Clinical trial NCT01825226: Helen Keller International's Enhanced-Homestead Food Production Program in Burkina Faso
Official title: THE IMPACT OF THE ENHANCED HOMESTEAD FOOD PRODUCTION PROGRAM ON CHILD HEALTH
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Growth
Anemia
Lead sponsor: International Food Policy Research Institute
Sponsor class: OTHER
Collaborators: name: United States Agency for International Development (USAID)
name: Bill and Melinda Gates Foundation
First posted: 2013-04-05
Enrollment: 1763
Sex: ALL
Minimum age (years): 3
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: 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.


Eligibility criteria: Inclusion Criteria:

* Mother of child between the ages of 3 and 12 months and her child

Exclusion Criteria:

* N/A

Primary outcomes:
measure: Growth
timeFrame: 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
measure: Hemoglobin
timeFrame: 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
Secondary outcomes:
measure: Food security
timeFrame: Baseline (2010), Endline (2012), follow-up (2013)
measure: Household assets
timeFrame: Baseline (2010), Endline (2012), follow-up (2013)
measure: Household consumption
timeFrame: Baseline (2010), Endline (2012), follow-up (2013)
measure: Household livestock holdings
timeFrame: Baseline (2010), Endline (2012), follow-up (2013)
measure: Dietary diversity
timeFrame: Baseline (2010), Endline (2012), follow-up (2013)
measure: Mother's BMI
timeFrame: Baseline (2010), Endline (2012), follow-up (2013)
measure: Maternal health and nutrition-related knowledge
timeFrame: Baseline (2010), Endline (2012), follow-up (2013)
measure: IYCF practices
timeFrame: Baseline (2010), Endline (2012), follow-up (2013)
Other outcomes:
Locations:
city: Washington
country: United States
facility: International Food Policy Research Institute
state: District of Columbia
Study officials:
affiliation: International Food Policy Research Institute
name: Deanna K Olney, Ph.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Michigan Sate University
name: Andrew Dillon, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.
citation: 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.