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| Name | Class |
|---|---|
| University of California, Davis | OTHER |
| Partners for Development | UNKNOWN |
| The Alive & Thrive Small Grants | OTHER |
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The University of North Carolina (UNC) and Partners for Development (PFD), an American non-governmental organization, will conduct a 2-year cluster-randomized controlled trial in Bauchi State, Nigeria, to test the effectiveness of two behavior change strategies for increasing the proportion of participants who exclusively breastfeed their infants until 6 months. The investigators will build upon PFD's existing microcredit and reproductive health program by adding face-to-face breastfeeding education during borrowers' meetings and bi-weekly cell phone breastfeeding messages. The hypothesis is that the control group will remain at the baseline level for exclusive breastfeeding to 6 months, while the intervention group will increase by 15%. The investigators will measure the effectiveness of the intervention by conducting baseline and final surveys with a cohort of 485 female borrowers who are pregnant at time 1 and who have a 6-month-old infant at time 2. The data will be analyzed using logistic regression adjusting for possible confounders and the effect of clustering.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Breastfeeding promotion intervention | Experimental | Intervention:
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| No intervention | No Intervention | The no intervention group will participate in their regular microcredit borrower group meetings, but will not receive breastfeeding counseling or cell phone messages. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Breastfeeding promotion intervention | Behavioral |
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion of women who exclusively breastfeed to 6 months | The outcome will be measured when the infant is 6-7 months old. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of women who exclusively breastfeed for 0-1 month | The outcome will be measured when the infant is 6-7 months old. | |
| Proportion of women who exclusively breastfeed for 2-3 months | The outcome will be measured when the infant is 6-7 months old. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Margaret E. Bentley, PhD | Carolina Population Center, University of North Carolina at Chapel Hill | Principal Investigator |
| Valerie L. Flax, PhD | Carolina Population Center, University of North Carolina at Chapel Hill | Principal Investigator |
| Mekebeb Negerie, DrPH | Partners for Development/Nigeria | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24812071 | Derived | Flax VL, Negerie M, Ibrahim AU, Leatherman S, Daza EJ, Bentley ME. Integrating group counseling, cell phone messaging, and participant-generated songs and dramas into a microcredit program increases Nigerian women's adherence to international breastfeeding recommendations. J Nutr. 2014 Jul;144(7):1120-4. doi: 10.3945/jn.113.190124. Epub 2014 May 8. |
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| ID | Term |
|---|---|
| D001942 | Breast Feeding |
| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| D001519 | Behavior |
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| Initiation of breastfeeding within 1 hour of birth | The outcome will be measured when the infant is 6-7 months old. |
| Proportion of infants who receive pre-lacteal feeds | The outcome will be measured when the infant is 6-7 months old. |