Official Title: Impact Evaluation of the Global Alliance for Improved Nutrition GAIN Vegetables for All Program in Uganda
Status: NOT_YET_RECRUITING
Status Verified Date: 2024-09
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: This study is an evaluation of the Global Alliance for Improved Nutrition GAINs Vegetables for All Project in Uganda The aim of this program is to improve access to safe and fresh vegetables in FitFood Zones FFZs and generate demand for vegetables through a media campaign and FFZ branding RTI and local partners will conduct impact and process evaluations of GAINs program The evaluation will include a mix of quantitative and qualitative methods and will be guided by the RE-AIM reach effectiveness adoption implementation and maintenance evaluation framework
Detailed Description: Background In Uganda the goal of GAINs Vegetables for All project is to contribute to improving the dietary diversity of Ugandans through increased consumption of safe vegetables and greater use of vegetables in Ugandan cuisine increasing the percentage of bottom-of-the-pyramid BoP consumers with more adequate diets The Vegetables for All project has components focused on generating demand for safe and fresh vegetables improving access to safe and fresh vegetables and improving the enabling environment to support the policy and regulatory environment within which vegetable value chains function The project resonates with Ugandas programs and interventions for preventing diet-related non-communicable diseases DR-NCDs Further few evaluations of integrated nutrition and food systems programs have been conducted globally Therefore an evaluation of such a program would generate insights that could inform policies and program initiatives for preventing DR-NCDs in Uganda and in other contexts
Objective The overall objectives of the evaluation are 1 To assess the change in the quantity grams of vegetables consumed in the last 24 hours before and after GAINs Vegetables for All Project by women and children 3-9 years in BoP households in the intervention versus control areas in the study districts 2 To assess the effect of the Vegetables for All project on secondary outcomes in BoP households in intervention versus control areas in study districts 3 to assess the effect of the Vegetables for All project on knowledge attitudes and intentions related to vegetable consumption in BoP households in the intervention versus control areas in study districts and 4 To conduct a program impact pathway analysis that will provide information that GAIN can use to adapt their program at midline and that will help support the findings of the impact evaluation at endline
Methods This evaluation will use a mixed-methods quasi-experimental design in which 136 FFZs are assigned to intervention or control groups across four districts The impacts will be assessed through cross-sectional population-based surveys of households with women 18-49 years who have a child 3-9 years in the selected FFZs at baseline and endline N1360 at each time point Vegetable vendor surveys will be conducted in all 136 sampled FFZs at baseline midline and endline N408 at each time point Qualitative data will be collected at midline and endline In-depth interviews IDIs will be conducted with vegetable value chain actors and other stakeholders N16 at midline and endline Focus group discussions FGDs will be conducted with vegetable vendors 16 FGDs at midline and endline and household members 16 FGDs at midline and endline The analysis will be performed using difference-in-difference estimation surveys and thematic content analysis methods qualitative A PIP analysis will be conducted at endline using a combination of qualitative and quantitative data to help understand the pathways through which the program achieved its impact