Helen Keller International's Enhanced-Homestead Food Production Program in Burkina Faso (EHFP)
THE IMPACT OF THE ENHANCED HOMESTEAD FOOD PRODUCTION PROGRAM ON CHILD HEALTH
Helen Keller International (HKI) has been implementing homestead food production (HFP) programs in Asia for the past 20 years and has recently begun implementing HFP programs in Africa as well. In general, these programs target women and are designed to improve maternal and child health and nutrition outcomes through three primary pathways: 1. Increasing the availability of micronutrient-rich foods through increased household production of these foods; 2. Raising income through the sale of surplus production; and 3. Increasing knowledge and adoption of optimal nutrition practices, including the consumption of micronutrient-rich foods. Evaluations of HFP programs have consistently demonstrated significant increases in household production and consumption of micronutrient-rich foods. This increased consumption, along with improvements in health and nutrition related knowledge, and increased income, could all contribute to improvements in maternal and child health and nutrition outcomes. However, to date there has been limited understanding as to how these types of programs can be optimized to maximize impacts on these outcomes.
In order to better understand the potential of these types of programs to improve maternal and child health and nutrition outcomes and how this impact may be achieved IFPRI has been collaborating with HKI to evaluate one of their E-HFP programs in Burkina Faso. The evaluation considers impact of the program through the three pathways above, and assesses anthropometric and clinical measures of nutrition, as well as looking at how the programs might be improved.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
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District of Columbia
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Washington, District of Columbia, États-Unis, 20006
- International Food Policy Research Institute
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Mother of child between the ages of 3 and 12 months and her child
Exclusion Criteria:
- N/A
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: La prévention
- Répartition: Randomisé
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
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Aucune intervention: Contrôler
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Expérimental: Program participation
Participation in an enhanced-homestead food production program including home gardening and nutrition and health behavior change communication
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Participation in an enhanced-homestead food production program including home gardening and nutrition and health behavior change communication
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
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Growth
Délai: Measurements will be made for children between the ages of 3 and 12 months of age at baseline and then 2 years later, at endline, when the children are between the ages of 23 and 40 months
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Change in height-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 (WAZ <-2) and wasting (WHZ <-2) over the course of the two year program period.
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Measurements will be made for children between the ages of 3 and 12 months of age at baseline and then 2 years later, at endline, when the children are between the ages of 23 and 40 months
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Hemoglobin
Délai: Measurements will be made for children between the ages of 3 and 12 months of age at baseline and then 2 years later, at endline, when the children are between the ages of 23 and 40 months
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Measurements will be made for children between the ages of 3 and 12 months of age at baseline and then 2 years later, at endline, when the children are between the ages of 23 and 40 months
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Mesures de résultats secondaires
Mesure des résultats |
Délai |
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Food security
Délai: Baseline (2010), Endline (2012), follow-up (2013)
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Baseline (2010), Endline (2012), follow-up (2013)
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Household assets
Délai: Baseline (2010), Endline (2012), follow-up (2013)
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Baseline (2010), Endline (2012), follow-up (2013)
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Household consumption
Délai: Baseline (2010), Endline (2012), follow-up (2013)
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Baseline (2010), Endline (2012), follow-up (2013)
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Household livestock holdings
Délai: Baseline (2010), Endline (2012), follow-up (2013)
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Baseline (2010), Endline (2012), follow-up (2013)
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Dietary diversity
Délai: Baseline (2010), Endline (2012), follow-up (2013)
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Baseline (2010), Endline (2012), follow-up (2013)
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Mother's BMI
Délai: Baseline (2010), Endline (2012), follow-up (2013)
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Baseline (2010), Endline (2012), follow-up (2013)
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Maternal health and nutrition-related knowledge
Délai: Baseline (2010), Endline (2012), follow-up (2013)
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Baseline (2010), Endline (2012), follow-up (2013)
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IYCF practices
Délai: Baseline (2010), Endline (2012), follow-up (2013)
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Baseline (2010), Endline (2012), follow-up (2013)
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Collaborateurs et enquêteurs
Collaborateurs
Les enquêteurs
- Chercheur principal: Deanna K Olney, Ph.D., International Food Policy Research Institute
- Chercheur principal: Andrew Dillon, Ph.D., Michigan Sate University
Publications et liens utiles
Publications générales
- Nielsen JN, Olney DK, Ouedraogo M, Pedehombga A, Rouamba H, Yago-Wienne F. Process evaluation improves delivery of a nutrition-sensitive agriculture programme in Burkina Faso. Matern Child Nutr. 2018 Jul;14(3):e12573. doi: 10.1111/mcn.12573. Epub 2017 Dec 26.
- Olney DK, Bliznashka L, Pedehombga A, Dillon A, Ruel MT, Heckert J. A 2-Year Integrated Agriculture and Nutrition Program Targeted to Mothers of Young Children in Burkina Faso Reduces Underweight among Mothers and Increases Their Empowerment: A Cluster-Randomized Controlled Trial. J Nutr. 2016 May;146(5):1109-17. doi: 10.3945/jn.115.224261. Epub 2016 Apr 13.
- Olney DK, Pedehombga A, Ruel MT, Dillon A. A 2-year integrated agriculture and nutrition and health behavior change communication program targeted to women in Burkina Faso reduces anemia, wasting, and diarrhea in children 3-12.9 months of age at baseline: a cluster-randomized controlled trial. J Nutr. 2015 Jun;145(6):1317-24. doi: 10.3945/jn.114.203539. Epub 2015 Apr 22.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Anticipé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- 6117001
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Essais cliniques sur Enhanced-Homestead Food Production Program
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University of British ColumbiaComplété
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International Food Policy Research InstituteHelen Keller International; Foreign Affairs, Trade and Development, CanadaComplétéAnémie | Retard de croissanceBurkina Faso
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Sabine GabryschGerman Research Foundation; German Federal Ministry of Education and Research et autres collaborateursComplété