{"doc_desc":{"title":"MIYCN_final_0317","idno":"APHRC-MIYCN-2014-1.1","producers":[{"name":"African Population and Health Research Center","abbreviation":"APHRC","affiliation":"","role":"Metadata Producer"}],"prod_date":"2014-12-12","version_statement":{"version":"Version 1.1"}},"study_desc":{"title_statement":{"idno":"APHRC-MIYCN-2014-1.1","title":"Maternal, Infant and Young Child Nutrition","sub_title":"Effectiveness of Personalized Home based Nutritional counselling on Infant feeding practices in Urban Informal Settlements, Nairobi, Kenya","alt_title":"MIYCN"},"authoring_entity":[{"name":"African Population and Health Reseach Center","affiliation":"APHRC"}],"oth_id":[{"name":"The William and Flora Hewlett Foundation","affiliation":"","email":"","role":"Core funding for APHRC"},{"name":"The Swedish International Cooperation Agency (SIDA)","affiliation":"","email":"","role":"Core funding for APHRC"},{"name":"The Bill and Melinda Gates Foundation","affiliation":"","email":"","role":"Funding for the NUHDSS "},{"name":"The Division of Nutrition and the Division of Community Health Services of the Ministry of Health, Kenya","affiliation":"","email":"","role":"Guidance in the design of the intervention and support of the implementation "},{"name":"UNICEF","affiliation":"","email":"","role":"Guidance in the design of this study"},{"name":"Urban Nutrition Working Group in Kenya","affiliation":"","email":"","role":"Guidance in the design of this study"},{"name":"The APHRC Research Staff","affiliation":"","email":"","role":"Offer  technical support in the design of the study"}],"production_statement":{"producers":[{"name":"Dr. Elizabeth Kimani-Murage","affiliation":"African Population and Health Reseach Center","role":"Primary Investigator"},{"name":"Dr. Alex Ezeh","affiliation":"African Population and Health Reseach Center","role":""},{"name":"Dr. Catherine Kyobutungi","affiliation":"African Population and Health Reseach Center","role":""},{"name":"Dr. Nyovani Madise","affiliation":"University of Southampton, UK","role":""},{"name":"Paula Griffiths","affiliation":"Loughborough University, UK","role":""},{"name":"Prof Rachel Musoke","affiliation":"University of Nairobi, Kenya","role":""},{"name":"Victor Owino","affiliation":"UC-Davis, Kenya","role":""},{"name":"Shane Norris","affiliation":"University of the Witwatersrand, South Africa","role":""},{"name":"Fredrick Wekesah","affiliation":"African Population and Health Reseach Center","role":""},{"name":"Nelson Muhia","affiliation":"African Population and Health Reseach Center","role":""},{"name":"Milka Njeri","affiliation":"African Population and Health Reseach Center","role":""},{"name":"Thaddaeus Egondi","affiliation":"African Population and Health Reseach Center","role":""}],"copyright":"\u00a9 APHRC, 2015","funding_agencies":[{"name":"Wellcome Trust","abbreviation":"WT","role":"Funder"}],"grant_no":"Grant # 097146\/Z\/11\/Z."},"series_statement":{"series_name":"Follow Up Study","series_info":"Quantitative data will be collected from all mother-child pairs in both intervention and control arms. Data will include:\n\no  Pre-intervention and Baseline information on knowledge, attitudes and practices (KAPs) on MIYCN and socio-demographic characteristics at recruitment\n\no  During intervention KAPs on MIYCN every month during pregnancy\n\no  Breastfeeding and complementary feeding practices, anthropometric measurements (weight & length) and diarrhea morbidity in the preceding two weeks collected every 2 months during infancy. \n\no  Satisfaction with intervention, challenges and enabling factors from mothers and CHWs' perspective. \n\nContextual data including morbidity from common childhood illnesses, antenatal care, place of delivery, and vaccination and household food security data will also be collected. Household SES and will be extracted from NUHDSS."},"version_statement":{"version_date":"2015-09-03","version_notes":"Version 1.0 (September 2015): Datasets edited and anonymised."},"holdings":[{"text":"","location":"","callno":"","uri":"doi:10.20369\/aphrc-032:2015.1.01"}],"study_info":{"keywords":[{"keyword":"KAPs","vocab":"","uri":""},{"keyword":"Breastfeeding","vocab":"","uri":""},{"keyword":"Exclusive Breastfeeding","vocab":"","uri":""},{"keyword":"Complementary Feeding","vocab":"","uri":""},{"keyword":"Vaccination","vocab":"","uri":""},{"keyword":"Child Growth","vocab":"","uri":""}],"abstract":"The WHO recommends exclusive breastfeeding in the first six months of an infant's life, to meet their nutritional requirements and achieve optimal growth, development and health. The WHO also recommends introducing appropriate complementary feeds at six months, with continued breastfeeding up to two years or beyond.  