- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01676623
Impact Evaluation of a Social Franchise Model for Improving Infant and Young Child Feeding and Child Nutrition in Vietnam
February 29, 2016 updated by: International Food Policy Research Institute
Impact Evaluation of a Social Franchise Model Implemented by Alive & Thrive for Improving Infant and Young Child Feeding and Child Nutrition in Rural Vietnam
Alive & Thrive is an initiative that aims to improve infant and young child feeding practices and reduce childhood stunting.
In Vietnam, Alive & Thrive's primary intervention is implemented through a social franchise linked with the government's health system.
The impact evaluation is conducted using a cluster-randomized design in which 20 commune health centers (CHC) were assigned to the social franchise model, and 20 CHC were assigned to routine government services.
Repeated cross-sectional baseline and endline surveys will be used to assess the public health impact of this intervention.
The baseline was in 2010 and an endline survey in the same communities will be conducted in 2014.
Mixed methods process evaluation will be conducted in 2011, 2012 and 2013 to study the pathways through which the program impact is achieved.
Study Overview
Status
Completed
Detailed Description
Link provided to journal manuscript describing design of evaluation provides additional detail: http://fnb.sagepub.com/content/34/3_suppl2/S195.full.pdf
Study Type
Interventional
Enrollment (Actual)
4000
Phase
- Not Applicable
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
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-
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Hanoi, Vietnam
- Alive & Thrive & International Food Policy Research Institute
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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
No older than 5 years (Child)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Children 0-60 months of age
Exclusion Criteria:
- None
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: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Comparison area, only standard government services
This intervention arm will receive the standard government services offered at CHCs all over Vietnam.
In addition, participants in this arm will be exposed to the nationwide mass media campaign.
|
This intervention will be basic preventive and curative health services provided by the commune health centers.
This includes antenatal care, postnatal care and basic nutrition related counseling.
Alive & Thrive is implementing a nationwide mass media campaign in 2011, 2012 and 2013, with a focus on improving breastfeeding practices.
The mass media intervention includes TV and radio spots as well as an internet site and a telephone hotline.
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Experimental: A&T Franchise
In this arm, the 20 CHCs will offer Alive & Thrive branded franchise services with enhanced quality of IYCF counseling through interpersonal contact between health workers at the commune level and clients who use the commune health services.
In addition, the clients could also be exposed to the mass media campaign.
|
This intervention will be basic preventive and curative health services provided by the commune health centers.
This includes antenatal care, postnatal care and basic nutrition related counseling.
Alive & Thrive is implementing a nationwide mass media campaign in 2011, 2012 and 2013, with a focus on improving breastfeeding practices.
The mass media intervention includes TV and radio spots as well as an internet site and a telephone hotline.
This intervention includes intensive behavioral counseling to improve infant and young child feeding.
A package of 15 counseling contacts that are quality assured and branded will be offered to families of infants and young children.
Services might also include user fees.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Exclusive breastfeeding among children 0-6 months of age
Time Frame: 4 years
|
Exclusive breastfeeding in children 0-6 months of age is one of the eight WHO-recommended IYCF core indicators will be measured to capture breastfeeding and complementary feeding practices.
It is measured using survey based recall by interviewing mothers of children in the age group for the indicator.
|
4 years
|
Child heights and weights (children 24-60 months of age)
Time Frame: 4 years
|
Heights and weights of children in the intervention and comparison communes covered by the CHCs in the study will be assessed in 2014.
A new sample of children 24-60 months will be measured in the repeated cross-sectional endline survey to measure these outcomes and compute height-for-age, weight-for-age and weight-for-height z-scores based on the WHO growth reference standards.
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4 years
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Complementary feeding for children 6-23.9 months of age
Time Frame: 4 years
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Indicators of complementary feeding - diet diversity, minimum acceptable diet, and minimum meal frequency, measured in children 6-23.9 months of age are one of the eight WHO-recommended IYCF core indicators will be measured to capture breastfeeding and complementary feeding practices.
These are measured using survey based recall by interviewing mothers of children in the age group for the indicator.
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4 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Early initiation of breastfeeding in children 0-24 months of age
Time Frame: 4 years
|
Early initiation of breastfeeding (in the first hour after birth) is measured in children 0-23.9 months of age and it is one of the eight WHO-recommended IYCF core indicators will be measured to capture breastfeeding and complementary feeding practices.
These are measured using survey based recall by interviewing mothers of children in the age group for the indicator.
Samples for children 0-6 months and 6-23.9 are combined to calculate this indicator
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4 years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Purnima Menon, PhD, International Food Policy Research Institute
- Principal Investigator: Rahul Rawat, PhD, International Food Policy Research Institute
- Principal Investigator: Phuong Nguyen, PhD, International Food Policy Research Institute
- Principal Investigator: Marie T Ruel, PhD, International Food Policy Research Institute
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
- Kim SS, Nguyen PH, Tran LM, Alayon S, Menon P, Frongillo EA. Different Combinations of Behavior Change Interventions and Frequencies of Interpersonal Contacts Are Associated with Infant and Young Child Feeding Practices in Bangladesh, Ethiopia, and Vietnam. Curr Dev Nutr. 2019 Dec 9;4(2):nzz140. doi: 10.1093/cdn/nzz140. eCollection 2020 Feb.
- Nguyen PH, Kim SS, Tran LM, Menon P, Frongillo EA. Intervention Design Elements Are Associated with Frontline Health Workers' Performance to Deliver Infant and Young Child Nutrition Services in Bangladesh and Vietnam. Curr Dev Nutr. 2019 Jul 10;3(8):nzz070. doi: 10.1093/cdn/nzz070. eCollection 2019 Aug.
- Menon P, Nguyen PH, Saha KK, Khaled A, Kennedy A, Tran LM, Sanghvi T, Hajeebhoy N, Baker J, Alayon S, Afsana K, Haque R, Frongillo EA, Ruel MT, Rawat R. Impacts on Breastfeeding Practices of At-Scale Strategies That Combine Intensive Interpersonal Counseling, Mass Media, and Community Mobilization: Results of Cluster-Randomized Program Evaluations in Bangladesh and Viet Nam. PLoS Med. 2016 Oct 25;13(10):e1002159. doi: 10.1371/journal.pmed.1002159. eCollection 2016 Oct.
- Rawat R, Nguyen PH, Tran LM, Hajeebhoy N, Nguyen HV, Baker J, Frongillo EA, Ruel MT, Menon P. Social Franchising and a Nationwide Mass Media Campaign Increased the Prevalence of Adequate Complementary Feeding in Vietnam: A Cluster-Randomized Program Evaluation. J Nutr. 2017 Apr;147(4):670-679. doi: 10.3945/jn.116.243907. Epub 2017 Feb 8.
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
April 1, 2010
Primary Completion (Actual)
July 1, 2014
Study Completion (Actual)
December 1, 2014
Study Registration Dates
First Submitted
August 29, 2012
First Submitted That Met QC Criteria
August 29, 2012
First Posted (Estimate)
August 31, 2012
Study Record Updates
Last Update Posted (Estimate)
March 2, 2016
Last Update Submitted That Met QC Criteria
February 29, 2016
Last Verified
February 1, 2016
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IFPRI-S-01 (2)
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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