A Feasibility Study of Integrating Maternal, Infant and Young Child Nutrition (MIYCN) Counseling Services in Urban Maternal, Neonatal and Child Health (MNCH) Services in Bangladesh: A Quasi-experimental Evaluation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 4,128
- 试验地点
- 1
- 主要终点
- Pregnant women's/mother's knowledge of MIYCN topics
研究概览
简要总结
The study will use a quasi-experimental design to examine the feasibility of standardizing MIYCN counseling services in existing health facilities to improve the quality of MIYCN services. The impact of standardized and upgraded services on client utilization, knowledge and behavior will also be measured. 8 NGO-run urban health facilities in Dhaka will receive intensified MIYCN interventions, while another 8 NGO-run urban health facilities will serve as a comparison group. No randomization will take place.
详细描述
The primary objectives of the proposed evaluation are to answer the following questions:
- Is it feasible to standardize the delivery of MIYCN counseling services in existing urban health facilities?
- Can quality of MIYCN counseling service be improved by upgrading and standardizing existing MIYCN counseling service in urban health facilities?
- What are the impacts of standardized and upgraded MIYCN counseling service on utilization of MIYCN services and knowledge of clients?
The secondary objectives are:
-
What are the impacts of standardized and upgraded MIYCN counseling service on behaviors of clients including:
-
Pregnant women: 1) consumption of diversified foods; 2) intake of IFA and calcium supplements during pregnancy
-
Mothers of children <1 y: age-appropriate infant feeding
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 49 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Pregnant women who are visiting the health facilities for ANC visits (at least twice during her pregnancy, around half of clients)
- •Mothers with children <12 months of age who are visiting the health facilities for health check-ups or vaccination
排除标准
- •Pregnant women with severe illness or complications
- •Mothers with severely ill children
结局指标
主要结局
Pregnant women's/mother's knowledge of MIYCN topics
时间窗: 16 months after baseline in a cross-sectional endline survey scheduled for June 2022
Total standardized scores of correct answers to questions related to maternal and child nutrition, with higher scores representing higher knowledge.
Facility readiness for nutrition services
时间窗: 15-16 months after baseline in a cross-sectional endline survey scheduled for May-June 2022
Total standardized scores of resources and staffing available to provide nutrition services at the health facility, with higher scores representing higher readiness.
Pregnant women's/mother's utilization of and satisfaction with MIYCN services
时间窗: 15-16 months after baseline in a cross-sectional endline survey scheduled for May-June 2022
Total standardized scores of answers to questions related to utilization of and satisfaction with MIYCN services, with higher scores represent higher utilization and satisfaction.
Quality of nutrition counseling during ANC by health staff
时间窗: 15-16 months after baseline in a cross-sectional endline survey scheduled for May-June 2022
Total standardized scores of correct messages on diet diversity and quantity, IFA and calcium supplementation, weight gain monitoring, early initiation of breastfeeding, and water, sanitation and health by health staff during counseling sessions, with higher scores representing higher quality of counseling.
Service provider knowledge on topics related to maternal and child nutrition
时间窗: 15-16 months after baseline in a cross-sectional endline survey scheduled for May-June 2022
Total standardized scores of correct answers to questions related to maternal and child nutrition, with higher scores represent higher knowledge.
Quality of nutrition counseling during well-child or sick-child visits by health staff
时间窗: 15-16 months after baseline in a cross-sectional endline survey scheduled for May-June 2022
Total standardized scores of correct messages on exclusive and early initiation of breastfeeding, complementary feeding, and water, sanitation and health provided by health staff during counseling sessions, with higher scores representing higher quality of counseling.
次要结局
- Maternal consumption of calcium tablets(16 months after baseline in a cross-sectional endline survey scheduled for June 2022)
- Exclusive breastfeeding among children aged 0-5.9 months(16 months after baseline in a cross-sectional endline survey scheduled for June 2022)
- Age-appropriate complementary feeding of children aged 6-11.9 months(16 months after baseline in a cross-sectional endline survey scheduled for June 2022)
- Diet diversity among pregnant women(16 months after baseline in a cross-sectional endline survey scheduled for June 2022)
- Early initiation of breastfeeding(16 months after baseline in a cross-sectional endline survey scheduled for June 2022)
- Maternal consumption of IFA tablets(16 months after baseline in a cross-sectional endline survey scheduled for June 2022)