Impact of the "Ten Steps for Healthy Feeding of Children Younger Than Two Years" in Health Centers
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Feeding and Eating Disorders of Childhood
- Sponsor
- Federal University of Health Science of Porto Alegre
- Enrollment
- 715
- Locations
- 1
- Primary Endpoint
- Exclusive Breastfeeding at Four Months of Age
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
A cluster randomized field trial to evaluate the impact that training healthcare workers in healthy feeding practices has on the nutrition and health of children.
Detailed Description
Cluster randomized controlled trial targeting selected primary health care centers in Porto Alegre, South of Brazil, a city of 1.4 million inhabitants. The trial included health centers that provide primary care services predominantly to low-income families.Physicians, nurses and administrative staff of all intervention health centers participated in a training in January 2008 based on the "Ten Steps for Healthy Feeding for Brazilian Children from Birth to Two Years of Age" guideline. Following staff training at the intervention sites, interviewers visited the intervention and control health centers from April to December 2008 to identify and enroll pregnant women who were in the last trimester of pregnancy. 98% of eligible pregnant women agreed to participate and answered a questionnaire about their socioeconomic status and expected due date. Addresses and telephone numbers were obtained in order to schedule subsequent home visits. Data Collection: Maternal interviews using structured questionnaires were conducted at baseline (during pregnancy - 2008) and at follow-up home-visits at mean child ages six months (2008/2009), 12 months (2009/2010) , three years (2011/2012) and six years (2014/2015) by field workers who were not involved in the intervention and who were unaware of the group allocations.
Investigators
Marcia Regina Vitolo
Professor
Federal University of Health Science of Porto Alegre
Eligibility Criteria
Inclusion Criteria
- •All pregnant women in the last trimester of the gestation.
Exclusion Criteria
- •HIV-positive mothers
- •congenital malformation
Outcomes
Primary Outcomes
Exclusive Breastfeeding at Four Months of Age
Time Frame: Six months after the beginning of the study
Effectiveness of the nutrition advice programme will be measured comparing the number of mothers from Intervention and control groups reporting exclusively breastfeeding their infants four months after childbirth.
Secondary Outcomes
- Number of Overweight Children at 12 Months of Age(12 months after the beginning of the study)
- Number of Overweight Children at 6 Years of Age(6 years after the beginning of the study)
- Number of Overweight Children at 3 Years of Age(3 years after the beginning of the study)