NCT03869853

Brief Summary

Over one-third of rural Ghanaians live below the poverty line and women and children living in poverty are at the highest risk of poor nutrition and health. Sustained integrated approaches that increase agricultural productivity and value addition, diversify incomes, and enhance knowledge and skills among all stakeholders are required to improve the well-being of rural communities. There exists a unique opportunity, building on the results of the Nutrition Links (NL) project, to test sustainable district-level approaches that support women agripreneurs and address existing gender inequities in rural Ghana. This project will test different approaches to enhance the sustainability of activities that will (i) increase access to resources and services for agricultural production and, where relevant, value addition for women, (ii) facilitate access to markets that will enhance women's entrepreneurship, and (iii) help district partners integrate targets and activities to meet a common goal. The 3-y project will include quantitative and qualitative data collection to implement a trial to test a sustainable approach for engaging female agripreneurs in farmers' associations and improving their business successes, with different approaches to integrate new activities in district institutions' programs. The project will be guided by the team of institutions working together with district stakeholders to improve the quality of life of rural Ghanaian women agripreneurs and their families.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
535

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2019

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 6, 2019

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 11, 2019

Completed
9 months until next milestone

Study Start

First participant enrolled

December 1, 2019

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 15, 2022

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

September 15, 2022

Completed
Last Updated

November 20, 2024

Status Verified

November 1, 2024

Enrollment Period

2.7 years

First QC Date

March 6, 2019

Last Update Submit

November 18, 2024

Conditions

Keywords

nutritional statusagripreneurswomen farmers

Outcome Measures

Primary Outcomes (2)

  • Women's diet

    Minimum Dietary Diversity for Women dichotomous score developed by the Food and Agriculture Organization (diverse: ate 5 out of 10 foods the previous day). Food list: 1. Grains, white roots and tubers, and plantains 2. Pulses (beans, peas and lentils) 3. Nuts and seeds 4. Dairy 5. Meat, poultry and fish 6. Eggs 7. Dark green leafy vegetables 8. Other vitamin A-rich fruits and vegetables 9. Other vegetables 10. Other fruits Range: 0-10

    16 months

  • Women's empowerment

    Pro -Women's Empowerment in Agriculture Index (pro-WEAI), developed by the International Food Policy Institute (empowered: adequate in 9 of the 12 indicators) 12 indicators: autonomy in income, self-efficacy, attitudes about domestic violence, input in productive decisions, ownership of land and other assets, access to and decisions on credit, control over use of income, work balance, visiting important locations, group membership, membership in influential groups, and respect among household members. Adequate: The definition of what is adequate for each indicator will be determined by local experts at beginning of project. Range: 0-12 (each indicator is dichotomous - adequate/not adequate)

    16 months

Secondary Outcomes (1)

  • Women's income from small business

    16 months

Study Arms (2)

intervention

EXPERIMENTAL

Entrepreneurial stimulation and integrated education

Behavioral: Entrepreneurial stimulation and integrated education

control

EXPERIMENTAL

no intervention

Behavioral: control

Interventions

one month cycle of stimulation of business with integrated education on nutrition, health, and gender empowerment

intervention
controlBEHAVIORAL

no intervention

control

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • women
  • members of farmer associations in the three designated districts of the Eastern Region

You may not qualify if:

  • non-member farmers
  • For the control arm:
  • women
  • non-members of farmer association
  • For the community surveys:
  • residents in the communities where selected association members live
  • residents of communities that do not have selected association members

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Ghana

Legon, Ghana

Location

Related Publications (1)

  • Abdu A, Marquis GS, Colecraft EK, Dodoo ND, Grimard F. The Association of Women's Participation in Farmer-Based Organizations with Female and Male Empowerment and its Implication for Nutrition-Sensitive Agriculture Interventions in Rural Ghana. Curr Dev Nutr. 2022 Jul 25;6(9):nzac121. doi: 10.1093/cdn/nzac121. eCollection 2022 Sep.

Study Officials

  • Esi K Colecraft, DrPH

    University of Ghana

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: This is an economic-education intervention that implements one treatment arm (economic + nutrition/health/gender equity education) for comparison to a non-intervention control. The focus is to test an intervention that is feasible within the context of permanent institutions, thus the package components must be self-sustaining by the local institutions. The components of the stimulation package will be determined jointly with local partners after the initial baseline data collection. The control is made up of random selection of residents who are not members of the farmer-based organization.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

March 6, 2019

First Posted

March 11, 2019

Study Start

December 1, 2019

Primary Completion

August 15, 2022

Study Completion

September 15, 2022

Last Updated

November 20, 2024

Record last verified: 2024-11

Locations