Singida Nutrition and Agroecology Project

NCT ID: NCT02761876

Last Updated: 2020-10-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

700 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2019-05-31

Brief Summary

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The purpose of this study is to test if a participatory, agroecological peer farmer-led education intervention can be effective at improving legume production, food security, and infant and young child feeding practices in Singida District, Tanzania.

Detailed Description

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Approximately 40% of under five children in Tanzania are stunted, with higher levels in rural areas. Our inception research in Singida identified five pressing issues faced by smallholder farmers that may contribute to this high rate of stunting. They are (A) hierarchical, or "top down" farmer education, (B) low soil fertility and little knowledge of agroecological solutions, (C) high levels of gender inequality and high workloads for women, (D) food insecurity and low dietary diversity, and (E) sub-optimal infant and young child feeding. Singida Nutrition and Agroecology Project (SNAP) is a randomized effectiveness trial of a participatory, agroecological peer farmer education intervention. Each intervention village will choose 2 mentor farmers, 1 man and 1 woman, who will participate in a field visit to and training by existing mentor farmers in Malawi and a two week long follow-up and refresher trainings in Tanzania integrating agroecology, climate change, nutrition, and gender equality. Mentor farmers will then conduct monthly visits to participating households and support the households in conducting experimentation with agroecological practices and/or new behaviors regarding nutrition and gender equality. Quarterly meetings among mentor farmers and biannual meeting of participating farmers within each village will be held to discuss progress and challenges of peer education and household experimentations.

Conditions

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Malnutrition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention (Participatory education)

Participatory education

Group Type EXPERIMENTAL

Mentor farmer training (Malawi)

Intervention Type BEHAVIORAL

Mentor farmers, 1 man, 1 woman, from each village will participate in a field visit to and training by existing mentor farmers in Malawi. Only the intervention arm of this study will receive mentor farmer training in Malawi, delayed intervention arm will receive mentor farmer training from farmers participating in the initial intervention in Tanzania.

Mentor farmer training (Singida, Tanzania)

Intervention Type BEHAVIORAL

Mentor farmers will receive training in Singida, Tanzania on agroecology practices, climate change, nutrition, and gender equality. Intervention villages will receive training in 2016. Delayed intervention villages will receive training in 2019.

Mentor farmer visits and facilitation

Intervention Type BEHAVIORAL

Mentor farmers will conduct monthly visits to participating households and support the households in conducting experimentation with agroecological practices and/or new behavior regarding nutrition and gender equality. Quarterly meetings among farmers within each village will be held to discuss progress and challenges of household experimentations. Intervention households will receive support and facilitation for approximately 2 years. Delayed intervention households will receive support and facilitation for approximately 6 months after end line survey.

Control

Delayed participatory education

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Mentor farmer training (Malawi)

Mentor farmers, 1 man, 1 woman, from each village will participate in a field visit to and training by existing mentor farmers in Malawi. Only the intervention arm of this study will receive mentor farmer training in Malawi, delayed intervention arm will receive mentor farmer training from farmers participating in the initial intervention in Tanzania.

Intervention Type BEHAVIORAL

Mentor farmer training (Singida, Tanzania)

Mentor farmers will receive training in Singida, Tanzania on agroecology practices, climate change, nutrition, and gender equality. Intervention villages will receive training in 2016. Delayed intervention villages will receive training in 2019.

Intervention Type BEHAVIORAL

Mentor farmer visits and facilitation

Mentor farmers will conduct monthly visits to participating households and support the households in conducting experimentation with agroecological practices and/or new behavior regarding nutrition and gender equality. Quarterly meetings among farmers within each village will be held to discuss progress and challenges of household experimentations. Intervention households will receive support and facilitation for approximately 2 years. Delayed intervention households will receive support and facilitation for approximately 6 months after end line survey.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Are among the most vulnerable, as indicated by food insecurity
* Have a child who will be \<= 1 year old in February 2016
* Are farmers who have regular access to the same farms/plots (but they do not need to own the land per se)
* Female headed households are acceptable, so long as not more than half the selected households in the village are female headed (to be able to detect change in gender equity)
* Willing to stay in study for 3 years, i.e. do not plan to move
* Interested in experimenting with new farming techniques

Exclusion Criteria

* Refuses to take part
Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Nelson Mandela African Institute of Science and Technology

UNKNOWN

Sponsor Role collaborator

Action Aid Tanzania

OTHER

Sponsor Role collaborator

Ilonga Agricultural Research Institute

UNKNOWN

Sponsor Role collaborator

Cornell University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rachel N Bezner Kerr, MS PhD

Role: PRINCIPAL_INVESTIGATOR

Cornell University

Sera L Young, MA PhD

Role: PRINCIPAL_INVESTIGATOR

Cornell University

Elias Mtinda

Role: PRINCIPAL_INVESTIGATOR

Action Aid Tanzania

References

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Santoso MV, Bezner Kerr RN, Kassim N, Martin H, Mtinda E, Njau P, Mtei K, Hoddinott J, Young SL. A Nutrition-Sensitive Agroecology Intervention in Rural Tanzania Increases Children's Dietary Diversity and Household Food Security But Does Not Change Child Anthropometry: Results from a Cluster-Randomized Trial. J Nutr. 2021 Jul 1;151(7):2010-2021. doi: 10.1093/jn/nxab052.

Reference Type DERIVED
PMID: 33973009 (View on PubMed)

Other Identifiers

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1511005983

Identifier Type: -

Identifier Source: org_study_id

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