Poor infant and young child feeding (IYCF) practices are widely documented in developing countries including Kenya, where only one-third of children are exclusively breastfed for six months. The Kenyan government developed a strategy to promote optimal IYCF practices in 2007, actualized mainly through the baby-friendly hospital initiative (BFHI) in public health facilities. Urban informal settlements, where most urban residents in Kenya live, present unique challenges to actualizing the strategy. The near absence of public facilities in these settlements means they are systematically excluded from such initiatives. Very poor IYCF practices and high levels of malnutrition characterize these settings; for example only 2% of infants under six months are exclusively breastfed, while 40% of children 0-42 months are malnourished. Innovative strategies to reach residents of urban informal settlements are therefore needed. We propose to assess the effectiveness of a community-based intervention on IYCF practices and nutritional status of Kenyan children living in two urban informal settlements in Nairobi: Korogocho and Viwandani. The study, funded by the Wellcome Trust will run for a period of three years, starting March 2012.","coll_dates":[{"start":"2012-09-04","end":"2015-02-02","cycle":""}],"nation":[{"name":"KENYA","abbreviation":"KEN"}],"geog_coverage":"Korogocho and Viwandani, the Nairobi Urban Health and Demographic Surveillance Study Site in Nairobi County","analysis_unit":"Household, Woman and child","universe":"The study will recruit pregnant women aged 12-49 years and follow them up to the point of giving birth and follow the mother\/child pair until the end of infancy. Data on food security and SES will also be collected from the households they are part of.","notes":"The study deploys a set of xx questionnaires that collects prospective data from the recruited woman from pregnancy to the end of infancy for the child. Socio-demographic data is collected at baseline and revised as appropriate prospectively. KAPS on MIYCN data is also collected prospectively on every round as appropriate. SES, food security, household hygiene including WASH profiles, health seeking behaviors, vaccination and child morbidity episodes are also collected. Anthropometric measurements are taken from the mother or mother\/child pair on every visit.","study_scope":"The study deploys a set of xx questionnaires that collects prospective data from the recruited woman from pregnancy to the end of infancy for the child. Socio-demographic data is collected at baseline and revised as appropriate prospectively. KAPS on MIYCN data is also collected prospectively on every round as appropriate. SES, food security, household hygiene including WASH profiles, health seeking behaviors, vaccination and child morbidity episodes are also collected. Anthropometric measurements are taken from the mother or mother\/child pair on every visit."},"method":{"data_collection":{"sampling_procedure":"The study adopts a cluster-randomized trial design, with block randomization at village level, with half of the villages in Korogocho and Viwandani allocated to the intervention and the other half to the control arm. Block randomization is preferred over individual-level randomization to minimize contamination. Recruitment of participants is done through routine NUHDSS rounds whereby pregnancy registration is done for female residents aged 12-49 years in each household. This will be complimented by community informants to ensure high coverage. All pregnant women in each village in the two study slums will be recruited to the study until the desired sample size of 800 (approx. 400 in each site and in each arm) is achieved.","sampling_deviation":"No deviation","coll_mode":"Face-to-face [f2f]","research_instrument":"All questionnaires (including on household characteristics and food security and hygiene) are administered to the mother being followed up.  \t\n\nBaseline Questionnaire - socio-demographic characteristics, KAPs on MIYCN Pre-birth questionnaire - Maternal nutrition, KAPs on MIYCN, ANC attendance  Post birth 1 questionnaire - Initiation of BF, birth weight, Post natal care Post birth 2 questionnaire - exclusive breastfeeding, baby milestones, vaccination  Post birth 3 questionnaire - exclusive breastfeeding, continued breastfeeding, complementary feeding, vaccination  Post birth 4 questionnaire (end line) questionnaire - recap of the infancy period, BF, CF and vaccination, contraceptive use Post infancy questionnaire - continued breastfeeding, complementary feeding Household food security - food security  Household hygiene questionnaire - WASH and feeding environment  Anthropometric questionnaire - height, length, weight and BP readings for mother and child","act_min":"The Project Manager is in charge of overall supervision. The Research officer managed the whole process of data collection and supervision of data collectors assisted by a research assistant. The field data collectors were led by a team leader who was in charge of planning, allocating workload and checking data quality issues as well as reporting in the progress of data collection and issues affecting the team and the process of data collection. The research assistant assisted the data collector is addressing data issues that required clarifications by liaising with the field team through their team leader.","weight":"None","cleaning_operations":"Data was collected using electronic programs in netbooks that had internal constraints which helped in data consistency and accuracy. The field team leader reviewed all records collected by the data collectors immediately following the completion of the data collection of the records and raised issues with the data collectors for clarification. The research assistant reviewed 5% of records submitted and raised emerging issues for clarification by the team leader. In case an issue was not clear, call backs were made to the respondents to confirm the information."