Alive & Thrive Nigeria Impact Evaluation
- Conditions
- Complementary Feeding
- Interventions
- Behavioral: A&T IYCF intervention
- Registration Number
- NCT02975063
- Lead Sponsor
- RTI International
- Brief Summary
Investigators will use a cluster-randomized design to evaluate the overall impact of the Alive \& Thrive infant and young child feeding communication strategies in Lagos and Kaduna States, Nigeria. The impact in each state and in a subset of urban local government areas (LGAs) will also be tested.This is a mixed methods evaluation; the quantitative data will be complemented by qualitative data obtained from different groups targeted by or involved in the program.
- Detailed Description
Adequate nutrition during the first 1,000 days is necessary for children to grow and develop to their full potential. Alive \& Thrive (A\&T) contributes to better nutrition during the first 1,000 days by promoting improved infant and young child feeding (IYCF) practices. A\&T is expanding its efforts to Nigeria and will target Lagos and Kaduna States. In Nigeria, 33% of infants are breastfed within 1 hour of delivery, 60% are given other fluids in the first 3 days of life, and only 17% of children 0-5.9 months are exclusively breastfed. Approximately 60% of children 6 to 23 months achieve the minimum meal frequency for their age and 19% are fed four or more food groups per day. To address these gaps in optimal IYCF practices, A\&T will use an implementation framework for IYCF impact at scale that includes advocacy, interpersonal communication and community mobilization, mass communication, and strategic use of data. The A\&T intervention will be compared to mass media communication on IYCF, which will be provided throughout the two states. LGAs in Lagos and Kaduna will be randomly allocated such that two-thirds receive the A\&T intervention and one-third are assigned to the comparison group. The primary objectives of the evaluation are to measure the impact of the A\&T intervention on IYCF practices among mothers with children 0-23 months of age overall, in each state, and in a subset of urban LGAs. Secondary evaluation objectives are to document: the type, quantity, and timing of the implementation of A\&T program activities; coverage levels A\&T achieves with different program activities; extent to which A\&T increases knowledge and awareness of optimal IYCF practices among women with children 0 to 23 months and health providers; extent to which A\&T improves the capacity of health providers to counsel mothers on IYCF; and extent to which A\&T improves the capacity of stakeholders to implement community-based activities that support optimal IYCF practices.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 15169
- For mother's survey:
- Women of reproductive age (15-49 years),
- Must be married if 15-17 years,
- Has a child 0-23 months
- For provider's survey:
- Male or female,
- 18 years or older
- Works in a government or private health facility or works as a community pharmacist, private patent medicine vendor, or traditional birth attendant
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description A&T IYCF intervention A&T IYCF intervention A\&T IYCF intervention is includes comprehensive IYCF counseling which includes intensive activity that aims to deliver one-on-one counseling at home or in a health facility.
- Primary Outcome Measures
Name Time Method Exclusive breastfeeding on the day preceding the interview. 2 years The proportion of infants 0-5 months who were exclusively breastfed on the previous day.
- Secondary Outcome Measures
Name Time Method Health providers' knowledge of optimal infant and young child feeding practices. 2 years Providers' accurate knowledge of:
* Optimal timing of breastfeeding initiation
* Optimal duration of exclusive breastfeeding
* Solution to common breastfeeding problems
* Optimal timing to introduce complementary foods
* Optimal dietary diversity and frequency of complementary feeding from 6-23 monthsExclusive breastfeeding from 0-5 months. 2 years The proportion of children who were exclusively breastfed from 0-5 months.
Mothers' accurate knowledge of optimal infant and young child feeding practices. 2 years Mothers' accurate knowledge of:
* Optimal timing of breastfeeding initiation
* Optimal duration of exclusive breastfeeding
* Solution to common breastfeeding problems
* Optimal timing to introduce complementary foods
* Optimal dietary diversity and frequency of complementary feeding from 6-23 monthsBreastfeeding within 1 hour of birth. 2 years The proportion of children 0-23 months who were breastfed within 1 hour of birth.
Minimum dietary diversity. 2 years The proportion of children 6-23 months who were fed the minimum number of food groups on the previous day based on the WHO infant and young child feeding guidelines.
Minimum meal frequency. 2 years Description: The proportion of children 6-23 months who were fed the minimum number of meals on the previous day based on the World Health Organization infant and young child feeding guidelines.
Trial Locations
- Locations (1)
Kantar TNS RMS
🇳🇬Kaduna, Nigeria