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Impact Evaluation of GAIN Egg Campaign in Two Nigerian States

25. juni 2021 opdateret af: Edward Frongillo, Jr., University of South Carolina
Improved infant and young child feeding, including dietary quality and diversity, is important for child health and development. In the 2013 Nigeria Demographic and Health Survey, only 18% of children 6-23 months of age received at least 4 food groups in the previous 24 hours. In Kaduna, one of the poorest states, dietary diversity is low and consumption of eggs is infrequent, with households reporting consuming eggs only one day per week. Eggs are a nutrient-dense food, which can contribute enormously to a child's dietary quality. This study evaluates whether a 14-month behavior change intervention about eggs can increase the procurement and consumption of eggs in children 6-59 months of age living in Nigeria. The intervention includes delivery of messages about the health benefits of eggs through Above-the-line methods and Below-the-line methods. The intervention is evaluated using a longitudinal quasi-experimental design in two states in Nigeria with pre- and post-test questionnaires designed to assess changes in acquisition and consumption of eggs.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The Global Alliance for Improved Nutrition (GAIN) seeks to improve dietary quality among children under-five years of age in Kaduna by increasing the demand for eggs through above-the-line and below-the-line behavior change interventions incorporating mass media, social media, and point-of-sale (POS) marketing. Above-the-line (ATL) interventions include television, radio, celebrity ambassadors and out-of-home (OOH) advertising (e.g., billboards). Below-the-line interventions (BTL) include interpersonal communication (IPC) activation, trade promotions, point-of-sale materials, food demonstrations and giveaways and door-to-door activation.

GAIN conducted a quasi-experimental longitudinal study of a demand creation campaign, using ATL and BTL interventions, among families of children 6-59 months of age to determine the impact on egg consumption among children and egg acquisition. Kaduna state was chosen as the intervention arm, and Kano state as the comparison arm. Within Kaduna state, the Kaduna North and Chikun local government areas (LGAs) were selected to receive ATL and BTL demand creation interventions. The comparison state, Kano, received no demand creation campaign.

The principal comparison for measuring the effect of demand creation interventions will be across states, comparing the combined effects of ATL and BTL interventions with the comparison areas which received no intervention.

Investigators also set out to determine the impact of this intervention on mediating outcomes in the hypothesized causal framework. Proximal mediators included caregivers' attitudes and beliefs toward eggs and willingness to pay for eggs.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

3453

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Nigeria
      • Ibadan, Nigeria
        • University of Ibadan

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

6 måneder til 4 år (Barn)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Living in the project areas

Exclusion Criteria:

  • Vulnerable families (i.e., families headed by children, homeless families living on the street in the community, families with a severely mentally unstable head of household)

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Forebyggelse
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Egg demand creation campaign
Egg demand creation campaign using Above-the-line and Below-the-line methods for 14 months. Above-the-line interventions include television, radio, celebrity ambassadors and out-of-home advertising (e.g., billboards). Below-the-line interventions include interpersonal communication activation, trade promotions, point-of-sale materials, food demonstrations and giveaways and door-to-door activation.
Adfærdsmæssigt: Egg demand creation campaign
Egg demand creation campaign including 14 months of above-the-line and below-the-line messaging.
Ingen indgriben: Comparison
Comparison arm with no campaign

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in the times eggs were consumed by children 6-59 months of age from baseline to endline
Tidsramme: From baseline to 14 months
Change in the average number of times eggs were consumed in the past 7 days from baseline to endline in the two study arms
From baseline to 14 months
Change in the consumption of two or more eggs by children 6-59 months of age from baseline to endline
Tidsramme: From baseline to 14 months
Change in the proportion of children consuming at least two eggs in the past 7 days from baseline to endline in the two study arms
From baseline to 14 months
Change in the availability of eggs by families of children 6-59 months of age from baseline to endline
Tidsramme: From baseline to 14 months
Change in the proportion of households purchasing eggs and the change in the proportion of households acquiring eggs from baseline to endline in the two study arms
From baseline to 14 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in the consumption of any eggs by children 6-59 months from baseline to endline in the two study arms
Tidsramme: From baseline to 14 months
Change in the consumption of one or more eggs by children 6-59 months of age from baseline to endline
From baseline to 14 months
Change in caregivers' (of children 6-59 months) attitudes, beliefs, and knowledge of eggs from baseline to endline
Tidsramme: From baseline to 14 months
Change in the mean factor score created from Likert scales of attitudes (attitudes scale, higher score reflects better attitudes towards eggs), perceived benefits (benefits scale, higher score reflects better perceived benefits towards eggs), norms (norms scale, higher score reflects better norms towards eggs), self-efficacy (self-efficacy scale, higher score reflects better self-efficacy), and intention towards eggs (intent to feed eggs to child, higher score reflects more intent to feed eggs) from baseline to endline between the two study arms; change will be examined for a meta factor score combining all scales and each scale separately.
From baseline to 14 months
Change in caregivers' willingness to pay for eggs from baseline to endline
Tidsramme: From baseline to 14 months
Change in willingness to pay for eggs, using for example the change in mean maximum price that caregivers would be willing to pay for eggs from baseline to endline between the two study arms.
From baseline to 14 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University of South Carolina

Samarbejdspartnere

Global Alliance for Improved Nutrition

Efterforskere

  • Ledende efterforsker: Edward A Frongillo, PhD, University of South Carolina

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

9. september 2019

Primær færdiggørelse (Faktiske)

8. december 2020

Studieafslutning (Faktiske)

8. december 2020

Datoer for studieregistrering

Først indsendt

15. juni 2021

Først indsendt, der opfyldte QC-kriterier

15. juni 2021

Først opslået (Faktiske)

23. juni 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

30. juni 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

25. juni 2021

Sidst verificeret

1. juni 2021

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 101 (Hamilton Integrated Research Ethics Board)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Reports will be made available. We will provide information on how to make the request to have access to the partial or complete anonymized dataset.

IPD-deling Understøttende informationstype

  • CSR

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