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

Olney, Deanna K.; Bliznashka, Lilia; Pedehombga, Abdoulaye; Dillon, Andrew; Ruel, Marie T.; Heckert, Jessica

doi:10.3945/jn.115.224261

Cited by 96 publications

(151 citation statements)

References 19 publications

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“…Interventions that provide women with small livestock such as chickens may be one way to improve access to ASFs, while simultaneously increasing women's empowerment. These programmes have demonstrated a positive impact on nutrition and health outcomes among women and children (Olney et al, 2016;D. K. Olney, Pedehombga, Ruel, & Dillon, 2015), as well as increasing women's empowerment by improving their control over purchasing and health care decisions (Olney et al, 2016).…”

Section: Intervention Impactmentioning

confidence: 99%

An mHealth voice messaging intervention to improve infant and young child feeding practices in Senegal

Downs

Sackey

Kalaj

et al. 2019

Maternal & Child Nutrition

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Mobile health (mHealth) interventions have the potential to improve infant and young child feeding (IYCF) practices; however, gaps in the literature remain regarding their design, implementation, and effectiveness. The aims of this study were to design an mHealth voice messaging intervention delivered to mothers and fathers targeting IYCF practices and examine its implementation and impact in households with children 6–23 months in three rural villages in Senegal. We conducted focus groups (n = 6) to inform the intervention development. We then conducted a pilot study (n = 47 households) to examine the impact of the intervention on IYCF practices of children 6–23 months. Voice messages were sent to the children's mothers and fathers over a period of 4 weeks (two messages per week; eight messages in total), and 24‐hr dietary recalls and food frequency questionnaires (FFQs) were conducted before and immediately after the implementation of the mHealth intervention to examine its impact on IYCF practices. Overall, three of the eight behaviours increased and one decreased. There was a significant increase in the number of children that consumed fish (60% vs. 94%; p = .008) as measured by the 24‐hr recall after the completion of the intervention. We also found significantly higher frequency of egg (p = .026), fish (p = .004), and thick porridge (p = .002) consumption in the previous 7 days measured by the FFQ. Our findings suggest that voice messaging IYCF interventions in Senegal have the potential to improve IYCF behaviours among young children in the short term. Future research should entail scaling‐up the intervention and examining its sustainability over the long‐term.

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Section: Intervention Impactmentioning

confidence: 99%

An mHealth voice messaging intervention to improve infant and young child feeding practices in Senegal

Downs

Sackey

Kalaj

et al. 2019

Maternal & Child Nutrition

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“…Specifically, the self-reported food insecurity score was collected using the following question: 'Is it currently difficult for the household to buy or obtain enough food per day?' Frequency response categories were: 'it is never a problem' (0); 'this is sometimes a problem' (1); and 'it is usually a problem' (2). These categories were recoded as: 'yes, food insecurity' (1 and 2); and 'no food insecurity' (0).…”

Section: Data Collectionmentioning

confidence: 99%

“…The self-reported health-care insecurity was based on the question: 'Currently, is it difficult for your household to buy medication or take someone to a clinic in case of illness?' Frequency response categories were: 'it is never a problem' (0); 'this is sometimes a problem' (1); and 'it is usually a problem' (2). The SES index was constructed using principal component analysis, and included house and land ownership, housing quality (e.g.…”

Section: Data Collectionmentioning

confidence: 99%

The impact of a Solar Market Garden programme on dietary diversity, women’s nutritional status and micronutrient levels in Kalalé district of northern Benin

Alaofè

Burney

Naylor

et al. 2019

Public Health Nutr.

