Impact Evaluation of a Social Franchise Model for Improving Infant and Young Child Feeding and Child Nutrition in Vietnam
29 de febrero de 2016 actualizado por: 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.
Descripción general del estudio
Estado
Terminado
Condiciones
Descripción detallada
Link provided to journal manuscript describing design of evaluation provides additional detail: http://fnb.sagepub.com/content/34/3_suppl2/S195.full.pdf
Tipo de estudio
Intervencionista
Inscripción (Actual)
4000
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Hanoi, Vietnam
- Alive & Thrive & International Food Policy Research Institute
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
No mayor que 5 años (Niño)
Acepta Voluntarios Saludables
Sí
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- Children 0-60 months of age
Exclusion Criteria:
- None
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Prevención
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Comparador activo: 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.
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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.
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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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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Exclusive breastfeeding among children 0-6 months of age
Periodo de tiempo: 4 years
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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.
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4 years
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Child heights and weights (children 24-60 months of age)
Periodo de tiempo: 4 years
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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
Periodo de tiempo: 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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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Early initiation of breastfeeding in children 0-24 months of age
Periodo de tiempo: 4 years
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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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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Purnima Menon, PhD, International Food Policy Research Institute
- Investigador principal: Rahul Rawat, PhD, International Food Policy Research Institute
- Investigador principal: Phuong Nguyen, PhD, International Food Policy Research Institute
- Investigador principal: Marie T Ruel, PhD, International Food Policy Research Institute
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- 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.
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio
1 de abril de 2010
Finalización primaria (Actual)
1 de julio de 2014
Finalización del estudio (Actual)
1 de diciembre de 2014
Fechas de registro del estudio
Enviado por primera vez
29 de agosto de 2012
Primero enviado que cumplió con los criterios de control de calidad
29 de agosto de 2012
Publicado por primera vez (Estimar)
31 de agosto de 2012
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
2 de marzo de 2016
Última actualización enviada que cumplió con los criterios de control de calidad
29 de febrero de 2016
Última verificación
1 de febrero de 2016
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- IFPRI-S-01 (2)
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .