Providing Peer Mother Support Through Cell Phone and Group Meetings to Increase Exclusive Breastfeeding in Kenya

Effectiveness of a Baby-friendly Hospital Based Mothers' Support Group, and a Cell-phone Based Peer Support Program in Supporting Exclusive Breastfeeding in an Urban Kenyan Community.

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01385410

Enrollment

823

Registered

2011-06-30

Start date

2011-06-30

Completion date

2013-01-31

Last updated

2013-10-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breastfeeding

Keywords

breastfeeding exclusively

Brief summary

This behavioural support intervention trial will investigate the potential to increase exclusive breastfeeding rates in an urban Kenyan community through peer mother support delivered either by cell phone or through group meetings. It will follow a cohort of more than 800 women attending antenatal care at a large public hospital, and compare indicators of breastfeeding and infant and maternal health between groups receiving one or other type of peer mother support. The main part of the study will test the primary hypothesis that peer group and cell phone based support can both increase rates of EBF at 3 months by 20% relative to a control group.

Detailed description

The general objective was to assess whether participation from late pregnancy through to 3 months postpartum in bi-weekly cell phone based peer support (CPS) or monthly peer-led support groups (PSG) can increase adoption and duration of EBF amongst low-income women in Kenya served by a nationalized BFHI certified hospital above benchmarks achieved with current approaches and standard of care by existing facility-based support (SOC). The study aimed to reach the following specific objectives related to message delivery on EBF: assess the feasibility of two innovative approaches (CPS and PSG) to deliver extended postnatal peer support for EBF by women in an urban, low-income country setting; compare the effectiveness of these two innovative approaches to existing facility-based support; and compare the relative effectiveness of each type of peer support intervention.

Interventions

BEHAVIORALPeer mother support for continued exclusive breastfeeding

Peer counselling on breastfeeding beginning in third trimester and continuing until 3 months postpartum

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Masking

DOUBLE (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

FEMALE

Age

18 Years to 45 Years

Healthy volunteers

Yes

Inclusion criteria

for mothers: 1. attending antenatal care services at the target facility; 2. confirmed pregnant by a health care worker; 3. 24-32 weeks gestation at enrollment; 4. competency in KiSwahili or English (or both) 5. current resident of Nakuru municipality and expecting to reside there for the next 6 months; 6. intend to breastfeed their newborn; 7. self-report of any condition preventing the subject from breastfeeding (excluding HIV infection) 8. no history of mental illness 9. either HIV-negative on test result OR referred bto PMTCT services following verified positive HIV-test results 10. willing to participate in study described in IC forms 11. 18-45 years of age

Design outcomes

Primary

Measure	Time frame
exclusive breastfeeding	3 months post partum

Countries

Kenya

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026