Creating Homestead Agriculture for Nutrition and Gender Equity (CHANGE) in Burkina Faso (CHANGE)

September 16, 2016 updated by: International Food Policy Research Institute

Creating Homestead Agriculture for Nutrition and Gender Equity in Burkina Faso

The purpose of this study is to assess the long-term impact of the Enhanced Homestead Food Production Program implemented by HKI on household food security and nutritional status, as well as the impact on including additional interventions (BCC on WASH and malaria prevention, distribution of preventive lipid-based nutrient supplements (LNS)) to children aged 6-24 months old, in addition to the standard E-HFP model.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Over the past twenty years, Helen Keller International (HKI) has implemented its Homestead Food Production (HFP) program to increase household production of micronutrient-rich foods and improve the quality of diets among vulnerable households across Asia and, more recently, Africa. As part of the program, village model farms -which support diversified, year-round production of micronutrient-rich crops, and improved breeds of poultry and small animals-are established to demonstrate gardening and small animal-raising techniques to program participants. Program participants in turn are established to demonstrate gardening and small animal-raising techniques to program participants. Program participants in turn are provided with small inputs such as seeds, seedlings, and small tools to establish home gardens using techniques they learn at the village model farms. In addition, the program uses a behavior change communication (BCC) strategy to increase participant's health and nutrition-related knowledge and practices.

In 2010, HKI introduced an enhanced-HFP (E-HFP) model in the Gourma province of Burkina Faso with support from the USAID. The project used a randomized cluster design to assess the impact of HKI's package of interventions on 1,200 beneficiary and 800 control children aged 3-12 months at baseline. Given the encouraging results of IFPRI's first evaluation of that project, HKI is working to continue to improve and evaluate its E-HFP program in Burkina Faso. Based on the recommendations from the initial evaluation in Burkina Faso, this research aims to assess both the long-term impact of the E-HFP program as well as the impact of including additional interventions, using the E-HFP platform to deliver these interventions. The primary research questions that will be addresses will be:

  • What is the relative impact of a long-term E-HFP program compared to a short-term E-HFP program on household food security and child nutritional status?
  • What is the impact of including additional messages and the promotion of practices related to water, sanitation, hygiene, and malaria prevention (including bednet utilization) in the BCC strategy, in addition to the standard E-HFP model?
  • What is the impact of distributing preventive lipid-based nutrient supplements (LNS) to children between the ages of 6-24 months in addition to participation in the E-HFP program + additional messages and the promotion of practices related to water, sanitation, hygiene, and malaria prevention (including bednet utilization)?

Study Type

Interventional

Enrollment (Actual)

2747

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Burkina Faso
    • Gourma
      • Fada, Gourma, Burkina Faso
        • Hellen Keller International

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

No older than 1 year (Child)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Mother of child between the ages of 0 and 12 months and her child

Exclusion Criteria:

  • N/A

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: new EHFP
Group newly participating in an enhanced-homestead food production program including home gardening, poultry rearing and nutrition and health behavior change communication since 2014
Other: Enhanced-Homestead Food Production Program (new)
Participation in an enhanced-homestead food production program including home gardening, poultry rearing and nutrition and health behavior change communication since 2014
Experimental: old EHFP+WASH
Group participating in an enhanced-homestead food production program including home gardening and nutrition and health behavior change communication since 2010 + WASH/malaria behavior change communication since 2014
Other: Enhanced-Homestead Food Production Program (old)
Participation in an enhanced-homestead food production program including home gardening and nutrition and health behavior change communication since 2010
Behavioral: WASH/malaria behavior change
WASH/malaria behavior change communication
Other: new EHFP+WASH
Group newly participating in an enhanced-homestead food production program including home gardening, poultry rearing and nutrition and health behavior change communication since 2014 + WASH/malaria behavior change communication since 2014
Other: Enhanced-Homestead Food Production Program (new)
Participation in an enhanced-homestead food production program including home gardening, poultry rearing and nutrition and health behavior change communication since 2014
Behavioral: WASH/malaria behavior change
WASH/malaria behavior change communication
Other: old EHFP+WASH+LNS distribution
Group participating in an enhanced-homestead food production program including home gardening and nutrition and health behavior change communication since 2010 + WASH/malaria behavior change communication and distribution of LNS since 2014
Other: Enhanced-Homestead Food Production Program (old)
Participation in an enhanced-homestead food production program including home gardening and nutrition and health behavior change communication since 2010
Behavioral: WASH/malaria behavior change
WASH/malaria behavior change communication
Dietary supplement: LNS distribution
Distribution of Nutributter (Fanga Degue) for children