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Objective:To examine the impacts of a Solar Market Garden 1-year solar-powered drip irrigation (SMG) programme in Kalalé district of northern Benin on mothers’ nutritional status and micronutrient levels.Design:Using a quasi-experimental design, sixteen villages were assigned to four groups: (i) SMG women’s groups (WG); (ii) comparison WG; (iii) SMG non-WG (NWG); and (iv) comparison NWG. Difference-in-differences (DID) estimates were used to assess impacts on mothers’ food consumption, diversity, BMI, prevalence of underweight (BMI < 18·5 kg/m2) and anaemia, and deficiencies of iron (ID) and vitamin A (VAD).Setting:Kalalé district, northern Benin.Participants:Non-pregnant mothers aged 15–49 years (n 1737).Results:The SMG programme significantly increased mothers’ intake of vegetables (DID = 25·31 percentage points (pp); P < 0·01), dietary diversity (DID = 0·74; P < 0·01) and marginally increased their intake of flesh foods (DID = 10·14 pp; P < 0·1). Mean BMI was significantly increased among SMG WG compared with the other three groups (DID = 0·44 kg/m2; P < 0·05). The SMG programme also significantly decreased the prevalence of anaemia (DID = 12·86 pp; P < 0·01) but no impacts were found for the prevalence of underweight, ID and VAD.Conclusions:Improving mothers’ dietary intake and anaemia prevalence supports the need to integrate gender-based agriculture to improve nutritional status. However, it may take more than a year, and additional nutrition and health programmes, to impact the prevalence of maternal underweight, ID and VAD.

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“…From 2009 to 2012 with funding from the U.S. Agency for International Development, Helen Keller International (HKI) partnered with the International Food Policy Research Institute (IFPRI) to apply this layered evaluation approach to its enhanced homestead food production (EHFP) programme in Eastern Burkina Faso. The findings of the community randomized impact evaluation have been reported elsewhere (Olney et al, 2016;Olney, Pedehombga, Ruel, & Dillon, 2015) and include significant reductions in the prevalence of anaemia among infants 3-6 months of age at baseline, wasting among children 3-12 months at baseline (Olney et al, 2015), and underweight among mothers (Olney et al, 2016;Clinical Trial NCT01825226). Here, we report on some of the key findings from the PE conducted 1 year after programme implementation began (Olney, Behrman, Iruhiriye, van den Bold, & Pedehombga, 2013), how the findings were used to refine programme implementation and rectify weaknesses in real time through a series of consultations.…”

mentioning

confidence: 93%

Process evaluation improves delivery of a nutrition‐sensitive agriculture programme in Burkina Faso

Nielsen

Olney

Ouedraogo

et al. 2017

Maternal & Child Nutrition

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Evidence is emerging from rigorous evaluations about the effectiveness of nutrition-sensitive agriculture programmes in improving nutritional outcomes. Additional evidence can elucidate how different programme components and pathways contribute and can be optimized for impact. The International Food Policy Research Institute, with Helen Keller International, designed a comprehensive framework to evaluate the delivery, utilization, and impact of Helen Keller International's enhanced homestead food production programme in Burkina Faso. After 18 months of implementation, a process evaluation was conducted to examine programme impact pathways, using key informant and semistructured interviews with implementing agents and beneficiaries, and with residents of control communities. Data were analyzed by International Food Policy Research Institute and reviewed with project managers and partners through multiple workshops to identify opportunities to strengthen implementation. Findings illuminated gaps between intended and actual delivery schemes, including input constraints, knowledge gaps among community agents in agriculture and young child nutrition practices, and lower than expected activity by community volunteers. In response, staff developed measures to overcome water constraints and expand vegetable and poultry production, retrained volunteers in certain techniques of food production and counselling for nutrition behaviour change, added small incentives to motivate volunteers, and shaped both immediate and long-term changes to the programme model. Working closely with International Food Policy Research Institute on the evaluation activities also expanded the repertoire of research methods and skills of Helen Keller International staff. Process evaluation can strengthen programme delivery, utilization, and design. Collaboration between researchers and implementers can improve programme effectiveness, project staff capacity, and advance delivery science.

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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

Cited by 96 publications

References 19 publications

An mHealth voice messaging intervention to improve infant and young child feeding practices in Senegal

An mHealth voice messaging intervention to improve infant and young child feeding practices in Senegal

The impact of a Solar Market Garden programme on dietary diversity, women’s nutritional status and micronutrient levels in Kalalé district of northern Benin

Process evaluation improves delivery of a nutrition‐sensitive agriculture programme in Burkina Faso

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