Impact Evaluation of Agribusiness Support and Nutrition Services Projects in Upper Egypt

This project seeks to evaluate the impact of two USAID-funded projects that are implemented in rural Upper Egypt. The first project is the Feed the Future Egypt, Food-Security and Agribusiness Support (FAS) project; the second project is the Improving Maternal, Child Health, and Nutrition Services (IMCHN) project.

The specific study objectives are (1) to estimate the impact of FAS interventions on project outcome indicators-especially on household income (measured by total household expenditure), household food security, and maternal and child nutrition-among farm households; (2) to estimate the effects of IMCHN interventions on maternal and child health and nutrition knowledge among community health workers (CHWs) and among farm households; and (3) to analytically explore potential synergistic effects of FAS and IMCHN interventions on maternal and child nutrition among farm households being exposed to both projects.

Study Overview

• Status: Withdrawn
• Conditions: Poverty, Low Income, Food Insecurity, Undernutrition
• Intervention / Treatment: Other: FAS program

• Study Type: Interventional
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria (will follow those of the USAID-funded FAS program). In Oct 2017, known to be:

• Farmers with 10 feddans or less per household
• Farmers who have experience or interest in horticulture production.

Exclusion Criteria:

• Farmers with more than 10 feddans per household
• Farmers with no interest in horticulture production

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention; FAS program	Other: FAS program; Intervention households are farmers who will receive a forward contract through the FAS program; in addition, they may receive other support such as extension, seeds, etc.
No Intervention: Comparison; Comparison group

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Household income	household income measured through household total (and food) expenditure	After 5 to 6 months of exposure (april 2018)
Household food security	Household Food Insecurity Access Scale (HFIAS)	After 5 to 6 months of exposure (april 2018)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Household income	household income measured through household total (and food) expenditure	After 17 to 18 months of exposure (april 2019)
Household food security	Household Food Insecurity Access Scale (HFIAS)	After 17 to 18 months of exposure (april 2019)
Farm production and output: yields	Harvested yields	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)
Farm production and output: prices	Selling prices	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)
Farm production and output: home consumption	Home consumption	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)
Women's Empowerment in Agriculture	Women's level of empowerment in agriculture-related decision making	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)
Household dietary diversity	Household Dietary Diversity Score (HDDS)	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)
Women's dietary diversity	Minimum Dietary Diversity - Women (MDD-W) score	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)
Infant and Young Child Feeding practices	IYCF practices as measured using the WHO IYCF guidelines	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)
Child anthropometry: weight	weight of children 0-23.9 months (baseline), 24-59.9 months (baseline)	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)
Child anthropometry: height	height and weight of children 0-23.9 months (baseline), 24-59.9 months (baseline)	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)
Adult anthropometry: mother	weight of mother / female caretaker	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)
Adult anthropometry: father	weight of father / household head	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nutrition and health knowledge of community health workers	Community health workers' knowledge of nutrition and health related issues	After 5 to 6 months of exposure (april 2018) and after 17 to 18 months of exposure (april 2019)

Collaborators and Investigators

• Sponsor: International Food Policy Research Institute
• Investigators: Study Director: Clemens Breisinger, PhD, IFPRI; Principal Investigator: Jose Luis Figueroa, PhD, IFPRI

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2017
• Primary Completion (Anticipated): April 1, 2019
• Study Completion (Anticipated): April 1, 2019

Study Registration Dates

• First Submitted: October 26, 2017
• First Submitted That Met QC Criteria: November 3, 2017
• First Posted (Actual): November 8, 2017

Study Record Updates

• Last Update Posted (Actual): May 11, 2018
• Last Update Submitted That Met QC Criteria: May 6, 2018
• Last Verified: November 1, 2017

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nutrition Disorders; Malnutrition
• Other Study ID Numbers: 602114.002.001

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No