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Hemoglobin (g/dl)
Time Frame: Measurements will be made for children between the ages of 0 and 12 months of age at baseline and 2 years later, at endline, when the children are between the ages of 24 and 36 months.
Changes in hemoglobin (g/dl) and in prevalence of anemia (<11g/dl) will be measured over the course of the two year program period.
Measurements will be made for children between the ages of 0 and 12 months of age at baseline and 2 years later, at endline, when the children are between the ages of 24 and 36 months.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Dietary diversity (%)
Time Frame: Baseline (2014) and after 24 months at Endline (2016)
Measured with a questionnaire using a qualitative 24h recall. Unit: Number of food group consumed and percentage of children having consumed 4 groups (upon 7) the previous day .
Baseline (2014) and after 24 months at Endline (2016)
Food security (%)
Time Frame: Baseline (2014) and after 24 months at Endline (2016)
Measured with a questionnaire to calculate the HFIAS score. Unit: percentage of household
Baseline (2014) and after 24 months at Endline (2016)
Biochemical markers
Time Frame: Baseline (2014) and after 24 months at Endline (2016)
Change in plasmatic concentration of iron biomarkers (tranferrin receptors and ferritin; TfR in mg/L and F in μg/L), in concentration of vitamine A biomarkers (retinolbindingprotein; RBP in μmol/L) and inflammatory proteins (C-reactiveprotein and alpha-1 acidglycoprotein; CRP in mg/L and AGP in g/L).
Baseline (2014) and after 24 months at Endline (2016)
Women's empowerment (%)
Time Frame: Baseline (2014) and after 24 months at Endline (2016)
Measured by questionnaire, using a decision-making module and a domestic violence module. Percentage of women over a calculated score.
Baseline (2014) and after 24 months at Endline (2016)
Maternal health and nutrition/WASH/malaria-related knowledge (%)
Time Frame: Baseline (2014) and after 24 months at Endline (2016)
Using questionnaire on knowledge. Percentage of women giving adequate answer.
Baseline (2014) and after 24 months at Endline (2016)
IYCF/WASH/malaria practices (%)
Time Frame: Baseline (2014) and after 24 months at Endline (2016)
Using questionnaire on practices. Percentage of women with adequate practices.
Baseline (2014) and after 24 months at Endline (2016)
Growth (Z-score and %)
Time Frame: Measurements will be made for children between the ages of 0 and 12 months of age at baseline and 2 years later, at endline, when the children are between the ages of 24 and 36 months.
Change in heigh-for-age Z-scores, weight-for-age Z-scores and weight-for-height Z-scores will be measured as well as the change in the prevalence of stunting (HAZ<-2), underweight (WAS<-2) and wasting (WHZ<-2) over the course of the two year program period.
Measurements will be made for children between the ages of 0 and 12 months of age at baseline and 2 years later, at endline, when the children are between the ages of 24 and 36 months.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

International Food Policy Research Institute

Collaborators

Helen Keller International
Foreign Affairs, Trade and Development, Canada

Investigators

  • Principal Investigator: Deanna Olney, PhD, International Food Policy Research Institute

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2014

Primary Completion (Actual)

June 1, 2016

Study Completion (Actual)

June 1, 2016

Study Registration Dates

First Submitted

September 3, 2014

First Submitted That Met QC Criteria

September 7, 2014

First Posted (Estimate)

September 10, 2014

Study Record Updates

Last Update Posted (Estimate)

September 19, 2016

Last Update Submitted That Met QC Criteria

September 16, 2016

Last Verified

September 1, 2016

More Information

Terms related to this study

Other Study ID Numbers

  • CHANGE BF

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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