Improved Child Nutrition and Development Through Social Transfers

Taabo Enhanced Nutrition and Development Through Economic Rewards

The goal of this clinical trial is to learn if a conditional social transfer works to improve rates of complementary breastfeeding. It will also learn about the impacts of social transfers on maternal and child health and development. The main questions it aims to answer are:

• Does the social transfer increase complementary breastfeeding rates at 24-months postpartum?
• Does the social transfer increase complementary breastfeeding duration?
• Does the social transfer impact child health and development?
• Does the social transfer impact maternal physical and mental health?

Researchers will compare a conditional social transfer to a control group that only receives education about breastfeeding recommendations to see if a conditional social transfers works to increase complementary breastfeeding.

Participants will:

Receive a pamphlet explaining the current recommendations of breastfeeding Receive instructions that if they meet the recommendation to breastfeed until 24-months postpartum they receive a social transfer or receive no additional information Complete home visits at 12- and 24-months postpartum Complete detailed questionnaire

Inclusion Criteria:

1. Are enrolled in the Taabo multigenerational birth cohort (MGC)
2. Completed the postpartum interview of the Taabo MGC
3. Have a child who is within two weeks of their 12-month birthday,
4. are breastfeeding at time of recruitment,
5. live in the Taabo HDSS, Côte d'Ivoire
6. have no illnesses that contraindicates breastfeeding,
7. had a healthy singleton infant with a birth weight of at least 2500 grams, and
8. agree to participate and sign an informed consent; if underage (12-17 years), a legal representative will also have to agree to sign the informed consent

Exclusion Criteria:

1. Plans to move permanently outside study area
2. Has a medical, intellectual or psychological disability
3. Contraindication for breastfeeding
4. Children born with < 2500 grams