Malnutrition
Conditions
Keywords
Exclusive Breastfeeding, Skin to skin contact, Cord Clumping, Prelactial feeding
Brief summary
The aim of this operational research is to compare the cost-effectiveness of two methods for capacity building of existing TBAs/CVs to improve rates of delayed cord clamping, early skin to skin contact and infant-led initiation of breastfeeding, to reduce prelacteal feeding and increase early exclusive breastfeeding in research areas of rural Bangladesh.
Detailed description
Suboptimal early infant feeding practices are the norm in Bangladesh, and contribute to its poor infant health and nutrition. However, the modern health services are unable to help because approximately 85% of births take place at home. The Government has begun the huge process of training the informal community traditional birth attendants (TBAs) who, along with community volunteers (CVs), deliver the majority of babies, especially in the rural areas. The proposed operations research will take place in one of the poorest rural districts. It will compare the cost effectiveness of practical training of these relatively uneducated community members, with or without supportive supervision in improving early infant feeding practices, using a cluster-randomized study design. The practices to be measured before and after on probability samples include: 1) delayed cord clamping, 2) early skin to skin contact and 3) newborn-led initiation of breastfeeding within one hour of birth, 4) avoidance of the traditional prelacteal feeds, and 5) exclusive breastfeeding, at least for the early months. Costs will be carefully monitored so as to compare the cost per behavior improved per infant.
Interventions
BEHAVIORALImprove Early Breastfeeding
One arm got only training, another arm training and supervision and third arm without any intervention as control.
Sponsors
University of California, Davis
Eminence
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
ALL
Age
1 Days to 5 Months
Healthy volunteers
Yes
Inclusion criteria
* Lactating women of children ages 0 to 5 months and pregnant women with second and third trimester
Exclusion criteria
* First trimester women and lactating women of children ages 6 to 23 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Increased proportions of mothers who follow the recommended infant feeding behaviors | six months intervention | Practice related to early breastfeeding and cord clumping |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improve practice on breastfeeding, early initiation and cord clumping . | six months intervention | Evaluation studies are carried out before and after six months of intervention |
| Improved capacity of TBAs on breastfeeding counseling and knowledge. | Six months | Increase capacity of TBAs on breastfeeding counseling and knowledge. |
Countries
Bangladesh
Outcome results
None listed