Singida Nutrition and Agroecology Project
- Conditions
- Malnutrition
- Interventions
- Behavioral: Mentor farmer training (Malawi)Behavioral: Mentor farmer training (Singida, Tanzania)Behavioral: Mentor farmer visits and facilitation
- Registration Number
- NCT02761876
- Lead Sponsor
- Cornell University
- Brief Summary
The purpose of this study is to test if a participatory, agroecological peer farmer-led education intervention can be effective at improving legume production, food security, and infant and young child feeding practices in Singida District, Tanzania.
- Detailed Description
Approximately 40% of under five children in Tanzania are stunted, with higher levels in rural areas. Our inception research in Singida identified five pressing issues faced by smallholder farmers that may contribute to this high rate of stunting. They are (A) hierarchical, or "top down" farmer education, (B) low soil fertility and little knowledge of agroecological solutions, (C) high levels of gender inequality and high workloads for women, (D) food insecurity and low dietary diversity, and (E) sub-optimal infant and young child feeding. Singida Nutrition and Agroecology Project (SNAP) is a randomized effectiveness trial of a participatory, agroecological peer farmer education intervention. Each intervention village will choose 2 mentor farmers, 1 man and 1 woman, who will participate in a field visit to and training by existing mentor farmers in Malawi and a two week long follow-up and refresher trainings in Tanzania integrating agroecology, climate change, nutrition, and gender equality. Mentor farmers will then conduct monthly visits to participating households and support the households in conducting experimentation with agroecological practices and/or new behaviors regarding nutrition and gender equality. Quarterly meetings among mentor farmers and biannual meeting of participating farmers within each village will be held to discuss progress and challenges of peer education and household experimentations.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 700
- Are among the most vulnerable, as indicated by food insecurity
- Have a child who will be <= 1 year old in February 2016
- Are farmers who have regular access to the same farms/plots (but they do not need to own the land per se)
- Female headed households are acceptable, so long as not more than half the selected households in the village are female headed (to be able to detect change in gender equity)
- Willing to stay in study for 3 years, i.e. do not plan to move
- Interested in experimenting with new farming techniques
- Refuses to take part
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention (Participatory education) Mentor farmer visits and facilitation Participatory education Intervention (Participatory education) Mentor farmer training (Malawi) Participatory education Intervention (Participatory education) Mentor farmer training (Singida, Tanzania) Participatory education
- Primary Outcome Measures
Name Time Method Change in dietary diversity score (mean and proportion of score >4) Twice a year for the first three years of study (2016, 2017, 2018) and once in the final year (2019) As defined by World Health Organization (see Citations), this refers to the number of food groups (out of 7) consumed by children the previous day ."
- Secondary Outcome Measures
Name Time Method Change in proportion of households with severe or moderate food insecurity Twice a year for the first three years of study (2016, 2017, 2018) and once in the final year (2019) Household Food Insecurity Access Scale (HFIAS)
Change in mean child's height-for-age z-score Twice a year for the first three years of study (2016, 2017, 2018) and once in the final year (2019) According to World Health Organization growth chart
Change in proportion of children who are stunted (HAZ<-2) Twice a year for the first three years of study (2016, 2017, 2018) and once in the final year (2019) According to World Health Organization growth chart
Change in mean child's weight-for-height z-score Twice a year for the first three years of study (2016, 2017, 2018) and once in the final year (2019) According to World Health Organization growth chart
Change in proportion of children who are wasted (WHZ<-2) Twice a year for the first three years of study (2016, 2017, 2018) and once in the final year (2019) According to World Health Organization growth chart
Change in mean Food Insecurity Score Twice a year for the first three years of study (2016, 2017, 2018) and once in the final year (2019) Household Food Insecurity Access Scale (HFIAS)