Building Capacity for Sustainable Livelihoods and Health Through Public-private Linkages in Agriculture and Health Systems
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3,390
- 试验地点
- 4
- 主要终点
- Dietary diversity
研究概览
简要总结
Despite recent economic growth in Ghana, the prevalence of childhood malnutrition remains high. Wasting prevalence affected 29% among 6- to 8-months-old infants in 2008. Poor nutrition contributes to about one-third of child mortality, diminishes cognitive development, and is a major determinant of maternal mortality. The specific objectives of the 5-year project are to: (1) enhance human capacity of government, civil, and private institutions through improvement of knowledge and skills of personnel in agriculture, nutrition and health, entrepreneurship, and pedagogy; (2) identify information needs of local institutions that are not presently met and develop a representative and sustainable longitudinal data system to support evidence-based decision-making in programs; (3) increase vulnerable households' access to quality services in agriculture/fisheries, nutrition and health, and finance; (4) implement integrated intervention activities to improve infant and young child and adolescent nutrition outcomes; and (5) examine differential benefits of the interventions for diverse vulnerable populations. The project comprises two major activities: part I - the creation of a longitudinal data system to support evidence-based decision-making in programs, and part II - the implementation of intervention activities to improve nutrition outcomes.
The survey will include demographic, socioeconomic, health, diet, and nutritional status information collected annually from a representative same of 1500 households with infants (0-12 mo) and 1500 households with adolescents (9-12 y). The data will be analyzed and presented rapidly each year to district program and policy leaders to assist them in developing their activity plans for the following year.
详细描述
This study will develop a district-level intervention package that builds capacity of local institutions to improve economic well-being, food security, health and social and cognitive development of populations living in rural Upper Manya Krobo District (UMKD) of Ghana. The UMKD Geographic Information Systems Registry estimates a rural population of 74,290 in 190 communities.
Selection process:
- Of those UMKD communities that are accessible, 136 communities will be randomly selected.
- All households with infants 0-12 mo of age in a village will be invited to be enrolled. We will continue to enroll households until we reach our sample size of 1500 households. If necessary, we will expand our number of sampled communities.
- All households with adolescents 10-15 y of age in a village, who are not part of the infant cohort, will be invited to be enrolled. We will continue to enroll households until we reach our sample size of 1500 households.
Enrollment The survey will be carried out over one day for each community. The field staff will briefly explain the purpose and study activity to the caregiver (parent or legal guardian who is responsible for the child) of the target child. If the caregiver is interested in participating, they will be given the consent form to read, or if illiterate, the consent form will be read to them. They will be given time to ask questions and decide if they wish to participate. For those who consent, they will sign the consent form or provide their finger print as proof of consent. Adolescents will be asked to provide assent. Only once consent (and assent for adolescents) is obtained, will the field staff begin the survey.
Data collection
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 1 Day 至 15 Years(Child)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •household with infant < 12 mo or adolescent 10-15 y
- •Living in selected communities of Upper Manya Krobo District (Ghana)
排除标准
- •infant or adolescent has medical condition that limits dietary intakes or growth
研究组 & 干预措施
Nutrition and agriculture
Intervention arm with integrated nutrition and agriculture education, skill building, and animal husbandry promotion
干预措施: Nutrition and agriculture (Behavioral)
Iron-rich food & business literacy
Integrated business literacy and food supplementation program to promote school retention among female adolescents
干预措施: Iron-rich food & business literacy (Behavioral)
IYC Comparison
Comparison group of infants and young children for the nutrition-agriculture intervention
Adolescent comparison
Comparison group for the adolescent business-food supplement intervention
结局指标
主要结局
Dietary diversity
时间窗: At enrollment and every 12 months for 5 years
Dietary diversity of infants and young children, based on the World Health Organization's 7 food group list. This will be assessed at enrollment (which 0-11.9 mo of age) and then every 12 months for 5 years.
Anemia prevalence
时间窗: at enrollment and every 12 months for 4 years
Anemia prevalence in adolescent girls will be assessed at enrollment and every 12 months for 4 years
次要结局
- Wasting prevalence(at enrollment and every 12 months for 5 years)
研究者
Grace S. Marquis
Associate Professor, Canadian Research Chair in Social and Environmental Aspects of Nutrition
McGill University
