Monitor to innovate with feedback loops: process evaluation protocol for an anemia prevention intervention

Pant, Ichhya; Patro, Lipika; Sedlander, Erica; Chandrana, Shikha; Rimal, Rajiv N.

doi:10.12688/gatesopenres.13417.1

Cited by 1 publication

(1 citation statement)

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“…This knowledge allowed us to adapt the intervention implementation according to empirical findings. Since social and political realities on the ground cannot be fully predicted at the outset of any given field trial, 15 we deemed this approach more preferable than simply implementing a static intervention based on a priori data. Thus, the primary goal of this paper is to examine the extent to which each intervention component contributed to the overall effects of the intervention.…”

Section: Introductionmentioning

confidence: 99%

How does a social norms-based intervention affect behaviour change? Interim findings from a cluster randomised controlled trial in Odisha, India

et al. 2022

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BackgroundBehaviour change interventions targeting social norms are burgeoning, but researchers have little guidance on what they look like, and which components affect behaviour change. The Reduction in Anaemia through Normative Innovations (RANI) project designed an intervention to increase iron folic acid (IFA) consumption in Odisha, India.ObjectiveThis paper examines the effect of the intervention at midline to understand which components of the RANI intervention affect uptake.MethodsUsing a cluster randomised controlled design, we collected baseline data and midline data 6 months later from women of reproductive age in the control and treatment arms (n=3800) in Angul, Odisha, India. Using nested models, we analysed data from three different intervention components, monthly community-based testing for anaemia, participatory group education sessions, and videos, to determine the extent to which exposure to each of these components accounted for the overall intervention effect on haemoglobin and self-reported IFA use.ResultsOverall, residing in a treatment as opposed to control village had little effect on midline haemoglobin, but increased the odds of taking supplements by 17 times. Exposure to each of the intervention components had a dose–response relationship with self-reported IFA use. These components, separately and together, accounted for most of the overall effect of treatment assignment on IFA use.ConclusionsAll intervention components increased iron supplement use to differing degrees of magnitude. It appears that a social norms-based approach can result in improving IFA uptake, though improvements in haemoglobin counts were not yet discernible.

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Section: Introductionmentioning

confidence: 99%