Clinical trial NCT02975063: Alive & Thrive Nigeria Impact Evaluation
Official title: Alive & Thrive Nigeria Impact Evaluation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Complementary Feeding
Keywords: Exclusive breastfeeding
Lead sponsor: RTI International
Sponsor class: OTHER
Collaborators: name: FHI 360
name: University of North Carolina, Chapel Hill
name: TNS RMS Nigeria, Ltd.
First posted: 2016-11-29
Enrollment: 15169
Sex: ALL
Minimum age (years): 15
Maximum age (years): 49
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: Investigators will use a cluster-randomized design to evaluate the overall impact of the Alive \& Thrive infant and young child feeding communication strategies in Lagos and Kaduna States, Nigeria. The impact in each state and in a subset of urban local government areas (LGAs) will also be tested.This is a mixed methods evaluation; the quantitative data will be complemented by qualitative data obtained from different groups targeted by or involved in the program.

Detailed description: Adequate nutrition during the first 1,000 days is necessary for children to grow and develop to their full potential. Alive \& Thrive (A\&T) contributes to better nutrition during the first 1,000 days by promoting improved infant and young child feeding (IYCF) practices. A\&T is expanding its efforts to Nigeria and will target Lagos and Kaduna States. In Nigeria, 33% of infants are breastfed within 1 hour of delivery, 60% are given other fluids in the first 3 days of life, and only 17% of children 0-5.9 months are exclusively breastfed. Approximately 60% of children 6 to 23 months achieve the minimum meal frequency for their age and 19% are fed four or more food groups per day. To address these gaps in optimal IYCF practices, A\&T will use an implementation framework for IYCF impact at scale that includes advocacy, interpersonal communication and community mobilization, mass communication, and strategic use of data. The A\&T intervention will be compared to mass media communication on IYCF, which will be provided throughout the two states. LGAs in Lagos and Kaduna will be randomly allocated such that two-thirds receive the A\&T intervention and one-third are assigned to the comparison group. The primary objectives of the evaluation are to measure the impact of the A\&T intervention on IYCF practices among mothers with children 0-23 months of age overall, in each state, and in a subset of urban LGAs. Secondary evaluation objectives are to document: the type, quantity, and timing of the implementation of A\&T program activities; coverage levels A\&T achieves with different program activities; extent to which A\&T increases knowledge and awareness of optimal IYCF practices among women with children 0 to 23 months and health providers; extent to which A\&T improves the capacity of health providers to counsel mothers on IYCF; and extent to which A\&T improves the capacity of stakeholders to implement community-based activities that support optimal IYCF practices.

Eligibility criteria: Inclusion Criteria:

* For mother's survey:
* Women of reproductive age (15-49 years),
* Must be married if 15-17 years,
* Has a child 0-23 months
* For provider's survey:
* Male or female,
* 18 years or older
* Works in a government or private health facility or works as a community pharmacist, private patent medicine vendor, or traditional birth attendant

Exclusion Criteria:

-

Primary outcomes:
measure: Exclusive breastfeeding on the day preceding the interview.
timeFrame: 2 years
Secondary outcomes:
measure: Exclusive breastfeeding from 0-5 months.
timeFrame: 2 years
measure: Breastfeeding within 1 hour of birth.
timeFrame: 2 years
measure: Minimum dietary diversity.
timeFrame: 2 years
measure: Minimum meal frequency.
timeFrame: 2 years
measure: Mothers' accurate knowledge of optimal infant and young child feeding practices.
timeFrame: 2 years
measure: Health providers' knowledge of optimal infant and young child feeding practices.
timeFrame: 2 years
Other outcomes:
Locations:
city: Ikeja
country: Nigeria
facility: Kantar TNS RMS
state: Lagos
city: Kaduna
country: Nigeria
facility: Kantar TNS RMS
Study officials:
affiliation: RTI International
name: Valerie Flax
role: PRINCIPAL_INVESTIGATOR
affiliation: TNS RMS Nigeria, Ltd.
name: Mariam Fagbemi
role: PRINCIPAL_INVESTIGATOR
References: