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Completed

NCT Number: NCT02435524

Alive & Thrive Evaluation in Burkina Faso

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.

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Key information

Conditions

Breast Feeding Behavior Breast Feeding, Exclusive Feeding Behavior

Age range

15 year–49 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

AFRICSanté, Bobo-Dioulasso, Burkina Faso

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

A&T infant and young child feeding intervention

Behavioral
  • Interpersonal communication delivered by community workers and volunteers during home visits and at monthly mother's group meetings to:
  • Increase mother's knowledge about optimal breastfeeding and its benefits
  • Increase mother's self-efficacy related to breastfeeding
  • Improve mother's perceptions about social norms relating to breastfeeding
  • Community mobilisation activities to:
  • Raise awareness of the benefits of optimal breastfeeding among opinion leaders, and family members, and increase the support they provide to breastfeeding mothers
  • Enhanced training of government health workers in infant and young child feeding to:
  • Improve their ability to support mothers and provide timely information about infant feeding

Primary outcomes

  1. Exclusive Breastfeeding on the Day Preceding the Interview as Assessed by Cross Sectional Survey

    Time frame: 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 outcomes

  1. Breastfeeding Within 1 Hour of Birth as Assessed by Cross Sectional Survey

    Time frame: 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.

  2. Colostrum Given as Assessed by Cross Sectional Survey

    Time frame: 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.

  3. Pre-lacteal Feeds as Assessed by Cross Sectional Survey

    Time frame: 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

  4. Semi-solid, Solid or Soft Foods Consumed in the Previous Day as Assessed by Cross Sectional Survey

    Time frame: 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.

  5. Minimum Acceptable Diet (Apart From Breast Milk) on the Day Preceding Interview as Assessed by Cross Sectional Survey

    Time frame: 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.

  6. Dietary Diversity as Assessed by Cross Sectional Survey

    Time frame: 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.

  7. Breast Milk on the Day Preceding the Interview as Assessed by Cross Sectional Survey

    Time frame: 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.

  8. Mother's Accurate Knowledge of Good Breastfeeding Practice as Assessed by Cross Sectional Survey

    Time frame: 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

  9. Mother's Self-reported Breastfeeding Practices as Assessed by Cross Sectional Survey

    Time frame: 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.

  10. Mother's Perceptions and Beliefs Surrounding Breastfeeding

    Time frame: 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).

  11. Knowledge, Beliefs and Perceptions Surrounding Breastfeeding of Family Members

    Time frame: 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).

Sponsors and collaborators

Lead sponsor

London School of Hygiene and Tropical Medicine

Other

Collaborators

  • AFRICSanté
  • Centre Muraz
  • FHI 360

Registry information

Important dates

Study start
2015
Primary completion
2017
Study completion
2017
First posted
May 6, 2015
Registry last updated
Dec 4, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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