Trial Outcomes & Findings for Alive & Thrive Evaluation in Burkina Faso (NCT NCT02435524)

NCT ID: NCT02435524

Last Updated: 2018-12-04

Results Overview

The percentage of infants aged less than 6 months who were exclusively breastfed on the day preceding the interview.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

4541 participants

Primary outcome timeframe

Infants up to 6 months in a cross-sectional endline survey scheduled for April - July 2017

Results posted on

2018-12-04

Participant Flow

Rural communes were randomised in this study. There are 47 communes in Boucle du Mouhoun; 6 urban communes were excluded leaving 41 rural communes to be randomised to either the intervention or control arm. Of these, 2 intervention and 2 control communes were excluded due to co-intervention.

Unit of analysis: Communes

Participant milestones

Participant milestones
Measure
A&T Intervention Communes
Communes where the A\&T infant and young child feeding intervention was implemented: 1. Interpersonal communication delivered by community workers and volunteers during home visits and at monthly mother's group meetings to: * Increase mother's knowledge about optimal breastfeeding and its benefits * Increase mother's self-efficacy related to breastfeeding * Improve mother's perceptions about social norms relating to breastfeeding 2. Community mobilisation activities to: \- Raise awareness of the benefits of optimal breastfeeding among opinion leaders, and family members, and increase the support they provide to breastfeeding mothers 3. Enhanced training of government health workers in infant and young child feeding to: * Improve their ability to support mothers and provide timely information about infant feeding
Control Communes
No intervention
Baseline Survey
STARTED
1111 18
1177 19
Baseline Survey
COMPLETED
1111 18
1177 19
Baseline Survey
NOT COMPLETED
0 0
0 0
Endline Survey
STARTED
1092 18
1161 19
Endline Survey
COMPLETED
1092 18
1161 19
Endline Survey
NOT COMPLETED
0 0
0 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
A&T Intervention Communes: Baseline
n=1111 Participants
Communes where the A\&T infant and young child feeding intervention was implemented: 1. Interpersonal communication delivered by community workers and volunteers during home visits and at monthly mother's group meetings to: * Increase mother's knowledge about optimal breastfeeding and its benefits * Increase mother's self-efficacy related to breastfeeding * Improve mother's perceptions about social norms relating to breastfeeding 2. Community mobilisation activities to: \- Raise awareness of the benefits of optimal breastfeeding among opinion leaders, and family members, and increase the support they provide to breastfeeding mothers 3. Enhanced training of government health workers in infant and young child feeding to: * Improve their ability to support mothers and provide timely information about infant feeding
Control Communes: Baseline
n=1177 Participants
No intervention
A&T Intervention Communes: Endline
n=1092 Participants
Communes where the A\&T infant and young child feeding intervention was implemented: 1. Interpersonal communication delivered by community workers and volunteers during home visits and at monthly mother's group meetings to: * Increase mother's knowledge about optimal breastfeeding and its benefits * Increase mother's self-efficacy related to breastfeeding * Improve mother's perceptions about social norms relating to breastfeeding 2. Community mobilisation activities to: \- Raise awareness of the benefits of optimal breastfeeding among opinion leaders, and family members, and increase the support they provide to breastfeeding mothers 3. Enhanced training of government health workers in infant and young child feeding to: * Improve their ability to support mothers and provide timely information about infant feeding
Control Communes: Endline
n=1161 Participants
No intervention
Total
n=4541 Participants
Total of all reporting groups
Age, Categorical
<=18 years
39 Participants
n=1111 Participants
49 Participants
n=1177 Participants
53 Participants
n=1092 Participants
43 Participants
n=1161 Participants
184 Participants
n=4541 Participants
Age, Categorical
Between 18 and 65 years
1072 Participants
n=1111 Participants
1128 Participants
n=1177 Participants
1039 Participants
n=1092 Participants
1118 Participants
n=1161 Participants
4357 Participants
n=4541 Participants
Age, Categorical
>=65 years
0 Participants
n=1111 Participants
0 Participants
n=1177 Participants
0 Participants
n=1092 Participants
0 Participants
n=1161 Participants
0 Participants
n=4541 Participants
Sex: Female, Male
Female
1111 Participants
n=1111 Participants
1177 Participants
n=1177 Participants
1092 Participants
n=1092 Participants
1161 Participants
n=1161 Participants
4541 Participants
n=4541 Participants
Sex: Female, Male
Male
0 Participants
n=1111 Participants
0 Participants
n=1177 Participants
0 Participants
n=1092 Participants
0 Participants
n=1161 Participants
0 Participants
n=4541 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Burkina Faso
1111 participants
n=1111 Participants
1177 participants
n=1177 Participants
1092 participants
n=1092 Participants
1161 participants
n=1161 Participants
4541 participants
n=4541 Participants

