Improving Nutrition in Children Under Two Through Increased Egg Consumption in Burkina Faso

This project targets vulnerable populations of smallholders, women and children and should lead to increased poultry production, increased egg consumption of children, improved nutrition, and increased household level resilience. This innovative intervention will be the gifting of chickens by religious leaders to children ages 6 to 12 months coupled with integrated nutrition and agricultural trainings.

Study Overview

• Status: Completed
• Conditions: Nutrition
• Intervention / Treatment: Behavioral: Integrated nutrition and agricultural (INA) trainings; Behavioral: Ceremonial Gifting of Livestock

Detailed Description

This study involves innovative behavioral change theoretical methodology to empower caregivers as smallholder poultry producers by improving their access to livestock production resources and agricultural extension services, providing tools for improved decision making, and enhancing nutrition based knowledge. Smallholder production is important in eliminating food insecurities and building resilience to improve nutrition in children under 5. Based on the results of the Ethiopian egg project, through messaging and education, this study will foster favorable attitudes and consequent behavioral changes, including increased egg consumption.

• Study Type: Interventional
• Enrollment (Actual): 267
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Burkina Faso
  • Ouagadougou, Burkina Faso
    • Institut de l'Environnement et Recherches Agricoles (INERA)

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 months to 1 year (Child)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

The study population will be selected with the assistance of the OCADES Caritas Kaya and the CHWs who are actively involved and trusted within the targeted village communities.

Inclusion Criteria:

• Living within the identified areas of the study population

Exclusion Criteria:

• history of egg allergies
• severe malnutrition

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Full Intervention; The full intervention group will receive three egg laying chickens that will be presented as a gift to the child by their religious leader (imam or priest) during a gifting ceremony, as well as Integrated nutrition and agricultural (INA) education training sessions.	Behavioral: Integrated nutrition and agricultural (INA) trainings; Monthly INA training session to help increase knowledge about nutrition and chicken husbandry and help to increase resiliency on a household level.; Behavioral: Ceremonial Gifting of Livestock; Egg laying chickens will be presented as a gift to the child by a community champion (their religious leader or village chief)) during a gifting ceremony
Active Comparator: Education Only; The education only intervention group will receive 3 chickens given in manner similar to animal distribution programs and the INA training sessions.	Behavioral: Integrated nutrition and agricultural (INA) trainings; Monthly INA training session to help increase knowledge about nutrition and chicken husbandry and help to increase resiliency on a household level.
No Intervention: Control; The control group will receive no chickens gifted and no INA training sessions.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Increase egg consumption in children under two living in Kaya, Burkina Faso	Dietary recall survey requesting caregiver/ parental recall of their child's dietary intake over the past week to include egg consumption embedded within the questionnaire The percentage of children consuming eggs will be calculated based on a yes response from the parent.The outcome measure will be described as the percentage of children consuming eggs with in the study population.	Baseline up to 12 months
Increase egg consumption frequency in children under two living in Kaya, Burkina Faso	Dietary recall survey requesting caregiver/ parental recall of their child's dietary intake over the past week to include frequency of eggs given embedded within the questionnaire.The outcome measure will be described as the mean number of eggs consumed in the past week by children enrolled in the study that consume eggs .	Baseline up to 12 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Improve growth in children under two living in Kaya, Burkina Faso.	Anthropometric measurements to include weight in kilograms, height in centimeters of enrolled children. Measurements will be aggregated to calculate z scores based on the child's age calculated in days and the wight and height of the anthropometric measurements.	Baseline up to 12 months

Collaborators and Investigators

• Sponsor: University of Florida
• Collaborators: United States Agency for International Development (USAID)
• Investigators: Principal Investigator: Sarah McKune, PhD, MPH, University of Florida

Publications and helpful links

General Publications

• McKune SL, Stark H, Sapp AC, Yang Y, Slanzi CM, Moore EV, Omer A, Wereme N'Diaye A. Behavior Change, Egg Consumption, and Child Nutrition: A Cluster Randomized Controlled Trial. Pediatrics. 2020 Dec;146(6):e2020007930. doi: 10.1542/peds.2020-007930.
• Stark H, Omer A, Wereme N'Diaye A, Sapp AC, Moore EV, McKune SL. The Un Oeuf study: Design, methods and baseline data from a cluster randomised controlled trial to increase child egg consumption in Burkina Faso. Matern Child Nutr. 2021 Jan;17(1):e13069. doi: 10.1111/mcn.13069. Epub 2020 Aug 8.

Study record dates

Study Major Dates

• Study Start (Actual): July 5, 2018
• Primary Completion (Actual): September 20, 2019
• Study Completion (Actual): September 20, 2019

Study Registration Dates

• First Submitted: October 11, 2019
• First Submitted That Met QC Criteria: October 19, 2019
• First Posted (Actual): October 22, 2019

Study Record Updates

• Last Update Posted (Actual): June 30, 2021
• Last Update Submitted That Met QC Criteria: June 28, 2021
• Last Verified: June 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: IRB201702810; AID-OAA-L-15-00003 (Other Grant/Funding Number: US AGCY INTL DEV)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: All IPD will be shared on a USAID data development library and DataVerse.

IPD Sharing Time Frame

IPD will be shared with six months time completion. USAID will review and determine the level of access.

IPD uploaded to Dataverse.

• IPD Sharing Access Criteria: USAID will review and determine the level of access and the time length the data is shared. Data uploaded to DataVerse will be available indefinitely.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF; CSR

Drug and device information, study documents

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