Breastfeeding Education and Support Intervention on Timely Initiation and Exclusive Breastfeeding in Southwest Ethiopia: a cluster randomized controlled trial.
Infant mortality rates are high in Ethiopia. Breastfeeding (BF) is the simplest and least expensive strategy for reduction of infant mortality rates. Ethiopia does not meet the international recommendation for exclusive breastfeeding (EBF) for the first six months of life. Community-based educational and support interventions provided prenatally and postnatally are effective in increasing BF rates. There is paucity of such information in Ethiopia. This study aims to assess the effect of BF education and support on timely initiation and duration of EBF.
A cluster-randomized controlled trial will be conducted to compare the effect of BF education and support versus the routine care. The intervention will be provided by Women Development Armies (WDAs) who are already in the country’s health system. WDA will receive extensive 40-hour training on WHO Infant and Young Child Feeding Counseling: an integrated course and Training of Trainers Manual for Counseling on Maternal, Infant and Young Child Nutrition. Operational packages of information will be developed for WDAs. 432 pregnant women (216 intervention, 216 control) in their third trimester will be recruited using preset criteria. The intervention will be provided for a period of nine months. Visits in the intervention arm include two prenatal visits and 8 postnatal visits. Supervisory visits will be conducted monthly to each intervention Kebele. Data will be collected at baseline, at months 1, 3 and 6 using a structured questionnaire. Data will be analyzed using STATA version 12.0. All analysis will be done on intention to treat analysis. Proportions of women who initiated BF timely and who exclusively breastfeed their babies at 1, 3 and 6 months will be compared using odds ratios derived using logistic regression. A multivariate analysis will be carried out to adjust for known potential confounders. In all analyses, adjustment will be made for clustering at the kebeles level.
Prosjektbeskrivelse med vedlegg
REK - Ja 1 fil
Tidspunkt for anonymisering og sletting av dataene
- Anonymisering: september 2017
- Sletting: desember 2021