Enhancing Access to Safe and Nutritious Diets (ENSAND) Evaluation Nigeria

NCT05953753 | Terminated

• 1 other identifier: 424602
• Study Type: interventional
• Target: 1,625
• Locations: 1 country
• Sites: 1

Brief Summary

The Global Alliance for Improved Nutrition (GAIN) is implementing a program in 4 countries to increase consumption of healthy foods by improving supply, increasing demand, and improving the enabling environment for different targeted foods by operating at multiple levels - individuals, households, markets, producers, and policies. In Nigeria, the program is called Enhancing Access to Safe and Nutritious Diets (ENSAND). RTI and local partners propose to conduct impact and process evaluations of GAIN's program tailored to the theory of change and the target food for Nigeria. The evaluation in Nigeria will include a mix of quantitative and qualitative methods and will be guided by the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) evaluation framework.

Conditions

Egg Consumption

Keywords

diet; eggs; market intervention; social and behavior change communication intervention; infants; children; Nigeria

Outcome Measures

Primary Outcomes (2)

• Frequency of egg consumption by primary school children

  Change in the mean frequency of egg consumption during the last 7 days by children in primary school classes 1-3 in BoP households

  Baseline (August 2023), Endline (August 2026) (3 years)

• Frequency of egg consumption by pre-school children

  Change in the mean frequency of egg consumption during the last 7 days by children 6-59 months in BoP households

  Baseline (August 2023), Endline (August 2026) (3 years)

Secondary Outcomes (2)

• Frequency of egg purchase

  Baseline (August 2023), Endline (August 2026) (3 years)

• Number of eggs purchased

  Baseline (August 2023), Endline (August 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 project is focused on improving egg consumption through enhanced availability, accessibility, and improved demand. To achieve this goal, the project intervention mix will work through three pathways: access, enabling environment, and demand. The access pathway aims to sustain availability and consumption of eggs by school children (age 6-9 years) from BoP households through interventions targeted at the Poultry Association of Nigeria (PAN) and state lead egg aggregators for the HGSFP. The enabling environment pathway focuses on the broader institutional, governance, and political factors to support accessibility, availability, improved consumption, and increased consumer demand for eggs. The demand pathway will be addressed by mass media and interpersonal communication to increase the willingness and motivation of parents/caregivers in BoP households to support and sustain egg consumption by pre-school children in Kaduna State.

Intervention

Eligibility Criteria

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

You may qualify if:

• Adult caregiver who will be interviewed is 18 years or older;
• The household has a child in public primary school class 1-3 aged 6 - 9 years AND has a child 6-59 months
• The household earns \<$3.20 per person per day;
• Able to speak English or Hausa;
• Provide informed consent to participate in the study.
• Egg Value Chain Interviews
• Be a PAN state manager, national or state HGSFP manager, poultry farmer, school-level HGSFP manager, health teacher, or egg retailer or wholesaler in the local government areas selected for the evaluation;
• Be 18 years or older;
• Able to speak English or Hausa;
• Provide informed consent to participate in the study.
• Focus Group Discussions with Caregivers
• Caregivers with a child in class 1-3 and a child 6-59 months;
• Be 18 years or older;
• Able to speak English or Hausa;
• Provide informed consent to participate in the study.

Sponsors & Collaborators

• RTI International: lead
• Datametrics Associates Ltd: collaborator
• University of Nigeria Nsukka: collaborator
• University of Abuja: collaborator

Study Sites (1)

Datametrics Associates Ltd.

Abuja, Nigeria

Location

Study Officials

• Abiodun F Ipadeola

  Datametrics Associates Ltd

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• 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, value chain actor semi-structured interviews, KIIs, and FGDs. The protocol team has selected a subset of the intervention local government areas for the evaluation and identified an equal number of local government areas outside the program coverage area with similar characteristics to serve as the control.

Study Record Dates

• First Submitted: June 14, 2023
• First Posted: July 20, 2023
• Study Start: October 9, 2023
• Primary Completion: November 6, 2023
• Study Completion: February 6, 2025
• Last Updated: April 9, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will share

Locations

NG (1)