Evaluation of REACTS-IN, an Intervention to Improve Nutrition, Hygiene, and Sexual and Reproductive Health Services
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorMcGill University
About this trial
This is an independent evaluation of World VIsion's 7-year quasi-experimental intervention to improve nutrition, nutrition-related rights and gender equality for women, adolescent girls, and children under five years of age in rural Bangladesh, Kenya, and Tanzania. The evaluation will collect baseline, midline, and end-line data from intervention communities, schools, and health facilities. Only baseline and endline will be collected on the comparison communities. The evaluation objectives are to test if the intervention improved indicators for (i) child anthropometry, (ii) maternal and child dietary practices, (iii) women's empowerment, and (iv) equitable health service access for nutrition and sexual and reproductive needs. The evaluation analysis will take into account gender differences in the indicators.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
15-49 y of age
biological mother of child in the home who is 0-5.9, 6-23.9, or 24-59.9 months
has lived in the community for at 12 months
no age limit
Disqualifiers
no limitation on normal diet or growth (birth defects, illnesses)
Trial design
Design model
Parallel
Treatments tested in this trial
Education intervention on nutrition, gender equity, WASH, sexual and reproductive health rights
BehavioralEducational training on nutrition, gender equity, WASH, sexual and reproductive health rights will take place in communities (including schools) for women, men, and adolescents
school-based iron-folic acid supplement program
Dietary supplementThe program will help support and promote the school-based programs of weekly iron and folic acid supplementation for adolescent girls, in countries where it is allowed.
Health service training on equitable access to nutrition, health, and sexual and reproductive services
BehavioralTraining and support activities to make gender-equitable nutrition, health, and sexual and reproductive services in the health facilities
bio-fortified crops
Dietary supplementThe program promotes and distributes bio-fortified crops, including orange-fleshed sweet potatoes, rice, beans, and corn
Treatment groups
13,500 Participants
are divided into 2 treatment groupsGroup A: InterventionExperimental treatment 4 interventions
Group B: ComparisonNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Gender equality
Percent of households with children \< 59.9 mo that have achieved gender equality
Time frame
Change between baseline and study completion, an average of 5 years2
Child anthropometry
Percent of children 6-59 mo of age who are stunted
Time frame
Change between baseline and study completion, an average of 5 yearsSecondary outcomes
1
Antenatal care
Percent of mothers of children 0-6 months who attended at least four ante-natal visits during the last pregnancy from skilled health personnel
Time frame
Change between baseline and study completion, an average of 5 years2
Contraception use by women and partners
Percent of women aged 15-49 years married or in union, who are currently using, or whose sexual partner is using at least one modern contraception method
Time frame
Change between baseline and study completion, an average of 5 years3
Child diet
Percent of children 6-23.9 months of age, who receive minimum dietary diversity and minimum meal frequency
Time frame
Change between baseline and study completion, an average of 5 years4
Sexual and reproductive health services for adolescents
Percent of adolescent girls (10-19) who report that they were offered sexual and reproductive health services
Time frame
Change between baseline and study completion, an average of 5 yearsSponsors and contacts
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Source ClinicalTrials.gov