Determinants of infant and young complementary feeding practices among children 6-23 months of age in urban Pakistan: a multicenter longitudinal study.
Shabina Ariff, Kamran Saddiq, Javairia Khalid...
https://pubmed.ncbi.nlm.nih.gov/33323127Actively Recruiting
Phase Not Applicable
Age: 18Years - 48Years
FEMALE
Healthy Volunteers
ID05590351
Efficacy of Mobile Health Application in Promotion of Exclusive Breast Feeding and Young Child Feeding Practices in Pakistan A Randomized Controlled Trial
Led by Aga Khan University · Updated on 2026-02-12
300
Participants Needed
1
Research Sites
26 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to promote exclusive breastfeeding and young child feeding practices among pregnant women in Karachi, Pakistan, to improve child nutrition, growth, and survival. The study focuses on addressing the high rates of neonatal mortality and child malnutrition linked to suboptimal feeding habits. It evaluates the effectiveness of a mobile health (m-health) application designed to support mothers in providing better nutritional care during the first year of their child's life. The study compares two groups of near-term pregnant women who have access to smartphones. One group will use a culturally tailored m-health app called First Diet, which sends personalized weekly messages about breastfeeding and child feeding practices. The other group will receive face-to-face nutritional counseling during routine infant vaccination and growth monitoring visits. The intervention lasts from one month before delivery until the child's first birthday. Participants will be followed for one year, with assessments including infant feeding measures such as exclusive breastfeeding rates and timely introduction of solid foods. Additional evaluations cover complementary feeding practices, child growth parameters, and occurrences of respiratory infections and diarrhea. Data will be collected through questionnaires and routine health visits, with the goal of measuring improvements in feeding behaviors and child health outcomes.
CONDITIONS
Brief Title
Efficacy of Mobile Health Application in Promotion of Exclusive Breast Feeding and Young Child Feeding Practices in Pakistan
Who Can Participate
Age: 18Years - 48Years
FEMALE
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- Pregnant women in the third trimester at 36 +/- 1 week of gestation
- Planned to stay in their respective areas for at least 1 year after delivery
- Planned to get the infant immunized from the respective Family Health Center of the hospitals
- Have access to smartphones with internet connection
- Registered and planning to deliver at any of the Secondary Care Hospitals
- Can read and write in English and/or Urdu
- Consent to participate and remain in the study until the child is 1 year old
You will not qualify if you...
- High-risk pregnancy including maternal neurological, heart, autoimmune, or renal disease
- Conditions such as preeclampsia, placenta previa, multiple gestations (twins or triplets)
- Fetal structural or genetic anomalies, fetal growth restrictions
- Birth trauma requiring NICU admission
- Women who plan to move to a different location after delivery
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Until the child is 1 year old
Participants receive either a culturally appropriate m-health coaching application or face-to-face nutritional counseling to promote exclusive breastfeeding and young child feeding practices. The intervention is tailored to the woman's stage of gestation, delivery, and infant's age.
Visits coincide with routine vaccination and growth monitoring schedule of the infant
Trial Site Locations
Total: 1 location
1
The Aga Khan University
Karachi, Sindh, Pakistan, 74000
Actively Recruiting
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Research Team
R
Rozina Nuruddin, PhD
R
Rozina Nuruddin, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Published Research Related To This Trial
Malnutrition is associated with increased blood pressure in childhood.
Ricardo Sesso, Genia P Barreto, Janaina Neves...
https://pubmed.ncbi.nlm.nih.gov/15218331A Breastfeed-Promoting Mobile App Intervention: Usability and Usefulness Study.
Chih-Jau Wang, Pimwadee Chaovalit, Suporn Pongnumkul
https://pubmed.ncbi.nlm.nih.gov/29374000Factors Affecting Breastfeeding Practices in Sindh Province, Pakistan: A Secondary Analysis of Cross-Sectional Survey Data.
Jin-Won Noh, Young-Mi Kim, Nabeel Akram...
https://pubmed.ncbi.nlm.nih.gov/31091768Effect of short message service on infant feeding practice: findings from a community-based study in Shanghai, China.
Hong Jiang, Mu Li, Li Ming Wen...
https://pubmed.ncbi.nlm.nih.gov/24639004Effectiveness of a mobile health intervention on infant and young child feeding among children ≤ 24 months of age in rural Islamabad over six months duration.
Subhana Akber, Hana Mahmood, Razia Fatima...
https://pubmed.ncbi.nlm.nih.gov/31700614