About this trial
The proposed project seeks to evaluate the effectiveness and implementation of the Breastfeeding Education Support Tool for Baby (BEST4Baby) intervention, an mHealth-supported community-based peer counselor breastfeeding intervention for mothers in India. Given that rates of optimal infant feeding practices have remained stagnant over the past two decades in India, and that India is the most populous country and icontributes one-fifth of all global live births, this project could have major global health implications if the intervention is found to improve maternal breastfeeding practices and infant clinical outcomes. The project will also provide evidence needed to adopt BEST4Baby nationally and in other low resource communities.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
at least 18 years of age,
pregnant and 20-27 weeks of gestation at study enrollment,
singleton pregnancy,
no major antepartum complications,
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
BEST4Baby
BehavioralBEST4Baby consists of prenatal and post-delivery breastfeeding education and support for mothers provided by community-based peer counselors who are trained in a modified 5-day WHO/UNICEF Breastfeeding Counselling Course and supported by an mHealth application.
Usual Care
BehavioralParticipants in the control clusters will continue with local practice for antenatal breastfeeding support and referral to facilities. It is expected that they will receive routine health education recommended by the national health system during the prenatal and postnatal period and offered through PHC and community level workers, including ASHAs. ASHAs may visit a woman after delivery to provide lactation support, as needed, with visits ceasing at 42 days post-delivery. Breastfeeding mothers requiring advanced lactation support may be referred to a community subcenter for care with more skilled clinicians.
Treatment groups
Trial outcomes
Primary outcomes
exclusive breastfeeding at 6 months
proportion of infants exclusively breastfed at 6 mo as measured with the infant feeding behavior questionnaire. EBF will be defined as receiving breast milk as the only source of nourishment for the first 6 mo of life, except for oral rehydration solution, vitamins, medicines.
Infant growth velocity
mean change in length from birth to 6 months, and birth to 12 months
Infant cognitive development
mean Bayley Scales of Infant and Toddler Development cognitive domain scores at 12 months
Sponsors and contacts
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Thomas Jefferson University
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator
KLE University Jawaharlal Nehru Medical College
Collaborator
Benten Technologies, Inc.
Collaborator
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