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Adolescent Nutrition in Girls in Burkina Faso and Ethiopia

Not Applicable
Recruiting
Conditions
Nutrition Deficiency Due to Insufficient Food
Interventions
Dietary Supplement: Multiple Micronutrient supplement
Dietary Supplement: BEP supplement
Registration Number
NCT06444555
Lead Sponsor
University Ghent
Brief Summary

Adolescents' diets are key to breaking the intergenerational cycle of malnutrition. This study will guide policies and programs on the adequacy, acceptability, and feasibility of implementing balanced energy protein and multiple micronutrient supplementations to fill nutrient gaps in adolescent girls. Using a trial, the study will assess dietary intake and nutrient gaps, acceptability of balanced energy protein and multiple micronutrient supplementations. In addition to the trial, the study will the assess willingness to pay for the supplements and the most effective delivery platform and model to reach vulnerable adolescent girls. The most effective delivery platform and model to reach vulnerable adolescent girls cost-effectively will also be assessed through interviews with (inter)national experts, producers, and the donor community.

Detailed Description

In low- and middle-income countries, it is estimated that each year, 21 million adolescent girls become mothers. Infants of adolescent mothers are at increased risk of delivering babies preterm, with low birth weight or length. Targeting nutrition interventions to improve adolescent girls' diet and nutrition is crucial to breaking the intergenerational cycle of poor growth and development. There is a specific need to assess how a balanced energy protein (BEP) and multiple micronutrient (MMN) supplement interventions can be tailored to adolescent girls and women of reproductive age.

This study aims to assess the adequacy, acceptability, and feasibility of implementing nutritional supplementations to fill nutrient gaps in adolescent girls in resource-limited settings. A trial will specifically:

1. assess the short-term acceptability of BEP and MMN supplements

2. assess how nutrition supplements increase nutrient adequacy of diets adolescent girls in resources-limited settings;

Using a qualitative component, the study explores the food agency of adolescents and the most effective delivery platform to reach vulnerable adolescent girls cost-effectively. The overall aim is to guide policies and programs on new formulations of nutritional supplements for adolescent girls in resource-limited settings.

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
400
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Multiple Micronutrient SupplementMultiple Micronutrient supplementThe United Nations International Multiple Micronutrient Antenatal Preparation (UNIMMAP).
Balanced Energy Protein SupplementBEP supplementFortified lipid-based nutrient supplement
Primary Outcome Measures
NameTimeMethod
Nutritional adequacyDay 8 (after 7 days of consumption)

Mean nutrient adequacy ratio of adolescent diets, using 24 h recall

Acceptability of the supplementDay 8 (after 7 days of consumption)

Acceptability to the nutritional supplements, as measured using a 9-item scale (1 "Dislike extremely" up to 9 "Like extremely")

Secondary Outcome Measures
NameTimeMethod
Willingness to pay for the supplementDay 8 (after 7 days of consumption)

Mean household head's willingness to pay values elicited through their bids

Nutrient intakeDay 8 (after 7 days of consumption)

Mean energy, macronutrient and micronutrient intake between the BEP and MMN group, using 24 h recall

Reported consumption of the supplementDay 8 (average of 7-day intervention)

Percent of the recommended nutritional supplement consumed during the intervention period, self-reported

Substitution of food and nutrient intakeDay 8 (after 7 days of consumption)

Substitution of food and nutrition intake at group level, using 24 h recall

Trial Locations

Locations (2)

Agence de Formation, de Recherche et d'Expertise en Santé pour l'Afrique (AFRICSanté)

🇧🇫

Bobo-Dioulasso, Burkina Faso

Addis Continental Institute of Public Health

🇪🇹

Addis Ababa, Ethiopia

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