Nutrition and childcare Nutritional, Metabolic, Endocrine
Conditions
Interventions
The intervention aims to provide an enabling environment for mothers, working in a tea plantation in Kenya, to combine breastfeeding and work. The implementation design will be refined after a baselin
Sponsors
African Population and Health Research Center
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. The primary participants are women of reproductive age (12-49) who are employees of a tea farm in Kericho County, Kenya, and their children aged less than one year 2. Other participants include their employers including managers at the tea farm, male employees and other community members including fathers, and grandmothers (of the children), community leaders, health care workers, policy and decision makers
Exclusion criteria
Exclusion criteria: The intervention/trial will not exclude anyone. However, the research will exclude eligible participants who have physical or intellectual impairment that could hinder clear communication e.g. deaf or dumb participants
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of exclusive breastfeeding, measured using surveys at baseline and end-line using 24 hour recall | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Nutritional status of infants, determined using anthropometric measurements (height and weight, mid-upper arm circumference) at baseline and endline. It will also be collected from postpartum women (recruited at baseline while pregnant to be part of a cohort) within the 1st month post-delivery and thereafter monthly during the implementation period. 2. Breastfeeding practices, including continued breastfeeding with complementary feeding, measured at baseline and endline. It will also be collected from postpartum women (recruited at baseline while pregnant to be part of a cohort) within the 1st month post-delivery and thereafter monthly during the implementation period. 3. Morbidity of children using 14 days recall, measured at baseline and endline from all mothers with children under 1 year. It will also be collected from the cohort follow-up women (pregnant women recruited at baseline) within the 1st month post-delivery and thereafter monthly during the implementation period. 4. Work participation and productivity of women working in tea plantations, assessed using a presenteeism and absenteeism scoring method at baseline and endline using a mixed method approach (qualitative and quantitative methods). Qualitatively the trialists will seek to answer questions regarding current workplace conditions and the perceived effects on health, wellbeing, work participation and productivity of the workers. In addition, process evaluation during the implementation phase will be conducted. This will be through observations for changes in community workplace conditions and support, references to guidelines, using checklists, and obtaining monthly records on work participation and productivity for breastfeeding women. At mid-term, in-depth interviews and focus group discussions will be conducted with women and men on their experiences with community workplace support and their satisfaction and potential areas of improvement. | — |
Countries
Kenya
Outcome results
None listed