Effectiveness of Well-child Clinics as the "Community" Basis of Step 10 of the Baby Friendly Hospital Initiative

Summary

A cluster-randomized controlled trial will be conducted in the Democratic Republic of Congo to compare rates of early initiation and exclusive breastfeeding between mothers who give birth in hospitals with the current standard of care, mothers who give birth in hospitals that have implemented the first nine steps of the Baby-Friendly Hospital Initiative, and mothers who give birth in hospitals that have implemented all ten steps of the Baby-Friendly Hospital Initiative, with the 10th step being the provision of breastfeeding support during well-child clinic visits.

Conditions

• Breastfeeding

Interventions

OTHER

implementation of the Baby-Friendly Hospital Initiative

Implementation of BFHI steps 1-9 in maternities

OTHER

BFHI steps 1-9 +well-child clinic

Implementation of BFHI steps 1-9 in maternities and provision of breastfeeding support including culturally appropriate educational messages and metaphors as the ongoing aspect of step 10 in well-child clinic

Sponsors & Collaborators

• Kinshasa School of Public Health (DR, Congo)

  collaborator UNKNOWN

• Centre for the Coordination of Social Science Research and Documentation in Africa South of the Sahara (CERDAS) (DR,Congo)

  collaborator UNKNOWN

• Bureau Diocésain des Œuvres Médicales de Kinshasa (BDOM), (DR, Congo)

  collaborator UNKNOWN

• Salvation Army (DR, Congo)

  collaborator UNKNOWN

• Ministry of Public Health, Democratic Republic of the Congo

  collaborator OTHER_GOV

• University of North Carolina, Chapel Hill

  lead OTHER

Principal Investigators

• Marcel Yotebieng, M.D, MPH, Ph.D · University of North Carolina, Chapel Hill

• Miriam Labbok, MD, MPH, FACPM, IBCLC · University of North Carolina, Chapel Hill

• Frieda Behets, Ph.D, MPH · University of North Carolina, Chapel Hill

Study Design

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Model

PARALLEL

Eligibility

Max Age

3 Days

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2012-05-31

Primary Completion

2013-02-28

Completion

2013-02-28

Countries

• Republic of the Congo