protocolSection identificationModule nctId: NCT06362837, orgStudyIdInfo id: P0117910-001, briefTitle: Evaluation of REACTS-IN, an Intervention to Improve Nutrition, Hygiene, and Sexual and Reproductive Health Services, acronym: REACTS-IN, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-05-01, primaryCompletionDateStruct date: 2029-06-30, completionDateStruct date: 2030-05-24, studyFirstPostDateStruct date: 2024-04-12, lastUpdatePostDateStruct date: 2024-04-12, sponsorCollaboratorsModule leadSponsor name: McGill University, class: OTHER, collaborators name: World Vision Canada, collaborators name: Global Affairs Canada, descriptionModule briefSummary: This is an independent evaluation of World VIsion's 7-year quasi-experimental intervention to improve nutrition, nutrition-related rights and gender equality for women, adolescent girls, and children under five years of age in rural Bangladesh, Kenya, and Tanzania. The evaluation will collect baseline, midline, and end-line data from intervention and comparison communities, schools, and health facilities. The evaluation objectives are to test if the intervention improved indicators for (i) child anthropometry, (ii) maternal and child dietary practices, (iii) women's empowerment, and (iv) equitable health service access for nutrition and sexual and reproductive needs. The evaluation analysis will take into account gender differences in the indicators., conditionsModule conditions: Stunting, conditions: Gender Equality, conditions: Acceptability of Health Care, conditions: Diet; Deficiency, conditions: Empowerment, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: NON_RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: This is a quasi-experimental design for the evaluation of an intervention that is in the community (including schools) as well as in the local health service facilities. The data collection at baseline, midline, and end-line will occur simultaneously in the intervention and comparison selected communities., primaryPurpose: OTHER, maskingInfo masking: NONE, enrollmentInfo count: 13500, type: ESTIMATED, armsInterventionsModule interventions name: Education intervention on nutrition, gender equity, WASH, sexual and reproductive health rights, interventions name: school-based iron-folic acid supplement program, interventions name: Health service training on equitable access to nutrition, health, and sexual and reproductive services, interventions name: bio-fortified crops, outcomesModule primaryOutcomes measure: Gender equality, primaryOutcomes measure: Child anthropometry, secondaryOutcomes measure: Antenatal care, secondaryOutcomes measure: Contraception use by women and partners, secondaryOutcomes measure: Child diet, secondaryOutcomes measure: Sexual and reproductive health services for adolescents, secondaryOutcomes measure: Gender equitable health services for nutrition, health, and sexual and reproductive health, eligibilityModule sex: ALL, stdAges: CHILD, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Brac University, city: Dhaka, country: Bangladesh, contacts name: Malay K Mridha, PhD, role: CONTACT, email: malay.mridha@bracu.ac.bd, geoPoint lat: 23.7104, lon: 90.40744, locations facility: Connar Consultants, city: Nairobi, country: Kenya, contacts name: Elizabeth Kamau, PhD, role: CONTACT, email: ekambu@gmail.com, geoPoint lat: -1.28333, lon: 36.81667, locations facility: Ifakara Health Institute, city: Ifakara, country: Tanzania, contacts name: Ester Elisaria, PhD, role: CONTACT, email: eelisaria@ihi.or.tz, geoPoint lat: -8.13333, lon: 36.68333, hasResults: False