Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Trials
Published in: Trials 1/2017

Open Access 01-12-2017 | Study protocol

Improving diets and nutrition through an integrated poultry value chain and nutrition intervention (SELEVER) in Burkina Faso: study protocol for a randomized trial

Authors: Aulo Gelli, Elodie Becquey, Rasmane Ganaba, Derek Headey, Melissa Hidrobo, Lieven Huybregts, Hans Verhoef, Romain Kenfack, Sita Zongouri, Hannah Guedenet

Published in: Trials | Issue 1/2017

Login to get access

Abstract

Background

The SELEVER study is designed to evaluate the impact of an integrated agriculture–nutrition package of interventions (including poultry value chain development, women’s empowerment activities, and a behavior change communications strategy to promote improved diets and feeding, care, and hygiene practices) on the diets, health, and nutritional status of women and children in Burkina Faso. This paper presents the rationale and study design.

Methods

The impact evaluation involves a cluster randomized controlled trial design that will be implemented in 120 rural communities/villages within 60 communes supported by SELEVER in the Boucle de Mouhoun, Centre-Ouest, and Haut-Bassins regions of Burkina Faso. Communities will be randomly assigned to one of three treatment arms, including: (1) SELEVER intervention group; (2) SELEVER with an intensive WASH component; and (3) control group without intervention. Primary outcomes include the mean probability of adequacy of diets for women and children (aged 2–4 years at baseline), infant and young child feeding practices of caregivers of children aged 0–2 years, and household poultry production and sales. Intermediate outcomes along the agriculture and nutrition pathways will also be measured, including child nutrition status and development. The evaluation will follow a mixed-methods approach, including a panel of child-, household-, community-, and market-level surveys, and data collection points during post-harvest and lean seasons, as well as one year after implementation completion to examine sustainability.

Discussion

To our knowledge, this study is the first to rigorously examine from a food systems perspective, the simultaneous impact of scaling-up nutrition-specific and nutrition-sensitive interventions through a livestock value-chain and community-intervention platform, across nutrition, health, and agriculture domains. The findings of this evaluation will provide evidence to support the design of market-based nutrition-sensitive interventions.

