Alive & Thrive Evaluation in Burkina Faso

Not Applicable

Completed

Conditions: Breast Feeding
Breast Feeding, Exclusive

Interventions: Behavioral: A&T infant and young child feeding intervention

Registration Number: NCT02435524

Lead Sponsor: London School of Hygiene and Tropical Medicine

Brief Summary: The time between birth and age 24 months provides a unique opportunity to impact the long-term health and development of children through improved infant and young child feeding practices. In Burkina Faso, the prevalence of exclusive breastfeeding is currently around 25% in infants younger than six months.

The purpose of this study is to evaluate whether the Alive \& Thrive intervention package, consisting of interpersonal counselling and community mobilisation activities, can increase the exclusive breastfeeding rate among infants younger than six months to at least 50% using a cluster randomised design.

Detailed Description: Not available

Recruitment & Eligibility

Status: COMPLETED

Sex: Female

Target Recruitment: 4541

Inclusion Criteria

Gives informed consent
Being aged from 15 to 49 years old (women of reproductive age)
Has at least one infant less than 12 months old who is currently alive and lives with her.

Exclusion Criteria

Not provided

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
A&T Intervention Communes	A&T infant and young child feeding intervention	-

Primary Outcome Measures

Name	Time	Method
Exclusive Breastfeeding on the Day Preceding the Interview as Assessed by Cross Sectional Survey	Infants up to 6 months in a cross-sectional endline survey scheduled for April - July 2017	The percentage of infants aged less than 6 months who were exclusively breastfed on the day preceding the interview.

Secondary Outcome Measures

Name	Time	Method
Semi-solid, Solid or Soft Foods Consumed in the Previous Day as Assessed by Cross Sectional Survey	Infants age 6-8 months in a cross-sectional endline survey scheduled for April - July 2017	The proportion of infants age 6 to 8 months who received semi-solid, solid or soft foods in the previous day.
Breast Milk on the Day Preceding the Interview as Assessed by Cross Sectional Survey	Infants age 6-11.9 months in a cross-sectional endline survey scheduled for April - July 2017	The proportion of children aged 6 to 11.9 months who were fed breast milk on the day preceding the interview.
Mother's Self-reported Breastfeeding Practices as Assessed by Cross Sectional Survey	Mothers of infants aged up to 12 months in a cross-sectional endline survey scheduled for April - July 2017	Mother's self-reported breastfeeding practices, including asking her if she experiences any barriers or difficulties with breastfeeding such as engorgement, cracked and sore nipples, or breastfeeding when working outside of the home.
Breastfeeding Within 1 Hour of Birth as Assessed by Cross Sectional Survey	Infants up to 6 months in a cross-sectional endline survey scheduled for April - July 2017	The proportion of newborns aged less than 6 months who were breastfed within 1 hour of birth.
Knowledge, Beliefs and Perceptions Surrounding Breastfeeding of Family Members	Family members of infants aged up to 12 months in a cross-sectional endline survey scheduled for April - July 2017	Knowledge, beliefs and perceptions of family members, such as mothers or mothers in law, community opinion leaders towards optimal infant and child feeding practices (qualitative component).
Pre-lacteal Feeds as Assessed by Cross Sectional Survey	Infants up to 6 months in a cross-sectional endline survey scheduled for April - July 2017	The proportion of newborns aged less than 6 months who received no pre-lacteal feeds before breastfeeding was established
Dietary Diversity as Assessed by Cross Sectional Survey	Infants age 6-11.9 months in a cross-sectional endline survey scheduled for April - July 2017	Dietary diversity among infants age 6 to 11.9 months.
Mother's Perceptions and Beliefs Surrounding Breastfeeding	Mothers of infants aged up to 12 months in a cross-sectional endline survey scheduled for April - July 2017	Mother's perceptions and beliefs about breastfeeding (qualitative component).
Colostrum Given as Assessed by Cross Sectional Survey	Infants up to 6 months in a cross-sectional endline survey scheduled for April - July 2017	The proportion of newborns aged less than 6 months who were given colostrum.
Minimum Acceptable Diet (Apart From Breast Milk) on the Day Preceding Interview as Assessed by Cross Sectional Survey	Infants age 6-11.9 months in a cross-sectional endline survey scheduled for April - July 2017	The proportion of infants aged 6 to 11.9 months who received a minimum acceptable diet (apart from breast milk) on the day preceding interview.
Mother's Accurate Knowledge of Good Breastfeeding Practice as Assessed by Cross Sectional Survey	Mothers of infants aged up to 12 months in a cross-sectional endline survey scheduled for April - July 2017	Mother's accurate knowledge of: * Optimal timing of breastfeeding initiation * Optimal duration of exclusive breastfeeding * Benefits of optimal breastfeeding practices for the infant * Solutions to common difficulties, for example engorgement, cracked and sore nipples * Optimal timing to introduce complementary feeding * Optimal dietary diversity and frequency of complementary feeding up to 12 months