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Effectiveness of Behavior Change Communication in Improving Feeding Practices, Nutritional and Health Status of Infants

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT03488680
Recruitment Status : Completed
First Posted : April 5, 2018
Last Update Posted : April 5, 2018
Information provided by (Responsible Party):
Chalachew Abiyu, Jimma University

Brief Summary:

Child under nutrition is a major risk factor for ill health and mortality, contributes substantially to the burden of disease in low-income and middle-income countries and is associated with close to half of all child deaths. The prevalence of both underweight and stunting is highest in Africa and South-Central Asia. Ethiopia is one of the poorest countries in Sub- Saharan Africa, and child malnutrition is a serious public health problem where the rates for stunting (40%), underweight (25%) and wasting (9%) among children under 5 years are among the highest in the world.

Globally, about 40% of child mortality less than two years is associated with inappropriate feeding practices. Optimal breastfeeding and appropriate complementary feeding could prevent 13% and 6% under-five mortality, respectively. Over two third of malnutrition is associated with inappropriate feeding practices during the first year of life.

The first two years of life provides a critical window of opportunity for ensuring appropriate growth and development of children from generation to generation through optimal feeding. Hence, the objective of this study to evaluate the effectiveness of behavior change communication on optimal complementary feeding through community level actors in improving feeding practice, health and nutritional status of infants.

A cluster-randomized controlled trial which was conducted in West Gojjam Zone, Northwest Ethiopia from May 9, 2016 to October, 2017. Behavior change communication on complementary feeding was conducted in the intervention kebeles/villages for 8 months. A validated interviewer administered structured questionnaire was used for collecting information on the study subjects both at the baseline and after intervention. Data will be checked, coded and double entered using EPI info and exported to SPSS version 21 for statistical analysis.

The output of the study findings could be useful for health and nutrition policy makers and other concerned bodies in decision making and to design effective intervention strategies to improve feeding practices thus mitigating child malnutrition and improving their health and growth. The total budget needed to conduct the study is 7,000 US dollar.

Condition or disease Intervention/treatment Phase
Feeding Behavior Nutritional Status Morbidity Behavioral: Behavior change communication Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 630 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Effectiveness of Behavior Change Communication on Optimal Complementary Feeding Through Community Level Actors in Improving Feeding Practices, Nutritional and Health Status of Infants in West Gojjam Zone, Northwest Ethiopia
Actual Study Start Date : May 9, 2016
Actual Primary Completion Date : August 17, 2017
Actual Study Completion Date : October 6, 2017

Arm Intervention/treatment
Experimental: Intervention group
Behavior change communication
Behavioral: Behavior change communication
Behavior change communication about optimal complementary feeding

No Intervention: Control group
No Behavior change communication

Primary Outcome Measures :
  1. Linear growth [ Time Frame: 8 months of intevention ]
    Increase in linear growth (cm) after intervention

Secondary Outcome Measures :
  1. Dietary diversity score [ Time Frame: 8 months of intervention ]
    Dietary diversity score ranges from 1-7; dietary diversity score of greater than or equal to 4 will be considered as optimal.

  2. Health status [ Time Frame: 8 months of intervention ]
    Any form of morbidity in the last two weeks before the study

  3. Time of initiation of complementary food [ Time Frame: 8 months of intervention ]
    Time of initiation of complementary food after intervention

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   1 Month to 12 Months   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • All infants aged 0-6 months at the time of baseline survey,
  • Residents in the sampled villages

Exclusion Criteria:

  • Mother who are ill and unable to communicate
  • Infants with birth defects, impaired feeding and ill at the time of baseline survey.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03488680

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Jimma University
Jimma, Ethiopia, 999
Sponsors and Collaborators
Jimma University
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Principal Investigator: Chalachew Abiyu, MSc Jimma University, Jimma, Ethiopia

Additional Information:
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Responsible Party: Chalachew Abiyu, Principal investigator, Jimma University Identifier: NCT03488680    
Other Study ID Numbers: RP144107
First Posted: April 5, 2018    Key Record Dates
Last Update Posted: April 5, 2018
Last Verified: April 2018