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

This study is currently recruiting participants. (see Contacts and Locations)
Verified August 2012 by International Food Policy Research Institute
Sponsor:
Collaborators:
Institute of Social and Medical Studies, Hanoi, Vietnam
FHI 360
Information provided by (Responsible Party):
International Food Policy Research Institute
ClinicalTrials.gov Identifier:
NCT01676623
First received: August 29, 2012
Last updated: August 30, 2012
Last verified: August 2012
  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:


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.

  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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

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:
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

ClinicalTrials.gov processed this record on October 23, 2014