Journal article
Effectiveness of personalised, home-based nutritional counselling on infant feeding practices, morbidity and nutritional outcomes among infants in Nairobi slums: study protocol for a cluster randomised controlled trial
Trials, v 14(1), pp 445-445
27 Dec 2013
PMID: 24370263
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Nutrition in the first 1,000 days of life (during pregnancy and the first two years) is critical for child growth and survival. Poor maternal, infant and young child nutrition (MIYCN) practices are widely documented in Kenya, with potential detrimental effects on child growth and survival. This is particularly a problem in slums, where most urban residents live. For example, exclusive breastfeeding for the first six months is only about two per cent. Innovative strategies to reach slum residents are therefore needed. Strategies like the Baby Friendly Hospital Initiative have proven effective in some settings but their effectiveness in resource-limited settings, including slums where many women do not deliver in hospital, is questionable. We propose to test the effectiveness of a home-based intervention on infant feeding practices, nutrition and health outcomes of infants born in two slums in Nairobi, Kenya.
Methods/Design: The study, employing a cluster-randomised study design, will be conducted in two slums in Nairobi: Korogocho and Viwandani where 14 community units (defined by the Government's health care system) will form the unit of randomization. A total of 780 pregnant women and their respective child will be recruited into the study. The mother-child pair will be followed up until the child is one year old. Recruitment will last approximately one year and three months from September 2012 to December 2013. The mothers will receive regular, personalised, home-based counselling by trained Community Health Workers on MIYCN. Regular assessment of knowledge, attitudes and practices on MIYCN will be done, coupled with assessments of nutritional status of the mother-child pairs and diarrhea morbidity for the children. Statistical methods will include analysis of covariance and multinomial logistic regression. Additionally, cost-effectiveness analysis will be done. The study is funded by the Wellcome Trust and will run from March 2012 to February 2015.
Discussion: Interventions aimed at promoting optimal breastfeeding and complementary feeding practices are considered to have high impact and could prevent a fifth of the under-five deaths in countries with high mortality rates. This study will inform policy and practice in Kenya and similar settings regarding delivery mechanisms for such high-impact interventions, particularly among urban poor populations.
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Details
- Title
- Effectiveness of personalised, home-based nutritional counselling on infant feeding practices, morbidity and nutritional outcomes among infants in Nairobi slums: study protocol for a cluster randomised controlled trial
- Creators
- Elizabeth W. Kimani-Murage - African Population and Health Research CenterCatherine Kyobutungi - African Population and Health Research CenterAlex C. Ezeh - African Population and Health Research CenterFrederick Wekesah - African Population and Health Research CenterMilka Wanjohi - African Population and Health Research CenterPeterrock Muriuki - African Populat & Hlth Res Ctr, Nairobi 00100, KenyaRachel N. Musoke - University of NairobiShane A. Norris - University of the WitwatersrandPaula Griffiths - Loughborough UniversityNyovani J. Madise - University of Southampton
- Publication Details
- Trials, v 14(1), pp 445-445
- Publisher
- Springer Nature
- Number of pages
- 11
- Grant note
- 097146/Z/11/Z / Wellcome Trust Swedish International Cooperation Agency (SIDA); Norwegian Agency for Development Cooperation - NORAD MD120048 / British Academy mid-career fellowship G1001333 / Medical Research Council; UK Research & Innovation (UKRI); Medical Research Council UK (MRC) G1001333 / MRC; UK Research & Innovation (UKRI); Medical Research Council UK (MRC) William and Flora Hewlett Foundation Bill and Melinda Gates Foundation; Bill & Melinda Gates Foundation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000329516500001
- Scopus ID
- 2-s2.0-84891006041
- Other Identifier
- 991020531865004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Medicine, Research & Experimental