Impact Evaluation of a Social Franchise Model for Improving Infant and Young Child Feeding and Child Nutrition in Vietnam - Full Text View

Purpose

Alive & Thrive is an initiative that aims to improve infant and young child feeding practices and reduce childhood stunting. In Vietnam, Alive & Thrive's primary intervention is implemented through a social franchise linked with the government's health system. The impact evaluation is conducted using a cluster-randomized design in which 20 commune health centers (CHC) were assigned to the social franchise model, and 20 CHC were assigned to routine government services. Repeated cross-sectional baseline and endline surveys will be used to assess the public health impact of this intervention. The baseline was in 2010 and an endline survey in the same communities will be conducted in 2014. Mixed methods process evaluation will be conducted in 2011, 2012 and 2013 to study the pathways through which the program impact is achieved.

Condition	Intervention
Child Nutrition Stunting Exclusive Breastfeeding Complementary Feeding	Behavioral: Standard government health services Behavioral: Alive & Thrive IYCF franchise services Behavioral: Mass media campaign

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention
Official Title:	Impact Evaluation of a Social Franchise Model Implemented by Alive & Thrive for Improving Infant and Young Child Feeding and Child Nutrition in Rural Vietnam

Resource links provided by NLM:

MedlinePlus related topics: Breast Feeding Child Nutrition Toddler Nutrition

Drug Information available for: Nicotine tartrate Nicotine polacrilex

U.S. FDA Resources

Further study details as provided by International Food Policy Research Institute:

Primary Outcome Measures:

Infant and young child feeding practices among children 0-2 years of age [ Time Frame: 4 years ] [ Designated as safety issue: No ]
Eight WHO-recommended IYCF core indicators will be measured to capture breastfeeding and complementary feeding practices
Child heights and weights (children 0-60 months of age) [ Time Frame: 4 years ] [ Designated as safety issue: No ]
Heights and weights of children in the intervention and comparison communes covered by the CHCs in the study will be assessed in 2014. A new sample of children 0-60 months will be enrolled into the endline survey to measure these outcomes and compute height-for-age, weight-for-age and weight-for-height z-scores based on the WHO growth reference standards.

Estimated Enrollment:	4000
Study Start Date:	April 2010
Estimated Study Completion Date:	December 2014
Estimated Primary Completion Date:	July 2014 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Active Comparator: Comparison area, only standard government services This intervention arm will receive the standard government services offered at CHCs all over Vietnam. In addition, participants in this arm will be exposed to the nationwide mass media campaign.	Behavioral: Standard government health services This intervention will be basic preventive and curative health services provided by the commune health centers. This includes antenatal care, postnatal care and basic nutrition related counseling. Behavioral: Mass media campaign Alive & Thrive is implementing a nationwide mass media campaign in 2011, 2012 and 2013, with a focus on improving breastfeeding practices. The mass media intervention includes TV and radio spots as well as an internet site and a telephone hotline.
Experimental: A&T Franchise In this arm, the 20 CHCs will offer Alive & Thrive branded franchise services with enhanced quality of IYCF counseling through interpersonal contact between health workers at the commune level and clients who use the commune health services. In addition, the clients could also be exposed to the mass media campaign.	Behavioral: Standard government health services This intervention will be basic preventive and curative health services provided by the commune health centers. This includes antenatal care, postnatal care and basic nutrition related counseling. Behavioral: Alive & Thrive IYCF franchise services This intervention includes intensive behavioral counseling to improve infant and young child feeding. A package of 15 counseling contacts that are quality assured and branded will be offered to families of infants and young children. Services might also include user fees. Behavioral: Mass media campaign Alive & Thrive is implementing a nationwide mass media campaign in 2011, 2012 and 2013, with a focus on improving breastfeeding practices. The mass media intervention includes TV and radio spots as well as an internet site and a telephone hotline.

Arms

Assigned Interventions

Active Comparator: Comparison area, only standard government services

This intervention arm will receive the standard government services offered at CHCs all over Vietnam. In addition, participants in this arm will be exposed to the nationwide mass media campaign.

Behavioral: Standard government health services

This intervention will be basic preventive and curative health services provided by the commune health centers. This includes antenatal care, postnatal care and basic nutrition related counseling.

Behavioral: Mass media campaign

Alive & Thrive is implementing a nationwide mass media campaign in 2011, 2012 and 2013, with a focus on improving breastfeeding practices. The mass media intervention includes TV and radio spots as well as an internet site and a telephone hotline.

Experimental: A&T Franchise

In this arm, the 20 CHCs will offer Alive & Thrive branded franchise services with enhanced quality of IYCF counseling through interpersonal contact between health workers at the commune level and clients who use the commune health services. In addition, the clients could also be exposed to the mass media campaign.

Behavioral: Standard government health services

This intervention will be basic preventive and curative health services provided by the commune health centers. This includes antenatal care, postnatal care and basic nutrition related counseling.

Behavioral: Alive & Thrive IYCF franchise services

This intervention includes intensive behavioral counseling to improve infant and young child feeding. A package of 15 counseling contacts that are quality assured and branded will be offered to families of infants and young children. Services might also include user fees.

Behavioral: Mass media campaign

Alive & Thrive is implementing a nationwide mass media campaign in 2011, 2012 and 2013, with a focus on improving breastfeeding practices. The mass media intervention includes TV and radio spots as well as an internet site and a telephone hotline.

Eligibility

Ages Eligible for Study:	up to 60 Months
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Children 0-60 months of age

Exclusion Criteria:

None

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01676623

Contacts

Contact: Purnima Menon, PhD	+919971911164	p.menon@cgiar.org
Contact: Rahul Rawat, PhD	+12028626493	r.rawat@cgiar.org

Locations

Vietnam
Alive & Thrive & International Food Policy Research Institute	Recruiting
Hanoi, Vietnam
Contact: Phuong Nguyen, PhD p.h.nguyen@cgiar.org
Principal Investigator: Phuong Nguyen, PhD
Sub-Investigator: Nguyen D Minh, PhD

Sponsors and Collaborators

International Food Policy Research Institute

Institute of Social and Medical Studies, Hanoi, Vietnam

FHI 360

Investigators

Principal Investigator:	Purnima Menon, PhD	International Food Policy Research Institute
Principal Investigator:	Rahul Rawat, PhD	International Food Policy Research Institute
Principal Investigator:	Phuong Nguyen, PhD	International Food Policy Research Institute
Principal Investigator:	Marie T Ruel, PhD	International Food Policy Research Institute

More Information

Additional Information:

Alive & Thrive's overall web page. Includes description of Vietnam program. This link exits the ClinicalTrials.gov site

No publications provided

Responsible Party:	International Food Policy Research Institute
ClinicalTrials.gov Identifier:	NCT01676623 History of Changes
Other Study ID Numbers:	IFPRI-S-01 (2)
Study First Received:	August 29, 2012
Last Updated:	August 30, 2012
Health Authority:	United States: Institutional Review Board

Keywords provided by International Food Policy Research Institute:

Child nutrition
Stunting
Exclusive breastfeeding
Complementary feeding

Social franchise
Mass media
Counseling
Facility-based

Additional relevant MeSH terms:

Nicotine
Nicotine polacrilex
Ganglionic Stimulants
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Pharmacologic Actions
Nicotinic Agonists

Cholinergic Agonists
Cholinergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Central Nervous System Stimulants
Central Nervous System Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on May 22, 2013