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Alive & Thrive (A&T) is an initiative that supports the scaling up of nutrition interventions to save lives, prevent illnesses, and contribute to healthy growth and development through improved maternal nutrition, breastfeeding and complementary feeding practices. In Ethiopia, A&T will test the feasibility of implementing a package of locally tailored adolescent nutrition interventions through school-based (in-class curriculum, extracurricular activities, parent-teacher associations and activities, nutrition education discussions by health workers, and school campaigns) and community platforms. The evaluation will use a two-arm cluster-randomized, non-masked trial design, consisting of two surveys and following a sub-sample panel of in-school adolescent girls aged 10-14 years enrolled in grades 4-8.
Adolescence is a critical period of physical and psychological development and for achieving human potential. Rapid physical, psychosocial and cognitive growth and development is coupled with increased energy and nutrient requirements (Das et al., 2017; Spear 2002). Poor nutrition during adolescence can have adverse consequences impacting health in adulthood. The significance of nutrition during adolescence is especially important for girls, as poor nutrition can affect their well-being as well as the survival, health and well-being of their children (Das et al. 2017).
A&T Ethiopia will develop and test the feasibility of implementing a package of locally tailored adolescent nutrition interventions through school-based (in-class curriculum, extracurricular activities, parent-teacher associations and activities, nutrition education discussions by health workers, and school campaigns) and community platforms. The impacts of these nutrition-focused interventions will be compared with standard school and community activities in control areas.
The evaluation will use a two-arm cluster-randomized, non-masked trial design, consisting of two surveys and following a sub-sample panel of in-school adolescent girls aged 10-14 years enrolled in grades 4-8. The study will be implemented in two regions of Ethiopia, Southern Nations Nationalities and People's Region (SNNPR) and Somali. The unit of randomization is the primary school which includes grades 1-8. 31 schools in SNNPR and 23 schools in Somali will be randomly assigned to intervention/control.
The objectives of the proposed evaluation are to answer the following questions:
1. Is it feasible to integrate locally relevant adolescent nutrition interventions through school-based platforms?
2. What are the barriers and opportunities for strengthening school-based nutrition interventions for adolescents?
3. What are the impacts of interventions on the consumption of quality of diets (dietary diversity and adequate intake of micronutrients, protein, and energy; and less consumption of unhealthy snacks) among adolescent girls?
International Food Policy Research Institute
District of Columbia
International Food Policy Research Institute
Published on BioPortfolio: 2019-10-14T10:28:54-0400
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