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
Linda Vesel, Lauren Spigel, Jnanindra Nath Behera, Roopa Bellad, Leena Das, Sangappa Dhaded, Shivaprasad S. Goudar, Gowdar Guruprasad, Sujata Misra, Sanghamitra Panda, Latha G Shamanur, Sunil S. Vernekar, Irving Hoffman, Tisungane Mvalo, Melda Phiri, Friday Saidi, Rodrick Kisenge, Karim Manji, Nahya Salim, Sarah Somji, Christopher R. Sudfeld, Linda S. Adair, Bethany A. Caruso, Christopher Duggan, Kiersten Israel‐Ballard, Anne CC Lee, Stephanie Martin, Kimberly Mansen, Krysten North, Melissa Young, Emily Benotti, Megan Marx Delaney, Eliza Fishman, Katelyn Fleming, Natalie Henrich, Kate Miller, Laura Subramanian, Danielle E Tuller, Katherine Semrau
Abstract
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.