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Table 4 Data collection outline

From: Feasibility and effectiveness of the baby friendly community initiative in rural Kenya: study protocol for a randomized controlled trial

Formative study
Study objective Data/variables Method
 1. To establish local contexts and norms, which influence Maternal, Infant and Young Child Nutrition (MIYCN) practices in order to tailor the intervention package to the local communities Attitudes and practices regarding breastfeeding and other MIYCN practices; cultural and social factors and norms that influence MIYCN Focus group discussions (FGDs) with community members (women and men and community health workers); key informant interviews (KIIs) with key informants including community administrators and other leaders (e.g. religious group leaders), traditional birth attendants (TBAs); KIIs with facility health workers, CHWs and Sub-County Health Management (ScHMT) team
 2. To identify enabling factors and barriers that may influence the implementation of BFCI and potential ways of addressing them Key players and structures in the community that would facilitate implementation of BFCI (key influential people in the community, community resource persons that would be involved in the implementation of the project, other useful community resources); factors (e.g. socioeconomic, maternal age, social/family support) that influence uptake of interventions in the community; any potential hindrances to the success of the intervention (e.g. myths, beliefs) Key informant interviews (KIIs) with key informants including community administrators and other leaders (e.g. religious group leaders), traditional birth attendants (TBAs); KIIs with facility health workers, CHWs and (ScHMT) team, FGDs with mothers and fathers
Cluster randomized trial
Study objective Variable/Data Methods
Primary objective
 1. To determine the effectiveness of the BFCI on the rates of exclusive breastfeeding for the first 6 months Duration of exclusive breastfeeding as a derived variable: age of child, current status of breastfeeding (exclusive, mixed feeding, not breastfeeding) with probes on the age at introduction of other foods or liquids (if appropriate), and a 24-hour recall feeding question Quantitative: questionnaires to mothers and 24-hour recall at 2, 4 and 6 months;
Secondary objectives
 2. To determine the effectiveness of the BFCI on breastfeeding and other MIYCN knowledge, attitudes and practices Breastfeeding and other MIYCN knowledge, attitudes and practices including breast positioning attachment, and frequency of feeding Quantitative: questionnaires to mothers (at baseline and end-line)
 3. To determine the effectiveness of the BFCI on rate of initiation of breastfeeding within the first hour of birth Timing of initiation of breastfeeding with specific prompts on whether infant was put to breast immediately, within 1 hour or later, reasons for the delay in initiation of breastfeeding Quantitative data gathered from interviews with mothers within 2 months of the birth of the child
 4. To determine the effectiveness of the BFCI on nutritional and health status of children aged 6 months and below. Anthropometric measurements including MUAC, weight and length morbidity from diarrhea using 14- day recall Quantitative: using questionnaires, MUAC tapes, electronic weighing scale and measuring board at 2, 4 and 6 months
 5. To determine satisfaction with the intervention, and the enabling factors/barriers associated with the implementation of the BCFI Facilitating factors and barriers associated with intervention; Client satisfaction, experiences with intervention and with the processes of delivering it Quantitative data: Likert scale (satisfaction) at end-line Qualitative: interviews with mothers, community opinion leaders, HWs and CHWs (experiences, facilitating factors and barriers) at midline and end-line
  1. BFCI Baby Friendly Community Initiative, CHWs community health workers, HWs health workers, MUAC mid-upper arm circumference