Trial registration

ISRCTN registry, ISRCTN16686478. Registered on 2 December 2016.
Appendix
Available only for authorised users
Literature
1.
Black RE, Victora C, Walker SP, Bhutta ZA, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low- and middle-income countries. Lancet. 2013;382(9890):427–51.CrossRefPubMed
2.
Ruel MT. Operationalizing dietary diversity: a review of measurement issues and research priorities. J Nutr. 2003;133(11):3911S–26.PubMed
3.
Arimond M, Wiesmann D, Becquey E, Carriquiry A, Daniels MC, Deitchler M, et al. Simple food group diversity indicators predict micronutrient adequacy of women’s diets in 5 diverse, resource-poor settings. J Nutr. 2010;140(11):2059S–69.CrossRefPubMedPubMedCentral
4.
Thompson B, Amoroso L, editors. Combating micronutrient deficiencies: food-based approaches. Rome: Food and Agriculture Organization of the United Nations; 2011.
5.
Hawkes C, Ruel M. “Value Chains for Nutrition. 2020 Conference: Leveraging Agriculture for Improving Nutrition and Health.” 2020 Conference Paper 4. Washington, DC: International Food Policy Research Institute; 2011.
6.
Gelli A, Hawkes C, Donovan J, Harris J, Allen S, de Brauw A, et al. Value chains and nutrition: a framework to support the identification, design, and evaluation of interventions. IFPRI Discussion Paper 01413. Washington, DC: International Food Policy Research Institute; 2015.
7.
Quisumbing A, Meinzen-Dick R, Raney TL, Croppenstedt A, Behrman JA, Peterman A. Closing the knowledge gap on gender in agriculture. Netherlands: Springer; 2014.CrossRef
8.
Zambrano LD, Levy K, Menezes NP, Freeman MC. Human diarrhea infections associated with domestic animal husbandry: a systematic review and meta-analysis. Trans R Soc Trop Med Hyg. 2014;108:313–25.CrossRefPubMedPubMedCentral
9.
Ngure FM, Humphrey JH, Mbuya MN, Majo F, Mutasa K, Govha M, et al. Formative research on hygiene behaviors and geophagy among infants and young children and implications of exposure to fecal bacteria. Am J Trop Med Hyg. 2013;89:709–16.CrossRefPubMedPubMedCentral
10.
American Thoracic Society. Respiratory health hazards in agriculture. Am J Respir Crit Care Med. 1998;158(S1):S1–76.
11.
Mbuya MNN, Humphrey JH. Preventing environmental enteric dysfunction through improved water, sanitation and hygiene: an opportunity for stunting reduction in developing countries. Matern Child Nutr. 2016;12 Suppl 1:106–20.CrossRefPubMed
12.
Schriewer A, Odagiri M, Wuertz S, Misra PR, Panigrahi P, Clasen T, et al. Human and animal fecal contamination of community water sources, stored drinking water and hands in rural India measured with validated microbial source tracking assays. Am J Trop Med Hyg. 2015;93:509–16.CrossRefPubMedPubMedCentral
13.
Institut National de la Statistique et de la Démographie - INSD/Burkina Faso and ICF International. Enquête Démographique et de Santé et à Indicateurs Multiples du Burkina Faso 2010. Calverton: INSD and ICF International; 2012.
14.
IFPRI. Assessing the health and nutrition risks of smallholder poultry production in Burkina Faso: insights from formative research. IFPRI Discussion Paper. Washington, DC: International Food Policy Research Institute; 2015.
15.
Some, Batamaka. Women’s role in poultry production and household decision-making in Burkina Faso. Draft Report for the Bill and Melinda Gates Foundation, Seattle. 2015.
16.
Hayes R, Moulton LH. Cluster randomised trials. Oxford: Chapman & Hall/CRC Press; 2009.CrossRef
17.
Arsenault JE, Nikiema L, Allemand P, Ayassou KA, Lanou H, Moursi M, et al. Seasonal differences in food and nutrient intakes among young children and their mothers in rural Burkina Faso. J Nutr Sci. 2014;3:e55.CrossRefPubMedPubMedCentral
18.
Martin-Prevel Y, Allemand P, Nikiema L, Ayassou KA, Ouedraogo HG, Moursi M, et al. Biological status and dietary intakes of iron, zinc and vitamin a among women and preschool children in rural Burkina Faso. PLoS One. 2016;11(3):e0146810.CrossRefPubMedPubMedCentral
19.
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;146(5):1109–17.CrossRefPubMed
20.
Institute of Medicine at the United States National Academy of Sciences. Using the estimated average requirement for nutrient assessment of groups. In: Dietary reference intakes: applications in dietary assessment. Washington, DC: National Academies Press; 2000. pp. 106-12.
21.
Gibson RS, Ferguson EL. An interactive 24-hour recall for assessing the adequacy of iron and zinc intakes in developing countries. HarvestPlus Technical Monograph 8. Washington, DC; Cali: International Food Policy Research Institute (IFPRI), International Center for Tropical Agriculture (CIAT); 2008.
22.
World Health Organization. WHO child growth standards: length/ height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva: WHO; 2006.
23.
Erhardt JG, Estes JE, Pfeiffer CM, Biesalski HK, Craft NE. Combined measurement of ferritin, soluble transferrin receptor, retinol binding protein, and C-reactive protein by an inexpensive, sensitive, and simple sandwich enzyme-linked immunosorbent assay technique. J Nutr. 2004;134(11):3127–32.PubMed
24.
Huybregts L, Becquey E, Zongrone A, et al. The impact of integrated prevention and treatment on child malnutrition and health: the PROMIS project, a randomized control trial in Burkina Faso and Mali. BMC Public Health. 2017;17:237.CrossRefPubMedPubMedCentral
25.
Bruhn M, McKenzie D. In pursuit of balance: randomization in practice in development field experiments. World Bank Policy Research Working Paper 4572. Washington, DC: World Bank; 2009.
26.
Goldstein H. Multilevel statistical models. 3rd ed. London: Edward Arnold; 2003.
Metadata
Title
Improving diets and nutrition through an integrated poultry value chain and nutrition intervention (SELEVER) in Burkina Faso: study protocol for a randomized trial
Authors
Aulo Gelli
Elodie Becquey
Rasmane Ganaba
Derek Headey
Melissa Hidrobo
Lieven Huybregts
Hans Verhoef
Romain Kenfack
Sita Zongouri
Hannah Guedenet
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Trials / Issue 1/2017
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-017-2156-4

Other articles of this Issue 1/2017

Trials 1/2017 Go to the issue

Study protocol

A randomized phase II study to assess the effect of adjuvant immunotherapy using α-GalCer-pulsed dendritic cells in the patients with completely resected stage II–IIIA non-small cell lung cancer: study protocol for a randomized controlled trial

Erratum

Erratum to: Attention training for infants at familial risk of ADHD (INTERSTAARS): study protocol for a randomised controlled trial

Study protocol

Does intensive management improve remission rates in patients with intermediate rheumatoid arthritis? (the TITRATE trial): study protocol for a randomised controlled trial

Study protocol

The Benefits of Early Book Sharing (BEBS) for child cognitive and socio-emotional development in South Africa: study protocol for a randomised controlled trial

Study protocol

Tight intra-operative blood pressure control versus standard care for patients undergoing hip fracture repair – Hip Fracture Intervention Study for Prevention of Hypotension (HIP-HOP) trial: study protocol for a randomised controlled trial

Study protocol

Traditional Chinese medicine combination therapy for patients with steroid-dependent ulcerative colitis: study protocol for a randomized controlled trial