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Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
Published on: February 7, 2025
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Social Transfers for Exclusive Breastfeeding in Brazil: Protocol for a Randomized Controlled Trial
Stephanie Khoury1,2, Alexandra Brentani3, Helena Brentani4
1Swiss Tropical and Public Health Institute, Allschwil, Switzerland.
JMIR Research Protocols
|September 24, 2025
Summary
This study investigates if social transfers improve exclusive breastfeeding (EBF) rates in Brazil. Conditional transfers may boost EBF, potentially informing national policies for mothers.
Area of Science:
- Public Health
- Maternal and Child Nutrition
- Socioeconomic Interventions
Background:
- Exclusive breastfeeding (EBF) is recommended by WHO for infant health.
- Socioeconomic disparities impact EBF rates among low-income mothers in Brazil.
- Social transfer programs offer financial support and may improve EBF.
Purpose of the Study:
- To assess the impact of conditional and unconditional social transfers on EBF rates.
- To evaluate EBF duration in low-income communities in São Paulo, Brazil.
- To compare EBF outcomes between control, unconditional transfer, and conditional transfer groups.
Main Methods:
- A prospective randomized controlled trial (RCT) involving 400 mothers.
- Participants randomly assigned to control, unconditional, or conditional social transfer groups.
- Data collection includes questionnaires and biological samples over two years.
Main Results:
- Recruitment initiated March 2024, with 204 participants enrolled by September 2025.
- Target is 400 mother-infant dyads by October 2025.
- Study completion expected by October 2027.
Conclusions:
- The Social Transfers for Exclusive Breastfeeding in Brazil (STEBB) intervention is hypothesized to positively impact breastfeeding mothers.
- Successful outcomes could influence national policies for social support programs for new mothers.
- This study addresses a critical gap in understanding socioeconomic interventions for EBF in Brazil.
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