Clinical Trial: Promotion of Complimentary Feeding Practices in Bangladesh

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Promotion of Complimentary Feeding Practices Through Health Messages: a Community-based Clustered Randomized Trial in Rural Bangladesh

Brief Summary: Infant feeding practices and nutritional status among children is interrelated and link is well established. Incidence of malnutrition sharply rises during 6-9 months of age in most of the developing countries which coincide with the period of complimentary feeding (CF). This prospective randomized trial will be implemented in ongoing health and demographic surveillance system of Matlab, ICDDR,B and will be nested into an ongoing maternal and child health services area. Area of community health workers (four blocks) will be divided into two pairs and each pair will be randomly assigned into intervention or control groups. The eligible and consented mother-infant newborn will be recruited either into an intervention or control groups based on the areas of the paired block. The mothers and family members of the intervention area will receive intensive counseling on complementary feeding practices through community health workers. In total about 360 mother-infant pair will be recruited in the study for each site. Data on children's anthropometry (weight and lengths), information on complementary feeding practices and related covariates will be collected through trained research staffs. Data will be evaluated on reduction of burden of malnutrition (stunting, underweight, wasting) and complimentary feeding index between intervention and control groups.

Detailed Summary:

Back ground:

Link between infant feeding practices and nutritional status among children has been well established. Incidence of malnutrition sharply rises during 6-9 months of age which coincide with the period of complimentary feeding (CF). It is reported that poor nutrition increases the risk of illness, and is responsible, directly or indirectly, for one third of the estimated 9.5 million deaths in children less than 5 years of age. Early nutritional deficits are also linked to long-term impairment in growth and health. There is evidence that adults who were malnourished in early childhood have impaired intellectual performance. They may also have reduced capacity for physical work. High proportion of childhood malnutrition has negative impact for national development. Based on evidence of the effectiveness of interventions, achievement of universal coverage of exclusive breastfeeding (EBF) could prevent 13% of deaths occurring in children less than 5 years of age globally, while appropriate complementary feeding practices would result in an additional 6% reduction in under five mortality. Although there is huge potential for EBF till 6 months of age, the CF practices is also important to maintain the increase demand and growth after the period of EBF to maintain the optimal growth and development during infancy and early child hood period. However, there are lacks of efforts observed to increase the knowledge of good complementary feeding practices at population level. Under five child mortality is still high for Bangladesh. Among these deaths prematurity of the newborn/LBW and malnutrition together contribute to about 45% of all deaths. Despite the progress achieved, child malnutrition in Bangladesh remains among the highest in the world, and more severe than that of most other developing countries. This suggests that children in Bangladesh suffer from short-term ac
Sponsor: International Centre for Diarrhoeal Disease Research, Bangladesh

Current Primary Outcome:

• Length for age of the infant between two areas ( less than -2SD according National intervention group) will be measured [ Time Frame: 6 months ]
  Stunting will be calculated as length for age of the infant less than -2SD according National Center for Heath Statics.
• weight for length of the infant between two areas ( less than -2SD according National intervention group) will be measured [ Time Frame: 6 months ]
  Wasting will be calculated as weight for length of the infant less than -2SD according National Center for Heath Statics.
• weight for age of the infant between two areas ( less than -2SD according National intervention group) will be measured [ Time Frame: 6 months ]
  Underweight will be calculated as weight for age of the infant less than -2SD according National Center for Heath Statics.

Original Primary Outcome: Same as current

Current Secondary Outcome: Difference in complementary feeding index among the intervention and control group [ Time Frame: 6 months ]

Original Secondary Outcome: Same as current

Information By: International Centre for Diarrhoeal Disease Research, Bangladesh

Dates:
Date Received: September 6, 2016
Date Started: January 2011
Date Completion:
Last Updated: January 19, 2017
Last Verified: January 2017