Mixed-methods, descriptive and observational cohort study examining feeding and growth patterns among low birthweight infants in India, Malawi and Tanzania: the LIFE study protocol

Introduction Ending preventable deaths of newborns and children under 5 will not be possible without evidence-based strategies addressing the health and care of low birthweight (LBW, <2.5 kg) infants. The majority of LBW infants are born in low- and middle-income countries (LMICs) and account...

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Main Authors: Christopher R Sudfeld, Karim Manji, Rodrick Kisenge, Tisungane Mvalo, Melda Phiri, Christopher Duggan, Lauren Spigel, Anne CC Lee, Bethany A Caruso, Laura Subramanian, Megan Marx Delaney, Shivaprasad S Goudar, Linda Vesel, Katherine EA Semrau, Irving F Hoffman, Melissa Young, Friday Saidi, Jnanindra Nath Behera, Roopa M Bellad, Leena Das, Sangappa Dhaded, Gowdar Guruprasad, Sujata Misra, Sanghamitra Panda, Latha G Shamanur, Sunil S Vernekar, Sarah Somji, Linda Adair, Kiersten Israel-Ballard, Stephanie L Martin, Kimberly L Mansen, Krysten North, Emily Benotti, Eliza Fishman, Katelyn Fleming, Natalie Henrich, Kate Miller, Danielle E Tuller
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Language:English
Published: BMJ Publishing Group 2021-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/12/e048216.full
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author Christopher R Sudfeld
Karim Manji
Rodrick Kisenge
Tisungane Mvalo
Melda Phiri
Christopher Duggan
Lauren Spigel
Anne CC Lee
Bethany A Caruso
Laura Subramanian
Megan Marx Delaney
Shivaprasad S Goudar
Linda Vesel
Katherine EA Semrau
Irving F Hoffman
Melissa Young
Friday Saidi
Jnanindra Nath Behera
Roopa M Bellad
Leena Das
Sangappa Dhaded
Gowdar Guruprasad
Sujata Misra
Sanghamitra Panda
Latha G Shamanur
Sunil S Vernekar
Sarah Somji
Linda Adair
Kiersten Israel-Ballard
Stephanie L Martin
Kimberly L Mansen
Krysten North
Emily Benotti
Eliza Fishman
Katelyn Fleming
Natalie Henrich
Kate Miller
Danielle E Tuller
author_facet Christopher R Sudfeld
Karim Manji
Rodrick Kisenge
Tisungane Mvalo
Melda Phiri
Christopher Duggan
Lauren Spigel
Anne CC Lee
Bethany A Caruso
Laura Subramanian
Megan Marx Delaney
Shivaprasad S Goudar
Linda Vesel
Katherine EA Semrau
Irving F Hoffman
Melissa Young
Friday Saidi
Jnanindra Nath Behera
Roopa M Bellad
Leena Das
Sangappa Dhaded
Gowdar Guruprasad
Sujata Misra
Sanghamitra Panda
Latha G Shamanur
Sunil S Vernekar
Sarah Somji
Linda Adair
Kiersten Israel-Ballard
Stephanie L Martin
Kimberly L Mansen
Krysten North
Emily Benotti
Eliza Fishman
Katelyn Fleming
Natalie Henrich
Kate Miller
Danielle E Tuller
author_sort Christopher R Sudfeld
collection DOAJ
description Introduction Ending preventable deaths of newborns and children under 5 will not be possible without evidence-based strategies addressing the health and care of low birthweight (LBW, <2.5 kg) infants. The majority of LBW infants are born in low- and middle-income countries (LMICs) and account for more than 60%–80% of newborn deaths. Feeding promotion tailored to meet the nutritional needs of LBW infants in LMICs may serve a crucial role in curbing newborn mortality rates and promoting growth. The Low Birthweight Infant Feeding Exploration (LIFE) study aims to establish foundational knowledge regarding optimal feeding options for LBW infants in low-resource settings throughout infancy.Methods and analysis LIFE is a formative, multisite, observational cohort study involving 12 study facilities in India, Malawi and Tanzania, and using a convergent parallel, mixed-methods design. We assess feeding patterns, growth indicators, morbidity, mortality, child development and health system inputs that facilitate or hinder care and survival of LBW infants.Ethics and dissemination This study was approved by 11 ethics committees in India, Malawi, Tanzania and the USA. The results will be disseminated through peer-reviewed publications and presentations targeting the global and local research, clinical, programme implementation and policy communities.Trial registration numbers NCT04002908 and CTRI/2019/02/017475.