}},"data_access":{"dataset_use":{"contact":[{"name":"Head, Statistics and Survey Unit","affiliation":"APHRC","email":"datarequests@aphrc.org","uri":"www.aphrc.org"}],"cit_req":"African Population and Health Research Center, Maternal, Infant and Young Child Nutrition. Effectiveness of Personalized Home based Nutritional counselling on Infant feeding practices in Urban Informal Settlements - Nairobi, Kenya, June 2014. APHRC, Nairobi - Kenya. doi:11239\/176-2015-034-1.0","deposit_req":"The user should submit electronic and paper copies of all publications generated using APHRC data to the Policy Engagement and Communications Department - info@aphrc.org, with copies to the Director of Research.","conditions":"All non-APHRC staff seeking to use data generated at the Center must obtain written approval to use the data from the Director of Research. This form is developed to assess applications for data use and facilitate responsible sharing of data with external partners\/collaborators\/researchers. By entering into this agreement, the undersigned agrees to use these data only for the purpose for which they were obtained (as outlined on this form) and to abide by the conditions outlined below:\n\n1.\tData Ownership: The data remain the property of APHRC; any unauthorized reproduction and sharing of the data is strictly prohibited. The user will, therefore, not release nor permit others to use or release the data to any other person without the written authorization from the Center.\n\n2.\tPurpose: The provided data must be used for the purpose specified in the Data Request Form; any other use not specified in the form must receive additional or separate authorization.\n\n3.\tRespondent Identifiers: The Center is committed to protecting the identity of the respondents who provide information in its research. All analytical data sets (both qualitative and quantitative) released by the Data Unit MUST are stripped of respondent identifiers to protect the identity of the respondents. By accepting to use APHRC data, the user is pledging that he\/she will not, under any circumstance, regenerate the identifiers or permit others to use the data to learn the identity of any individual, household or community included in any data set.\n\n4.\tConfidentiality pledge: The user will not use nor permit others to use the data to report any information in the data sets that could identify, directly or by inference, individuals or households.\n\n5.\tReporting of errors or inconsistencies: The user will promptly notify the Head of the Statistics and Survey Unit any errors discovered in the data as soon as the errors are discovered.\n\n6.\tPublications resulting from APHRC data: The Center requires external collaborators to work with APHRC staff on all publications resulting from its data. In order to facilitate this, lead authors should send a detailed concept note of the paper (including the background, rationale, data, analytical methods, and preliminary findings) to the Principle Investigator (or Theme Leader) for the project (with a copy to the Director of Research), who will circulate the abstract to concerned researchers for possible expression of interest in participating in the publication as co-authors. Any exception to the involvement of APHRC staff should be approved by the Director of Research, APHRC.\n\n7.\tSecurity: The user will take responsibility for the security of the data by ensuring that the data are used and stored in a secure environment where access is password protected. This will ensure that non-authorized people should not have access to the data.\n\n8.\tLoss of privilege to use data: In the event that APHRC determines that the data user is in violation of the conditions for using the data, or if the user wishes to cancel this agreement, the user will destroy the data files provided to him\/her. APHRC retains the right to revoke this agreement or informs publishers to withhold publication of any work based wholly or in part on its data if the conditions for using the data are violated.\n\n9.\tAcknowledgement: Any work\/reports from this data must acknowledge APHRC as the source of these data. For example, the suggested acknowledgement for NUHDSS data is: \n\n\"This research uses livelihoods data collected under the longitudinal Nairobi Urban Health and Demographic Surveillance System (NUHDSS) since 2006. The NUHDSS is carried out by the African Population and Health Research Center in two slums settlements (Korogocho and Viwandani) in Nairobi City.\"\n\nAdditionally all funders, the study communities that provided the data, and staff who collected and analyzed or processed the data should be acknowledged.\n\n10.\tDeposit of Reports\/Papers: The user should submit electronic and paper copies of all publications generated using APHRC data to the Policy Engagement and Communications Department, with copies to the Director of Research.\n\n11.\tChange of contact details: The user will promptly inform the Director of Research of any change in your personal details as contained on this data request form.","disclaimer":"The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses."}}}}