

Study Registration Dates

First Submitted

June 30, 2011

First Submitted That Met QC Criteria

July 31, 2011

First Posted (Estimate)

August 2, 2011

Study Record Updates

Last Update Posted (Estimate)

August 2, 2011

Last Update Submitted That Met QC Criteria

July 31, 2011

Last Verified

July 1, 2011

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 09-000076-AT10,EMI

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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