Better Dairy for All Evaluation in Ethiopia

NCT05971888 | Withdrawn

• 1 other identifier: 424603
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

Global Alliance for Improved Nutrition (GAIN)'s "Better Dairy for All" program in Ethiopia seeks to improve children's and workers' consumption of healthy foods by improving access, increasing demand, and improving the enabling environment for dairy products 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. The evaluation 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

Dairy Consumption

Keywords

diet; dairy; market intervention; social and behavior change communication intervention; children; workers; Ethiopia

Outcome Measures

Primary Outcomes (2)

• Frequency of dairy consumption

  Description (limit 999 characters) Change in the mean frequency of dairy consumption during the last 7 days by children 6 months to 7 years and workers

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

• Frequency of nutritious food consumption

  Change in the mean frequency of consumption of promoted nutritious foods (fortified oil, wheat flour, and fruits/vegetables) during the last 7 days by workers

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

Secondary Outcomes (1)

• Number of available dairy and nutritious foods

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

Study Arms (2)

Intervention

ACTIVE COMPARATOR

Behavioral: Food system and demand generation

Control

NO INTERVENTION

In Amhara, an equal number of districts outside the program coverage area with characteristics similar to the intervention districts will serve as the control.

Interventions

Food system and demand generation BEHAVIORAL

GAIN's program to increase dairy consumption among BoP children and workers will include components to increase demand, improve access, and support the enabling environment. In Amhara, the demand generation component will share messages through radio, community influencers, and community conversations led by health extension workers targeting rural BoP households with children 6 months up to 7 years. GAIN will train milk houses and cooperatives on dairy safety and quality assurance and better business practices and will assist with cold chain and milk dispensing technology to improve milk availability and access. In industries and large-scale farms, GAIN will use a demand generation strategy to inform workers about the importance of dairy products and other nutritious foods and to encourage them to purchase them at their workplaces. GAIN will work with local businesses to launch and maintain dairy dispensers and arrange provision of other nutritious foods at work sites.

Intervention

Eligibility Criteria

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

You may qualify if:

• Reside in the enumeration areas;
• Be a caregiver of at least one child 6 months to 7 years old residing in the enumeration area;
• Be over 18 years old;
• The household is classified as BoP on Poverty Probability Index;
• Be able to speak Amharic;
• Provide informed consent to participate in the study.
• Dairy value chain semi-structured interviews
• Be a manager or owner of small and medium enterprises (milk houses, milk processors, or cooperatives) in the districts selected for the evaluation;
• Be over 18 years old;
• Be able to speak Amharic;
• Provide informed consent to participate in the study.
• FGDs with caregivers
• Be a caregiver of a child 6 months up to 7 years old living in the intervention districts selected for the evaluation;
• Be over 18 years old;
• Be able to speak Amharic;

Sponsors & Collaborators

• RTI International: lead
• Bahir Dar University: collaborator
• Frontieri Consult: collaborator

Study Sites (1)

Frontieri

Addis Ababa, Ethiopia

Location

Study Officials

• Netsanet Fentahun, PhD

  Bahir Dar University

  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, worker surveys, dairy value chain actor surveys, in-depth interviews (IDIs), and focus group discussions (FGDs). In Amhara Region, the protocol team has selected a subset of the intervention districts for the evaluation and identified an equal number of districts outside the program coverage area with similar characteristics to serve as the control.

Study Record Dates

• First Submitted: July 20, 2023
• First Posted: August 2, 2023
• Study Start: February 1, 2025
• Primary Completion (Estimated): September 15, 2026
• Study Completion (Estimated): September 15, 2026
• Last Updated: February 17, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will share

Locations

ET (1)