Evidence map›Paper›PMID 26416177›Full record

Trial reportTrials2015

Feasibility and effectiveness of the baby friendly community initiative in rural Kenya: study protocol for a randomized controlled trial.

Elizabeth W Kimani-Murage, Judith Kimiywe, Mark Kabue, Frederick Wekesah, Evelyn Matiri, Nelson Muhia, Milka Wanjohi, Peterrock Muriuki, Betty Samburu, James N Kanyuira and 4 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Pooled it
  4. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Antenatal breastfeeding education for increasing breastfeeding duration.The Cochrane database of systematic reviews · 2016
    Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Review
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Elizabeth W Kimani-MurageAfrican Population and Health Research Centre (APHRC), APHRC Campus, Kirawa Road, Off PeponiRoad, P.O. Box 10787, 00100, Nairobi, Kenya. ekimani@aphrc.org.
Judith KimiyweDepartment of Food, Nutrition and Dietetics, Kenyatta University, School of Applied Human Sciences Complex, Conference Road, Room HE7, P.O. Box 43844, 00100, Nairobi, Kenya. jokimiywe@gmail.com.
Mark KabueJhpiego, Off Riverside Drive, 14 Riverside, Arlington Block-2nd Floor, Nairobi, Kenya. mark.kabue@jhpiego.org.
Frederick WekesahAfrican Population and Health Research Centre (APHRC), APHRC Campus, Kirawa Road, Off PeponiRoad, P.O. Box 10787, 00100, Nairobi, Kenya. fwekesah@aphrc.org.
Evelyn MatiriPATH, ACS Plaza, 4th floor, Lenana Road, P.O. Box 76634-00508, Nairobi, Kenya. ematiri@path.org.
Nelson MuhiaAfrican Population and Health Research Centre (APHRC), APHRC Campus, Kirawa Road, Off PeponiRoad, P.O. Box 10787, 00100, Nairobi, Kenya. nmuhia@aphrc.org.
Milka WanjohiAfrican Population and Health Research Centre (APHRC), APHRC Campus, Kirawa Road, Off PeponiRoad, P.O. Box 10787, 00100, Nairobi, Kenya. mwanjohi@aphrc.org.
Peterrock MuriukiAfrican Population and Health Research Centre (APHRC), APHRC Campus, Kirawa Road, Off PeponiRoad, P.O. Box 10787, 00100, Nairobi, Kenya. pmuriuki@aphrc.org.
Betty SamburuHuman Nutrition and Dietetics Unit, Ministry of Health, P.O. Box 43319-00100, Nairobi, Kenya. betsamburu@gmail.com.
James N KanyuiraAction Against Hunger (ACF), 4th Floor, Suite 17, Green House, Ngong Road, P.O. Box 39900-00623, Nairobi, Kenya. nutiycn.ke@acf-international.org.
Sera L YoungDepartment of Population Medicine and Diagnostics, Program in International Nutrition, Cornell University, Ithaca, NY, USA. sera.young@cornell.edu.
Paula L GriffithsCentre for Global Health and Human Development, Loughborough University, Loughborough, UK. p.griffiths@lboro.ac.uk.
Nyovani J MadiseCentre for Global Health, Population, Poverty and Policy, ESRC Centre for Population Change, Faculty of Social and Human Science, University of Southampton, Building 58, Room 2001, Southampton, SO17 1BJ, UK. n.j.madise@soton.ac.uk.
Stephen T McGarveyInternational Health Institute, Brown University, Providence, RI 02903, USA. stephen_mcgarvey@brown.edu.

Funding

Wellcome TrustWellcome Trust 097146/Z/11/Z.
6 · The paper itself

Abstract

backgroundInterventions promoting optimal infant and young child nutrition could prevent a fifth of under-5 deaths in countries with high mortality. Poor infant and young child feeding practices are widely documented in Kenya, with potential detrimental effects on child growth, health and survival. Effective strategies to improve these practices are needed. This study aims to pilot implementation of the Baby Friendly Community Initiative (BFCI), a global initiative aimed at promoting optimal infant and young child feeding practices, to determine its feasibility and effectiveness with regards to infant feeding practices, nutrition and health outcomes in a rural setting in Kenya.

methodsThe study, employing a cluster-randomized trial design, will be conducted in rural Kenya. A total of 12 clusters, constituting community units within the government's Community Health Strategy, will be randomized, with half allocated to the intervention and the other half to the control arm. A total of 812 pregnant women and their respective children will be recruited into the study. The mother-child pairs will be followed up until the child is 6 months old. Recruitment will last approximately 1 year from January 2015, and the study will run for 3 years, from 2014 to 2016. The intervention will involve regular counseling and support of mothers by trained community health workers and health professionals on maternal, infant and young child nutrition. Regular assessment of knowledge, attitudes and practices on maternal, infant and young child nutrition will be done, coupled with assessment of nutritional status of the mother-child pairs and morbidity for the children. Statistical methods will include analysis of covariance, multinomial logistic regression and multilevel modeling. The study is funded by the NIH and USAID through the Program for Enhanced Research (PEER) Health. DISCUSSION: Findings from the study outlined in this protocol will inform potential feasibility and effectiveness of a community-based intervention aimed at promoting optimal breastfeeding and other infant feeding practices. The intervention, if proved feasible and effective, will inform policy and practice in Kenya and similar settings, particularly regarding implementation of the baby friendly community initiative.

trial registrationISRCTN03467700 ; Date of Registration: 24 September 2014.

Indexed as

Breast FeedingChild Health ServicesCommunity Health ServicesHealth EducationHealth Knowledge, Attitudes, PracticeInfant Nutritional Physiological PhenomenaRural Health ServicesCounselingFeasibility StudiesFemaleHumansInfantInfant MortalityInfant, NewbornInfant Nutrition DisordersKenya

Identifiers

PMID26416177
PMCPMC4587817

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.