Transforming Food System Evaluation in Mozambique

NCT05858151 | Active Not Recruiting

• 1 other identifier: 424601
• Study Type: interventional
• Target: 5,216
• Locations: 1 country
• Sites: 1

Brief Summary

Global Alliance for Improved Nutrition (GAIN)'s "Transforming Food Systems to Improve Diet Quality and Resilience for the Most Vulnerable" program seeks to improve consumption of healthy foods by improving supply, increasing demand, and improving the enabling environment for different targeted foods in 4 countries by operating at multiple levels - individuals, households, markets, producers, and policies. RTI and local partners propose to conduct impact and process evaluations of GAIN's program tailored to the theory of change and the target foods for Mozambique. The evaluation in Mozambique will include a mix of quantitative and qualitative methods and will be guided by the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) implementation research framework.

Conditions

ASF Consumption

Keywords

diet; animal source foods; market intervention; social and behavior change communication intervention; men; women; Mozambique

Outcome Measures

Primary Outcomes (1)

• ASF frequency of consumption

  Change in the mean frequency of fish, chicken, and egg consumption during the last 7 days by men and women in BoP households

  Baseline (May 2023), endline (May 2026 (3 years))

Secondary Outcomes (1)

• Percent of household members with increased knowledge of target ASFs

  Baseline (May 2023), endline (May 2026 (3 years))

Study Arms (2)

Intervention

ACTIVE COMPARATOR

Behavioral: Food system and demand generation

Control/No Intervention

NO INTERVENTION

Interventions

Food system and demand generation BEHAVIORAL

The Global Alliance for Improved Nutrition (GAIN) will implement the Transforming Food Systems to Improve Diet Quality and Resilience for the Most Vulnerable program, which will use a market-based approach to improving diets through food systems. The set of interventions proposed is based on characteristics and challenges of the food environments of bottom of pyramid consumers in Mozambique. GAIN will focus on elements of the food environment related to accessibility, affordability, and desirability of animal source foods (ASFs) in Mozambique.

Intervention

Eligibility Criteria

• Age: 18 Years+
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Reside in the enumeration areas;
• Be a man ≥ 18 years or a woman 18-49 years;
• The household earns \<$3.20 per person per day;
• Be able to speak one of the main local languages and/or Portuguese;
• Provide informed consent to participate in the study.

You may not qualify if:

• Have a mental or psychological illness that prevents them from understanding the study;
• Have any physical illness that prevents them from being safely and constructively involved in the investigation;
• Be under the age of 18 years at the time of the study.
• Market Actor Surveys
• Be a retailer of fish, chicken or eggs in one of the markets in the districts selected for the evaluation;
• Be over 18 years old;
• Be able to speak one of the main local languages and/or Portuguese;
• Provide informed consent to participate in the study.
• Have a mental or psychological illness that prevents them from understanding the study;
• Have any physical illness that prevents them from being safely and constructively involved in the investigation;
• Be under the age of 18 years at the time of the study.
• In-depth interviews with market actors:
• Be a food transporter, trader, large-scale retailer, government official or other stakeholder involved in market-related activities in the fish, chicken or egg value chains in the intervention districts selected for the evaluation;
• Be over 18 years old;
• Be able to speak one of the main local languages and/or Portuguese;

Sponsors & Collaborators

• RTI International: lead
• Numbers Whizzy: collaborator
• Universidade de Lúrio: collaborator
• ANSA: collaborator

Study Sites (1)

Numbers Whizzy

Maputo, Mozambique

Location

MeSH Terms

Conditions

Multiple Endocrine Neoplasia Type 1

Condition Hierarchy (Ancestors)

Multiple Endocrine Neoplasia; Endocrine Gland Neoplasms; Neoplasms by Site; Neoplasms; Neoplasms, Multiple Primary; Neoplastic Syndromes, Hereditary; Genetic Diseases, Inborn; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Endocrine System Diseases

Study Officials

• Sofia Costa

  Universidade Lúrio

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Research Public Health Analyst

Model Details: Data will be collected through household surveys, market actor surveys and observations, in-depth interviews (IDIs), and focus group discussions (FGDs). The protocol team has selected a subset of the intervention districts for the evaluation and identify an equal number of districts outside the program coverage area with similar characteristics to serve as the control.

Study Record Dates

• First Submitted: April 19, 2023
• First Posted: May 15, 2023
• Study Start: May 15, 2023
• Primary Completion (Estimated): September 30, 2027
• Study Completion (Estimated): November 30, 2027
• Last Updated: April 23, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will share

Locations

MO (1)