Clinical trial NCT05665049: Social Transfers for Exclusive Breastfeeding
Official title: Social Transfers for Exclusive Breastfeeding: A Pilot Program in Lao People's Democratic Republic (Lao PDR)
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Breast Feeding, Exclusive
Breastfeeding
Development, Child
Development, Infant
Keywords: breastfeeding
early childhood development
social transfer
cash transfer
Lead sponsor: Swiss Tropical & Public Health Institute
Sponsor class: OTHER
Collaborators: name: Lao Tropical and Public Health Institute (Lao TPHI)
name: University of Basel
name: Swiss National Science Foundation
First posted: 2022-12-27
Enrollment: 300
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 42
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The goal of this study is to assess the effectiveness of social transfers on exclusive breastfeeding rates in Lao PDR. The main questions it aims to answer are:

1. Are social transfers effective at increasing exclusive breastfeeding rates at 6-months
2. Are social transfers cost-effective
3. What are the long-term impacts of social transfers for breastfeeding on child development

Participants will be randomly assigned to one of three groups: 1) control, no social transfer 2) non-conditional social transfer at 6-months postpartum, and 3) conditional social transfer at six months postpartum; conditional upon the mothers exclusive breastfeeding status.

All participants receive education about the benefits of exclusive breastfeeding and current international recommendations.

Researchers will compare the intervention groups to the control group to see if social transfers are effective at increasing exclusive breastfeeding rates at six months postpartum.


Eligibility criteria: Inclusion criteria:

* Given birth in the last four weeks
* Exclusively breastfeeding at time of recruitment
* Lives in Vientiane in one of the following districts: Chanthabury, Sikhottabong, Sangthong, or Parkngum and is included in the VITERBI cohort

Exclusion criteria:

* Plans to move permanently outside study area
* Has a medical, intellectual or psychological disability
* Contraindication for breastfeeding
* Preterm births
* Children born with \< 2500 grams

Primary outcomes:
measure: Prevalence of Exclusive Breastfeeding at 6-Months Postpartum
timeFrame: 6 Months Postpartum
Secondary outcomes:
measure: Anthropometric Measurements
timeFrame: 1 month, 6 months, 1 year, 2 years, 3 years
measure: Mother and Child Anemia Levels
timeFrame: 1 month, 6 months, 1 year, 2 years, 3 years
measure: Early Childhood Development
timeFrame: 2 years
measure: Early Childhood Development
timeFrame: 3 years
measure: Complementary Breastfeeding Duration
timeFrame: 6 months, 1 year, 2 years
Other outcomes:
Locations:
city: Vientiane
country: Lao People's Democratic Republic
facility: Lao Tropical and Public Health Institute (Lao TPHI)
Study officials:
affiliation: Swiss Tropical and Public Health Institute, University of Basel
name: Jordyn T Wallenborn, PhD, MPH
role: PRINCIPAL_INVESTIGATOR
References: