Evaluating the impact of breastfeeding support and information on rates of exclusive breastfeeding among mothers in Kiambu County, Kenya

Last registered on August 03, 2020
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Pre-Trial

Trial Information

General Information

Title
Evaluating the impact of breastfeeding support and information on rates of exclusive breastfeeding among mothers in Kiambu County, Kenya
RCT ID
AEARCTR-0006126
Initial registration date
July 31, 2020

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
August 03, 2020, 12:32 PM EDT

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Locations

Country
Kenya
Region
Kiambu County

Primary Investigator

Name
Natalia Emanuel
Affiliation
Contact Primary Investigator

Other Primary Investigator(s)

PI Name
Deborah Sambu
PI Affiliation
Jacaranda Health
PI Name
Rachel Jones
PI Affiliation
Jacaranda Health
PI Name
Teresa Ogolla
PI Affiliation
Jacaranda Health
PI Name
Meghan Munson
PI Affiliation
Jacaranda Health
PI Name
Alyssa Bilinksi
PI Affiliation
Harvard Health Policy

Additional Trial Information

Status
On going
Start date
2019-12-01
End date
2020-09-01
Keywords
Gender, Labor
Additional Keywords
Breastfeeding
JEL code(s)
Secondary IDs
Abstract
The World Health Organization recommends breastfeeding until 6 months of age “to achieve optimal growth, development, and health.” Yet by five months of age only 42% of infants in Kenya are exclusively breastfed. In impoverished peri-urban communities, these rates may be much lower, with one study in Nairobi estimating a 2% rate EBF until 6 months. This study evaluates the impact of an interactive SMS intervention designed to provide information about breastfeeding and to assist women in addressing challenges that arise.
External Link(s)

Registration Citation

Citation
Bilinksi, Alyssa et al. 2020. "Evaluating the impact of breastfeeding support and information on rates of exclusive breastfeeding among mothers in Kiambu County, Kenya." AEA RCT Registry. August 03. https://doi.org/10.1257/rct.6126-1.0
Sponsors & Partners

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Experimental Details

Interventions

Intervention(s)
The intervention is a package of 26 informative and encouraging push-messages about breastfeeding and monthly responsive surveys that offer mothers an opportunity to receive additional information about common challenges such as pain while breastfeeding, concerns about low milk supply, and breastfeeding through illness.
Intervention Start Date
2019-12-01
Intervention End Date
2020-09-01

Primary Outcomes

Primary Outcomes (end points)
Our primary outcomes of interest are (1) women exclusively breastfeeding their babies, (2) women engaged in any breastfeeding at any point.
Primary Outcomes (explanation)
We measure this at 1, 4, and 6 months after birth.

Secondary Outcomes

Secondary Outcomes (end points)
We further explore engagement with the program, seeing whether the SMS intervention has differential effecs
Secondary Outcomes (explanation)

Experimental Design

Experimental Design
Women giving birth will be randomized into treatment or control. Women in the treatment group will receive both messages about breastfeeding and Jacaranda Health’s standard SMS package about postpartum care. Women in the control group will receive messages only from the standard postpartum care package.
Experimental Design Details
Randomization Method
Randomization is done by RapidPro, the platform that delivers the SMS intervention.
Randomization Unit
We randomize at the level of the individual mother.
Was the treatment clustered?
No

Experiment Characteristics

Sample size: planned number of clusters
The design is not clustered. We plan to enroll 5916 participants, of whom half will be contacted for follow up.
Sample size: planned number of observations
We plan to treat 5916 participants, half of whom will be contacted for follow up.
Sample size (or number of clusters) by treatment arms
The sample is split 50/50 to treatment and control.
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
Supporting Documents and Materials

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IRB

Institutional Review Boards (IRBs)

IRB Name
AMREF Health Africa Ethics and Scientific Review Committee
IRB Approval Date
2020-01-21
IRB Approval Number
AMREF - ESRC P656/2019
Analysis Plan

Post-Trial

Post Trial Information

Study Withdrawal

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Intervention

Is the intervention completed?
No
Data Collection Complete
Data Publication

Data Publication

Is public data available?
No

Program Files

Program Files
Reports, Papers & Other Materials

Relevant Paper(s)

Reports & Other Materials