Trial reportMaternal & child nutrition2017
In a rural area of Bangladesh, traditional birth attendant training improved early infant feeding practices: a pragmatic cluster randomized trial.
Trial report in Maternal & child nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 7 of them syntheses that pooled it.
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The trial behind it
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Who cites it
23 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Effectiveness of interventions on early initiation of breastfeeding in South Asia: a systematic review and meta-analysis of randomized controlled trials.International breastfeeding journal · 2025Pooled it
- Interventions on informal healthcare providers to improve the delivery of healthcare services in low-and middle-income countries: a systematic review.Frontiers in public health · 2024Pooled it
- Effects of breastfeeding training programmes for midwives on breastfeeding outcomes: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2023Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022Pooled it
- Effectiveness of Breastfeeding Support Packages in Low- and Middle-Income Countries for Infants under Six Months: A Systematic Review.Nutrients · 2021Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017Pooled it
- Interventions for promoting the initiation of breastfeeding.The Cochrane database of systematic reviews · 2016Pooled it
- Prelacteal feeding is not associated with infant size at 3 months in rural Bangladesh: a prospective cohort study.International breastfeeding journal · 2024Trial
- In a rural area of Bangladesh, traditional birth attendant training improved early infant feeding practices: a pragmatic cluster randomized trial.Maternal & child nutrition · 2017Trial
- Research on the effect of evidence-based practice based on core competencies on improving breastfeeding counseling skills of obstetric nurses.Frontiers in pediatrics · 2026Article
- Improving nurse's knowledge, attitudes, and skills in lactation and breastfeeding management using a blended learning approach: a quasi-experimental study.BMC medical education · 2025Article
- Spatial variation and determinants of skilled birth attendant delivery among women of reproductive age in Ethiopia: a spatial and multilevel analysis.BMC pregnancy and childbirth · 2025Article
- Urban-rural disparities in skilled birth attendance among women in Ethiopia: Multivariate decomposition analysis.PloS one · 2025Article
- Skilled birth attendant utilization trends, determinant and inequality gaps in Ethiopia.BMC women's health · 2022Article
- Socioeconomic inequalities in early initiation and exclusive breastfeeding practices in Bangladesh: findings from the 2018 demographic and health survey.International breastfeeding journal · 2021Article
- Community support model on breastfeeding and complementary feeding practices in remote areas in Vietnam: implementation, cost, and effectiveness.International journal for equity in health · 2021Article
- Perceived differences on the role of traditional birth attendants in rural Tanzania: a qualitative study.BMC pregnancy and childbirth · 2021Article
- Early breastfeeding practices contribute to exclusive breastfeeding in Bangladesh, Vietnam and Ethiopia.Maternal & child nutrition · 2020Article
- Gender inequality in early initiation of breastfeeding in Bangladesh: a trend analysis.International breastfeeding journal · 2020Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In rural Bangladesh, most births take place at home. There is little evidence regarding the influence of traditional birth attendants (TBAs) or community volunteers (CVs) on early infant feeding practices. We conducted a pragmatic cluster randomized controlled trial in Panchagarh District to examine the effects of training and post-training supervision of TBAs/CVs on early breastfeeding practices. Nine unions were randomized into three groups of three unions. We compared outcomes between mothers in a control group (CG), those living in unions where TBAs/CVs had received a 5-day training in early feeding practices (TG) and those living in unions where TBAs/CVs were both trained and supervised (SG). A total of 1182 mothers of infants aged 0-6 months were interviewed at baseline. After 6 months of intervention, an endline survey was conducted on a different sample of 1148 mothers of infants aged 0-6 months in the same areas. In both intervention areas, TBAs/CVs made regular home visits and attended births whenever possible. Rates of early initiation of breastfeeding, avoidance of prelacteal feeds and exclusive breastfeeding were compared between groups using cluster-controlled mixed model logistic regression. At endline, both intervention groups had significantly higher proportions of mothers who reported early initiation of breastfeeding (CG: 88%, TG: 96%, SG: 96%) and avoidance of prelacteal feeds (CG: 48%, TG: 80%, SG: 88%) compared with the control group; there were no significant differences between the two intervention groups. The endline rates of reported exclusive breastfeeding were not significantly different among groups (CG: 67%, TG: 76%, SG: 83%).
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