Clinical trial Recruiting at 1 site Interventional Ages 18 to 48 Women only

Mobile app plus counseling to promote exclusive breastfeeding and healthy infant feeding in Karachi

Official title: Efficacy of Mobile Health Application in Promotion of Exclusive Breast Feeding and Young Child Feeding Practices in Pakistan: A Randomized Controlled Trial

Run by Aga Khan University · NCT05590351 · Data updated 2026-11-12

This trial will test whether a smartphone coaching app combined with face-to-face counseling helps pregnant women in Karachi exclusively breastfeed for six months and follow recommended young child feeding practices.

More Malnutrition, Child trials

Quick facts

Study typeInterventional
Ages18 Years to 48 Years
SexWomen only
Enrollment300 (estimated)
SponsorAga Khan University
Academic / other
Locations1 site (Karachi, Sindh)
StatusRecruiting
StartedFebruary 2, 2026
Main results expectedJune 2027
Study endsDecember 2027
Registry record updatedFebruary 12, 2026
Trial IDNCT05590351 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Pregnant women at about 36 weeks gestation who can read Urdu or English, have a smartphone with internet, plan to deliver at an Aga Khan secondary care hospital, and intend to stay in the area for at least one year are ideal candidates.

Probably not a fit

Women with high-risk pregnancies (e.g., major maternal disease, multiple gestation), infants needing NICU care, those without smartphone access, or those planning to move away are unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The trial enrolls pregnant women in their third trimester from Aga Khan secondary care hospitals who have a smartphone and plan to remain in the area for at least one year. Participants receive an m-health coaching application alongside face-to-face counseling delivered through affiliated Family Health Centers, with follow-up during routine vaccination and growth-monitoring visits. Primary outcomes include rates of exclusive breastfeeding and adoption of young child feeding practices, with secondary monitoring of infant growth up to one year. The intervention targets urban low- and middle-income mothers to address high local rates of stunting, underweight and wasting.

Why it matters

Potential benefit: If successful, the approach could increase exclusive breastfeeding and improve infant feeding practices, reducing early-life malnutrition and its long-term consequences.

How similar studies have gone: Previous mHealth and counseling interventions in low-resource settings have shown modest improvements in exclusive breastfeeding and complementary feeding, but results have varied by context.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Pregnant women in the third trimester at 36 +/- 1 week of gestation.
2. Planned to stay in their respective areas for at least 1 year after delivery
3. Planned to get the infant immunized from the respective FHC of the hospitals.
4. Have access to smart phones with internet connection.
5. Registered and planning to deliver to any of the Secondary Care Hospitals
6. Can read and write in local language (English and/or Urdu).
7. Consent to participate and remain in the study until 1 year of child age

Exclusion Criteria:

1. High-risk including maternal neurological/heart/ autoimmune/renal disease, preeclampsia, placenta previa, multiple gestations (twins/triplets), fetal structural/genetic anomalies, fetal growth restrictions, and birth trauma/requiring NICU admission.
2. Women who plan to move to different location after delivery

Where it's running

  • The Aga Khan University
    Karachi, Sindh, Pakistan
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.