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spelling doaj-art-04eff4bef7614e6baf42bf610372e4b02025-08-20T02:21:46ZengBMJ Publishing GroupBMJ Open2044-60552021-12-01111210.1136/bmjopen-2020-048216Mixed-methods, descriptive and observational cohort study examining feeding and growth patterns among low birthweight infants in India, Malawi and Tanzania: the LIFE study protocolChristopher R Sudfeld0Karim Manji1Rodrick Kisenge2Tisungane Mvalo3Melda Phiri4Christopher Duggan5Lauren Spigel6Anne CC Lee7Bethany A Caruso8Laura Subramanian9Megan Marx Delaney10Shivaprasad S Goudar11Linda Vesel12Katherine EA Semrau13Irving F Hoffman14Melissa Young15Friday Saidi16Jnanindra Nath Behera17Roopa M Bellad18Leena Das19Sangappa Dhaded20Gowdar Guruprasad21Sujata Misra22Sanghamitra Panda23Latha G Shamanur24Sunil S Vernekar25Sarah Somji26Linda Adair27Kiersten Israel-Ballard28Stephanie L Martin29Kimberly L Mansen30Krysten North31Emily Benotti32Eliza Fishman33Katelyn Fleming34Natalie Henrich35Kate Miller36Danielle E Tuller37Department of Global Health and Population and Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts, USADepartment of Pediatrics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic ofDepartment of Paediatrics and Child Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of TanzaniaDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USAUniversity of North Carolina Project Malawi, Lilongwe, MalawiCenter for Nutrition, Boston Children’s Hospital, Boston, Massachusetts, USAAriadne Labs, Harvard T.H. Chan School of Public Health / Brigham and Women`s Hospital, Boston, Massachusetts, USADepartment of Pediatric Newborn Medicine, Brigham and Womens Hospital, Boston, Massachusetts, USA2 Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USAAriadne Labs, Harvard T.H. Chan School of Public Health / Brigham and Womens Hospital, Boston, Massachusetts, USAAriadne Labs, Harvard T.H. Chan School of Public Health / Brigham and Womens Hospital, Boston, Massachusetts, USAWomen`s and Children`s Health Research Unit, KLE Academy of Higher Education and Research`s, Jawaharlal Nehru Medical College, Belgaum, Karnataka, IndiaAriadne Labs, Harvard T.H. Chan School of Public Health / Brigham and Women`s Hospital, Boston, Massachusetts, USAAriadne Labs, Harvard T.H. Chan School of Public Health / Brigham and Womens Hospital, Boston, Massachusetts, USAInstitute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USAHubert Department of Global Health, Emory University School of Public Health, Atlanta, Georgia, USAUniversity of North Carolina Project Malawi, Lilongwe, MalawiDepartment of Paediatrics, SCB Medical College and Hospital, Cuttack, Orissa, IndiaJawaharlal Nehru Medical College, KLE Academy of Higher Education and Research (Deemed-to-be-University), Belgaum, Karnataka, IndiaDepartment of Paediatrics, SCB Medical College & Hospital, Cuttack, Orissa, IndiaJawaharlal Nehru Medical College, KLE Academy of Higher Education and Research (Deemed-to-be-University), Belgaum, Karnataka, IndiaDepartment of Paediatrics, JJM Medical College, Davangere, Karnataka, IndiaDepartment of Paediatrics, SCB Medical College & Hospital, Cuttack, Orissa, IndiaDepartment of Paediatrics, City Hospital, Cuttack, Orissa, IndiaDepartment of Paediatrics, SS Institute of Medical Sciences and Research Center, Davangere, Karnataka, IndiaJawaharlal Nehru Medical College, KLE Academy of Higher Education and Research (Deemed-to-be-University), Belgaum, Karnataka, IndiaCenter for Child, Adolescent, and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere, FinlandDepartment of Nutrition, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill, North Carolina, USAMaternal, Newborn, Child Health and Nutrition Program, PATH, Seattle, Washington, USADepartment of Nutrition, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill, North Carolina, USAMaternal, Newborn, Child Health and Nutrition Program, PATH, Seattle, Washington, USADepartment of Pediatric Newborn Medicine, Brigham and Women`s Hospital, Boston, Massachusetts, USAAriadne Labs, Harvard T.H. Chan School of Public Health / Brigham and Womens Hospital, Boston, Massachusetts, USAAriadne Labs, Harvard T.H. Chan School of Public Health / Brigham and Women`s Hospital, Boston, Massachusetts, USAAriadne Labs, Harvard T.H. Chan School of Public Health / Brigham and Women`s Hospital, Boston, Massachusetts, USAAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USAAriadne Labs, Harvard T.H. Chan School of Public Health / Brigham and Womens Hospital, Boston, Massachusetts, USA2 Ariadne Labs, Brigham and Women`s Hospital and T. H. Chan School of Public Health, Boston, Massachusetts, USAIntroduction Ending preventable deaths of newborns and children under 5 will not be possible without evidence-based strategies addressing the health and care of low birthweight (LBW, <2.5 kg) infants. The majority of LBW infants are born in low- and middle-income countries (LMICs) and account for more than 60%–80% of newborn deaths. Feeding promotion tailored to meet the nutritional needs of LBW infants in LMICs may serve a crucial role in curbing newborn mortality rates and promoting growth. The Low Birthweight Infant Feeding Exploration (LIFE) study aims to establish foundational knowledge regarding optimal feeding options for LBW infants in low-resource settings throughout infancy.Methods and analysis LIFE is a formative, multisite, observational cohort study involving 12 study facilities in India, Malawi and Tanzania, and using a convergent parallel, mixed-methods design. We assess feeding patterns, growth indicators, morbidity, mortality, child development and health system inputs that facilitate or hinder care and survival of LBW infants.Ethics and dissemination This study was approved by 11 ethics committees in India, Malawi, Tanzania and the USA. The results will be disseminated through peer-reviewed publications and presentations targeting the global and local research, clinical, programme implementation and policy communities.Trial registration numbers NCT04002908 and CTRI/2019/02/017475.https://bmjopen.bmj.com/content/11/12/e048216.full
spellingShingle Christopher R Sudfeld
Karim Manji
Rodrick Kisenge
Tisungane Mvalo
Melda Phiri
Christopher Duggan
Lauren Spigel
Anne CC Lee
Bethany A Caruso
Laura Subramanian
Megan Marx Delaney
Shivaprasad S Goudar
Linda Vesel
Katherine EA Semrau
Irving F Hoffman
Melissa Young
Friday Saidi
Jnanindra Nath Behera
Roopa M Bellad
Leena Das
Sangappa Dhaded
Gowdar Guruprasad
Sujata Misra
Sanghamitra Panda
Latha G Shamanur
Sunil S Vernekar
Sarah Somji
Linda Adair
Kiersten Israel-Ballard
Stephanie L Martin
Kimberly L Mansen
Krysten North
Emily Benotti
Eliza Fishman
Katelyn Fleming
Natalie Henrich
Kate Miller
Danielle E Tuller
Mixed-methods, descriptive and observational cohort study examining feeding and growth patterns among low birthweight infants in India, Malawi and Tanzania: the LIFE study protocol
BMJ Open
title Mixed-methods, descriptive and observational cohort study examining feeding and growth patterns among low birthweight infants in India, Malawi and Tanzania: the LIFE study protocol
title_full Mixed-methods, descriptive and observational cohort study examining feeding and growth patterns among low birthweight infants in India, Malawi and Tanzania: the LIFE study protocol
title_fullStr Mixed-methods, descriptive and observational cohort study examining feeding and growth patterns among low birthweight infants in India, Malawi and Tanzania: the LIFE study protocol
title_full_unstemmed Mixed-methods, descriptive and observational cohort study examining feeding and growth patterns among low birthweight infants in India, Malawi and Tanzania: the LIFE study protocol
title_short Mixed-methods, descriptive and observational cohort study examining feeding and growth patterns among low birthweight infants in India, Malawi and Tanzania: the LIFE study protocol
title_sort mixed methods descriptive and observational cohort study examining feeding and growth patterns among low birthweight infants in india malawi and tanzania the life study protocol
url https://bmjopen.bmj.com/content/11/12/e048216.full
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