Impact Evaluation of a Social Franchise Model for Improving Infant and Young Child Feeding and Child Nutrition in Vietnam
29 februari 2016 bijgewerkt door: 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.
Studie Overzicht
Toestand
Voltooid
Gedetailleerde beschrijving
Link provided to journal manuscript describing design of evaluation provides additional detail: http://fnb.sagepub.com/content/34/3_suppl2/S195.full.pdf
Studietype
Ingrijpend
Inschrijving (Werkelijk)
4000
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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Hanoi, Vietnam
- Alive & Thrive & International Food Policy Research Institute
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Niet ouder dan 5 jaar (Kind)
Accepteert gezonde vrijwilligers
Ja
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- Children 0-60 months of age
Exclusion Criteria:
- None
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Preventie
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Actieve vergelijker: 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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Experimenteel: 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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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Exclusive breastfeeding among children 0-6 months of age
Tijdsspanne: 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)
Tijdsspanne: 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
Tijdsspanne: 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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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Early initiation of breastfeeding in children 0-24 months of age
Tijdsspanne: 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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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Purnima Menon, PhD, International Food Policy Research Institute
- Hoofdonderzoeker: Rahul Rawat, PhD, International Food Policy Research Institute
- Hoofdonderzoeker: Phuong Nguyen, PhD, International Food Policy Research Institute
- Hoofdonderzoeker: Marie T Ruel, PhD, International Food Policy Research Institute
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- 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.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start
1 april 2010
Primaire voltooiing (Werkelijk)
1 juli 2014
Studie voltooiing (Werkelijk)
1 december 2014
Studieregistratiedata
Eerst ingediend
29 augustus 2012
Eerst ingediend dat voldeed aan de QC-criteria
29 augustus 2012
Eerst geplaatst (Schatting)
31 augustus 2012
Updates van studierecords
Laatste update geplaatst (Schatting)
2 maart 2016
Laatste update ingediend die voldeed aan QC-criteria
29 februari 2016
Laatst geverifieerd
1 februari 2016
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- IFPRI-S-01 (2)
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