PRIMARY outcome

Timeframe: Infants up to 6 months in a cross-sectional endline survey scheduled for April - July 2017

Population: Endline survey participants with infant aged less than 6 months

The percentage of infants aged less than 6 months who were exclusively breastfed on the day preceding the interview.

Outcome measures

Outcome measures
Measure
Control Communes
n=584 Participants
No intervention
A&T Intervention Communes
n=552 Participants
Communes where the A\&T infant and young child feeding intervention was implemented: 1. Interpersonal communication delivered by community workers and volunteers during home visits and at monthly mother's group meetings to: * Increase mother's knowledge about optimal breastfeeding and its benefits * Increase mother's self-efficacy related to breastfeeding * Improve mother's perceptions about social norms relating to breastfeeding 2. Community mobilisation activities to: \- Raise awareness of the benefits of optimal breastfeeding among opinion leaders, and family members, and increase the support they provide to breastfeeding mothers 3. Enhanced training of government health workers in infant and young child feeding to: * Improve their ability to support mothers and provide timely information about infant feeding
Exclusive Breastfeeding on the Day Preceding the Interview as Assessed by Cross Sectional Survey
0.512 percentage of exclusive breastfeeding
Interval 0.421 to 0.603
0.933 percentage of exclusive breastfeeding
Interval 0.9 to 0.97

SECONDARY outcome

Timeframe: Infants up to 6 months in a cross-sectional endline survey scheduled for April - July 2017

The proportion of newborns aged less than 6 months who were breastfed within 1 hour of birth.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Infants up to 6 months in a cross-sectional endline survey scheduled for April - July 2017

The proportion of newborns aged less than 6 months who were given colostrum.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Infants up to 6 months in a cross-sectional endline survey scheduled for April - July 2017

The proportion of newborns aged less than 6 months who received no pre-lacteal feeds before breastfeeding was established

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Infants age 6-8 months in a cross-sectional endline survey scheduled for April - July 2017

The proportion of infants age 6 to 8 months who received semi-solid, solid or soft foods in the previous day.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Infants age 6-11.9 months in a cross-sectional endline survey scheduled for April - July 2017

The proportion of infants aged 6 to 11.9 months who received a minimum acceptable diet (apart from breast milk) on the day preceding interview.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Infants age 6-11.9 months in a cross-sectional endline survey scheduled for April - July 2017

Dietary diversity among infants age 6 to 11.9 months.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Infants age 6-11.9 months in a cross-sectional endline survey scheduled for April - July 2017

The proportion of children aged 6 to 11.9 months who were fed breast milk on the day preceding the interview.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Mothers of infants aged up to 12 months in a cross-sectional endline survey scheduled for April - July 2017

Mother's accurate knowledge of: * Optimal timing of breastfeeding initiation * Optimal duration of exclusive breastfeeding * Benefits of optimal breastfeeding practices for the infant * Solutions to common difficulties, for example engorgement, cracked and sore nipples * Optimal timing to introduce complementary feeding * Optimal dietary diversity and frequency of complementary feeding up to 12 months

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Mothers of infants aged up to 12 months in a cross-sectional endline survey scheduled for April - July 2017

Mother's self-reported breastfeeding practices, including asking her if she experiences any barriers or difficulties with breastfeeding such as engorgement, cracked and sore nipples, or breastfeeding when working outside of the home.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Mothers of infants aged up to 12 months in a cross-sectional endline survey scheduled for April - July 2017

Mother's perceptions and beliefs about breastfeeding (qualitative component).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Family members of infants aged up to 12 months in a cross-sectional endline survey scheduled for April - July 2017

Knowledge, beliefs and perceptions of family members, such as mothers or mothers in law, community opinion leaders towards optimal infant and child feeding practices (qualitative component).

Outcome measures

Outcome data not reported

Adverse Events

A&T Intervention Communes

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Communes

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr Veronique Filippi

London School of Hygiene & Tropical Medicine

Phone: +44 (0)20 7927 2874

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place