Health Behavior Clinical Trial
Official title:
Evaluation of Integrated Agriculture and Nutrition Sensitive Interventions for the African Chicken Genetic Gains (ACGG) Program in Ethiopia
This study aims at evaluating the impact of integrating nutrition sensitive behavioral change communication (BCC) in the context of increased household production of chicken and eggs on women and children diet.
The Agriculture to Nutrition (ATONU) Project, led by the Food, Agriculture and Natural
Resources Policy Analysis Network (FANRPAN), aims to develop, implement, and evaluate
nutrition-sensitive interventions within the context of existing agricultural programs with
the goal of improving the nutritional status of women of reproductive age and young children,
particularly in the first 1000 days of life. Specifically, ATONU will implement a nutrition
sensitive intervention in collaboration with the ACGG Program. ACGG is evaluating the
agricultural productivity of high-producing chicken genotypes in Ethiopia and will be
providing 20-30 chickens to small-scale chicken-producing households for an 18-month on-farm
evaluation. These households will also be provided with regular technical input on good
chicken production practices, and ACGG investigators will aim to reach women as well as men
in participating households.
ATONU will implement an additional nutrition-sensitive intervention among ACGG households
that will use behavior change communication (BCC) to encourage consumption of chicken
products (meat and eggs); good water, sanitation, and hygiene (WASH) practices in poultry
production; use of income from sale of chicken products to improve nutrition; empowerment of
women in decision-making around chicken production and sale; and home gardening of
nutrient-dense vegetables to improve dietary quality within the household. Qualitative work
is supporting development of this intervention.
ACGG's intervention to increase chicken production may improve the nutritional status of
women and children through increasing access to chicken meat and eggs for household
consumption and empowering women by giving them access to income, which could be used for
purchase of other nutrient-dense foods. However, increasing production and income alone may
not necessarily translate into improved diets or nutritional outcomes. ATONU's intervention
will specifically encourage the use of chicken products and income to provide nutritious
diets for women of reproductive age, emancipated minors and young children through extensive
nutrition behavior change communication. Further, recognizing that lack of availability of
nutrient-dense foods in local markets may be an important barrier to a diverse and nutritious
diet, the home gardening component of ATONU's intervention seeks to increase the availability
of nutrient-dense vegetables at household level.
The ACGG program is operating in diverse agroecologies in Ethiopia. Within its target areas,
the program listed villages in which chicken production was an important activity and, from
this list, randomly selected villages in which to implement its intervention. In a subset of
these ACGG villages, ATONU will implement its intervention. As a result, there will be two
groups of ACGG villages: those receiving only the poultry production intervention, and those
receiving the poultry production intervention coupled with ATONU's nutrition-sensitive
intervention. Allocation of ACGG villages to one of these two groups will be done randomly.
Investigators will evaluate the nutritional impact of these two interventions among
smallholder chicken-producing households in Ethiopia. Specifically, investigators will use
the two groups of villages described above and a third group of ACGG-eligible villages that
ACGG did not choose for intervention to conduct a cluster-randomized controlled trial with
the goal of evaluating the effect of the ACGG and ATONU interventions on maternal and child
diets, nutritional status, and health.
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