Alive & Thrive Nigeria Breastfeeding Promotion in Urban Private Facilities Study

Not Applicable

Completed

• Conditions: Breastfeeding
• Interventions: Behavioral: Breastfeeding promotion

• Registration Number: NCT04835051
• Lead Sponsor: RTI International

Brief Summary

The purpose of this study was to evaluate the effect of a breastfeeding promotion intervention on breastfeeding intentions, early initiation of breastfeeding, and exclusive breastfeeding among clients in private health facilities in Lagos, Nigeria.

Detailed Description

This was a longitudinal cohort study designed to evaluate and measure the implementation processes of a breastfeeding counseling and support intervention offered to pregnant and postpartum women in private health facilities in Lagos State, Nigeria. This study was conducted as part of the Alive \& Thrive Nigeria program, implemented by FHI 360 and partners. RTI led the design, implementation, and analysis for the study, with Datametrics Associates Ltd. serving as the data collection partner in Nigeria. The study took place in 20 private health facilities. Ten facilities were assigned to intervention and 10 to comparison based on their location within the existing intervention and comparison local government areas (LGAs) for our overall impact evaluation of the Alive \& Thrive program in Nigeria (NCT02975063). To be included in the study, facilities had to provide maternity and pediatric services, such as antenatal care, postnatal care, and immunizations, and be registered with the Association of General and Private Medical Practitioners of Nigeria and the Health Facility Monitoring and Accreditation Agency. To ensure that the investigators would achieve their sample size, selected facilities with a monthly average of ≥40 antenatal clients and ≥20 deliveries over 3 months. All eligible women attending antenatal care on the days of data collection were invited to participate until the target enrollment at each facility was achieved. The investigators collected survey data from a cohort of 1,200 women (600 per study arm) during the third trimester of pregnancy and when their child was 6 weeks and 24 weeks. The purpose of the surveys were to obtain data on the women's breastfeeding intentions (third trimester) and practices (6 weeks and 24 weeks), their breastfeeding knowledge and attitudes, and their exposure to the intervention. To measure implementation outcomes, the investigators conducted 180 observations of client-provider interactions among a subset of women enrolled in the study and then completed a short exit interview with the women immediately after their facility visit. In addition, the investigators conducted qualitative interviews with 20 health providers and facility managers/owners in the intervention facilities at the end of the intervention to learn about the facilitators and barriers to implementation.

Study Timeline

• Study Start: 2019-08-05
• Primary Completion: 2020-07-17
• Study Completion: 2020-07-17
• Status Verified: 2021-01
• Study First Submitted: 2021-02-23
• Study First Submitted QC: 2021-04-06
• Last Update Submitted: 2021-04-06
• Study First Posted: 2021-04-08
• Last Update Posted: 2021-04-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1220

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Breastfeeding promotion	Breastfeeding promotion	The breastfeeding promotion intervention included training for health workers, interpersonal communication (in person and digital) between providers and pregnant/breastfeeding women, and mass media.

Primary Outcome Measures

Name	Time	Method
Exclusive breastfeeding	24 weeks	The proportion of infants exclusively breastfed on the previous day

Secondary Outcome Measures

Name	Time	Method
Early initiation of breastfeeding	At birth	The proportion of infants who started breastfeeding within 1 hour of birth

Trial Locations

Locations (20)

Ayodele Medical Centre; 🇳🇬 Lagos, Nigeria

El-Dunamis Medical Centre; 🇳🇬 Lagos, Nigeria

Ilogbo Central Hospital; 🇳🇬 Lagos, Nigeria

Modupeoluwa Mat.Home; 🇳🇬 Lagos, Nigeria

Redeemed Maternity Amuwo; 🇳🇬 Lagos, Nigeria

Edmac Medical Centre; 🇳🇬 Lagos, Nigeria

Rccg Ebute Metta; 🇳🇬 Lagos, Nigeria

Regina Mundi Catholic Hospital; 🇳🇬 Lagos, Nigeria

Mobonike Hospital; 🇳🇬 Lagos, Nigeria

Crystal Specialist; 🇳🇬 Lagos, Nigeria

Faith City Hospital; 🇳🇬 Lagos, Nigeria

Matador Hospital; 🇳🇬 Lagos, Nigeria

R-Jolard Hospital; 🇳🇬 Lagos, Nigeria

Isalu Hospital; 🇳🇬 Lagos, Nigeria

Uwemdimo Hospital; 🇳🇬 Lagos, Nigeria

Albina Majeed Clinic; 🇳🇬 Lagos, Nigeria

Eko Hospital; 🇳🇬 Lagos, Nigeria

Fuja Medical Centre; 🇳🇬 Lagos, Nigeria

Promise Medical Centre; 🇳🇬 Lagos, Nigeria

Rccg Oke Suna; 🇳🇬 Lagos, Nigeria