Ifaa Effectiveness Evaluation on Food Security and Nutrition

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

• Ages 15 to 45 years
• All sexes
• Healthy volunteers accepted
• Child, Adult

Study population: The overall goal of the Ifaa Project is to improve food security of vulnerable households in targeted PSNP communities, contributing to a sustained reduction in rural poverty. To achieve this goal, Ifaa will provide additional multi-sectoral interventions to benefit further 60,000 PSNP households in the Oromia region, which is Ethiopia's largest, most populous region and also one of its poorest. The study population is PSNP beneficiaries that are participating in the Ifaa Project.

Trial locations and contacts

1 site in 1 country.

About this study

Official title: Ifaa Effectiveness Evaluation: A Comparison of Multisectoral Food Security and Resilience Interventions in the Oromia Region of Ethiopia

Conditions

Nutritional Wasting, Nutritional Stunting

Being tested

Ifaa Basic, Ifaa Enhanced, Ifaa Enhanced + Livelihoods

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

• Ifaa BasicOther

  • PSNP Systems: (1) Provision of food aid commodities (wheat, oil, and pulse) per the PSNP transfer schedule for 3-6 months; 2) Food System Taskforce (FSTF) capacity building, and 3) private sector engagement
  • Health and Nutrition: 1) Government of Ethiopia (GoE) basic health extension program; 2) GoE supportive supervision coaching; 3) GoE-led community social behavior change (SBC) sessions; and 4) Community Management of Acute Malnutrition (CMAM) Programming.
  • Water and Sanitation: 1) Water infrastructure development; 2) improved governance via water, sanitation and hygiene (WASH) committees; and 3) water source monitoring.
  • Natural Resource Management: 1) Public works projects; 2) community training in planning and sustaining community assets; 3) Implementation of the environment and social management framework; 4) enhance participation of watershed committees

• Ifaa EnhancedBehavioural

  • PSNP Systems: 1) establishment and training of Community Technical Coordinating Forum; 2) Case management capacity building; and 3) private sector construction of infrastructure
  • Health and Nutrition:1) the Care Group Model approach; 2) home garden promotion; 3) the nutrition budget calculator; and 4) labor and time-saving technologies.
  • Community-level interventions are 1) adolescent nutrition school clubs; 2) religious leader mobilization and training vulnerable groups; 3) audio toolkit against harmful traditional practice; 4) enhanced SBC tools for health/nutrition promotion; 5) additional health extension programs
  • Water and Sanitation: 1) Community Led Total Sanitation and Hygiene; 2) WASH systems assessments and strengthening; 3) Ensuring water quality and safety via routine monitoring; 4) Private sector engagement of WASH-related businesses;

• Ifaa Enhanced + LivelihoodsOther

  • Additional resources provided to the groups, including 1) Engagement of Private Service Providers to enable access to sustainable credit and larger loans; 2) Financial Education using an expanded 'Smart Skills' curriculum focusing on savings, smart borrowing and effective financial management; and 3) Life Skills Training for Youth.
  • Additional supports include: 1) Seven Steps of Marketing Training; 2) Climate Smart Agriculture to reduce water needs and increase soil health and vegetation coverage; 3) Producers Groups and linkages to markets/suppliers/buyers; Selected financial institutions will be provided with a credit guarantee fund and capacity-building support to help facilitate loans. Private sector value chain assessment and financing. Additional private sector engagement and linkage facilitation.

What is being measured

The primary outcome is the main question the study is designed to answer.

1. Change in Poor or Borderline Food Consumption Score (%)

   The food consumption score (FCS) reflects the diversity and frequency of household food and nutritional intake consumed in the seven days preceding the survey and is an indicator used globally. The consumption frequency of eight food groups is assessed in the preceding 7 days, and weighted scores for each food group are summed to calculate the FCS; a higher FCS score indicates better food security. Household food security status is categorized using the following thresholds: 0-28 poor; 28.5-42 borderline; and >42 for acceptable.

   Measured: baseline, 2 years

2. Change in minimum dietary diversity (%)

   The minimum dietary diversity (MDD) score is a population-level indicator to assess diet diversity as part of infant and young child feeding (IYCF) practices. Data are gathered from a questionnaire administered to the child's caregiver, usually as part of the IYCF module. Respondents are asked to indicate whether or not the child consumed any food over the previous 24 hours from each of eight food groups. The seven food groups included in the questionnaire are: grains, legumes and nuts, dairy products, flesh foods, eggs, vitamin A rich fruits and vegetables, other fruits and vegetables.

   Measured: baseline, 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

1. First posted24 Apr 2023
2. Study start21 May 2023
3. Primary completion5 Jul 2025
4. Study completion5 Jul 2025

Resources

• Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
• Other trials for Nutritional WastingStudies of the same condition, open and under way.
• More trials run by Johns Hopkins Bloomberg School of Public HealthThe sponsor's other registered studies.
• What the trial phases meanHow a treatment moves from first tests in people to approval.

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.