Combining intensive counseling by frontline workers with a nationwide mass media campaign has large differential impacts on complementary feeding practices but not on child growth: results of a cluster-randomized program evaluation in Bangladesh

Type Journal Article - The Journal of nutrition
Title Combining intensive counseling by frontline workers with a nationwide mass media campaign has large differential impacts on complementary feeding practices but not on child growth: results of a cluster-randomized program evaluation in Bangladesh
Author(s)
Volume 146
Issue 10
Publication (Day/Month/Year) 2016
Page numbers 2075-2084
URL http://jn.nutrition.org/content/146/10/2075.full.pdf+html
Abstract
Background: Complementary feeding (CF) contributes to child growth and development, but few CF programs are
delivered at scale. Alive & Thrive addressed this in Bangladesh through intensified interpersonal counseling (IPC), mass
media (MM), and community mobilization (CM).
Objective: The objective was to evaluate the impact of providing IPC + MM + CM (intensive) compared with standard
nutrition counseling + less intensive MM + CM (nonintensive) on CF practices and anthropometric measurements.
Methods: We used a cluster-randomized, nonblinded evaluation with cross-sectional surveys [n = ;600 and 1090 children
6–23.9 mo and 24–47.9 mo/group, respectively, at baseline (2010) and n = ;500 and 1100 children of the same age,
respectively, at endline (2014)]. We derived difference-in-difference impact estimates (DDEs), adjusting for geographic
clustering, infant age, sex, differences in baseline characteristics, and differential change in characteristics over time.

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