Nutrition Nutritional, Metabolic, Endocrine
Conditions
Interventions
The intervention will involve personalized, home-based counselling and support of pregnant and lactating women on maternal, infant and young child nutrition and also counselling and support by healthc
ekimani@aphrc.org
Sponsors
National Academy of Sciences (NAS) (USA)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Pregnant women who consent to participate in the study 2. Aged between 15 - 49 years old in Koibatek sub-county, Baringo County, Kenya
Exclusion criteria
Exclusion criteria: 1. Women of reproductive age who will have given birth before receiving at least one counselling session particularly regarding exclusive breastfeeding. 2. Women who lose the pregnancy and/or have a still-birth 3. Women who are lost to follow-up during pregnancy 4. Mother-child pairs of children with a disability that makes delivery of the intervention difficult e.g. hearing or sight problem, or mental handicap
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is the proportion of exclusive breastfeeding for the first 6 months. This will involve determining the impact of the BFCI intervention on the level or proportion of exclusive breastfeeding for the first 6 months. Data on breastfeeding practices will be collected longitudinally from birth every 2 months through an interviewer-administered questionnaire to the mother (24-hour recall at 2, 4, 6 months) with probes on the age at introduction of foods or liquids (if appropriate). Analyses will focus on the differences between the two study arms in the proportion of infants being exclusively breastfed at 6 months, as well as at the two earlier times of 2 and 4 months postpartum. | — |
Secondary
| Measure | Time frame |
|---|---|
| Qualitative 1. Norms and cultural factors that influence breastfeeding and other maternal, infant and young child feeding practices. Data will be collected through qualitative interviews with mothers, fathers, community leaders, TBAs, community health workers, other community members, and healthcare providers. 2. Enabling factors and barriers. Data will be collected through qualitative interviews with mothers, fathers, community leaders, TBAs, community health workers, other community members, and healthcare providers to identify key players and structures in the community that would facilitate implementation of BFCI; factors that influence uptake of interventions in the community; and any potential hindrances to the success of the intervention (e.g., myths, beliefs) Quantitative 3. MIYCN knowledge, attitudes and practices according to WHO recommendations. Data will be collected through self-reports by mothers using an interviewer-administered questionnaire at recruitment and every 2 months during the follow-up period to determine change in knowledge, attitudes and practices with the intervention. 4. Timing of initiation of breastfeeding. Data will be collected through self-reports by mothers using an interviewer-administered questionnaire within the first 2 months of birth. 5. Nutritional status: stunting, underweight, wasting within the first 6 months. This will be done through anthropometric measurements (weight, height and mid-upper arm circumference) every 2 months after birth till 6 months. 6. Diarrhea morbidity: evidence indicates that breastfeeding is preventive against infections such as rotaviral diarrhea. It is therefore expected that promotion of exclusive breastfeeding would impact on the rate of diarrhea morbidity. Data on diarrhea morbidity in the last 2 weeks for the child will be collected longitudinally through an interviewer-administere | — |
Countries
Kenya
Outcome results
None listed