Building Capacity for Sustainable Livelihoods and Health
1 other identifier
interventional
3,390
2 countries
3
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2013
Longer than P75 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 27, 2013
CompletedStudy Start
First participant enrolled
November 1, 2013
CompletedFirst Posted
Study publicly available on registry
November 15, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 5, 2018
CompletedAugust 22, 2018
August 1, 2018
4.4 years
October 27, 2013
August 20, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Dietary diversity
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.
At enrollment and every 12 months for 5 years
Anemia prevalence
Anemia prevalence in adolescent girls will be assessed at enrollment and every 12 months for 4 years
at enrollment and every 12 months for 4 years
Secondary Outcomes (1)
Wasting prevalence
at enrollment and every 12 months for 5 years
Other Outcomes (1)
Women's income
at enrollment and every 12 months for 5 years
Study Arms (4)
Nutrition and agriculture
EXPERIMENTALIntervention arm with integrated nutrition and agriculture education, skill building, and animal husbandry promotion
Iron-rich food & business literacy
EXPERIMENTALIntegrated business literacy and food supplementation program to promote school retention among female adolescents
IYC Comparison
NO INTERVENTIONComparison group of infants and young children for the nutrition-agriculture intervention
Adolescent comparison
NO INTERVENTIONComparison group for the adolescent business-food supplement intervention
Interventions
The intervention includes two components: (1) nutrition education on infant and young child nutrition, and (2) agriculture and small animal husbandry intervention to increase women's income and the accessibility of animal source foods for infants and young children.
The intervention includes two components: (1) a behavioural change intervention to improve school meals and increase the available iron in adolescents' diets, (2) savings \& business literacy program for young female adolescents to encourage them to stay in school.
Eligibility Criteria
You may qualify if:
- household with infant \< 12 mo or adolescent 10-15 y
- Living in selected communities of Upper Manya Krobo District (Ghana)
You may not qualify if:
- infant or adolescent has medical condition that limits dietary intakes or growth
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- McGill Universitylead
- Foreign Affairs, Trade and Development, Canadacollaborator
- World Visioncollaborator
Study Sites (3)
World Vision
Toronto, Ontario, Canada
McGill University
Montreal, Quebec, H9W3V9, Canada
University of Ghana
Legon, Ghana
Related Publications (2)
Goh YE, Marquis GS, Colecraft EK, Aryeetey R. Participating in a Nutrition-Sensitive Agriculture Intervention Is Not Associated with Less Maternal Time for Care in a Rural Ghanaian District. Curr Dev Nutr. 2022 Sep 29;6(10):nzac145. doi: 10.1093/cdn/nzac145. eCollection 2022 Oct.
PMID: 36475016DERIVEDDallmann D, Marquis GS, Colecraft EK, Kanlisi R, Aidam BA. Maternal Participation Level in a Nutrition-Sensitive Agriculture Intervention Matters for Child Diet and Growth Outcomes in Rural Ghana. Curr Dev Nutr. 2022 Feb 1;6(3):nzac017. doi: 10.1093/cdn/nzac017. eCollection 2022 Mar.
PMID: 35295712DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Grace S Marquis, PhD
McGill University
- PRINCIPAL INVESTIGATOR
Esi K Colecraft, PhD
University of Ghana
- PRINCIPAL INVESTIGATOR
Bridgett Aidams, PhD
World Vision
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor, Canadian Research Chair in Social and Environmental Aspects of Nutrition
Study Record Dates
First Submitted
October 27, 2013
First Posted
November 15, 2013
Study Start
November 1, 2013
Primary Completion
March 31, 2018
Study Completion
August 5, 2018
Last Updated
August 22, 2018
Record last verified: 2018-08