In a rural area of Bangladesh, traditional birth attendant training improved early infant feeding practices: a pragmatic cluster randomized trial

Maternal & Child Nutrition
Shamim TalukderT Greiner

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 inte...Continue Reading

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Citations

Mar 1, 2017·The Cochrane Database of Systematic Reviews·Alison McFaddenStephen MacGillivray
Nov 9, 2016·The Cochrane Database of Systematic Reviews·Olukunmi O BalogunStephen MacGillivray
Mar 18, 2020·International Breastfeeding Journal·Kanchan Kumar SenWasimul Bari
Apr 23, 2020·Maternal & Child Nutrition·Phuong Hong NguyenEdward A Frongillo
Feb 17, 2021·BMC Pregnancy and Childbirth·Yoko ShimpukuBeatrice Mwilike

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