A&T Ethiopia Adolescent Nutrition Endline Survey 2021: Adolescent Girl

Author(s)
  • International Food Policy Research Institute (IFPRI)
Release Year 2021
Regions
  • Eastern Africa
  • Sub-Saharan Africa
  • Africa
  • World
Themes
  • Nutrition and health
Source HARVARD Dataverse
Data collection period -
Temporal coverage -
Usage Rights
Access Open
License CC-BY
Disclaimer

IFPRI adheres to the principle of unrestricted public access to its own final research outputs and will make such outputs freely available. The Institute encourages the use of this dataset; for detailed information on its use, please refer to IFPRI’s Intellectual Property Policy. The data files in this dataset are unit record or ‘raw’ data files. Information that would allow survey respondents to be identified has been deleted from the files, but all other information remains. IFPRI’s decision not to alter the contents of the data files means that the user of these files will need to take care in handling missing observations, outliers, and violations of logical consistency.

The data are provided ‘as is’ and in no event shall IFPRI be liable for any damages resulting from the use of the data. While great effort was taken to obtain high-quality data, the accuracy or reliability of the data is not guaranteed or warranted in any way.
Methodology
Instrument Structured questionnaire
Sampling A cluster is defined as the primary school that includes grades 1-8. Four woredas in SNNPR (with 31 schools) and three woredas in Somali region (with 23 schools) were selected as potential intervention areas. Stratified randomization within woredas was used to try to balance potential co-interventions and confounders. Then 27 schools were allocated to the intervention arm and 27 schools were allocated to the control arm by use of computer-generated pseudo-random numbers. The samples across the two regions were pooled to estimate effects at program level. Study participants were sampled using a school-based sampling strategy. Lists of eligible adolescent girls were taken from primary school enrollment registries. Enrollment records (available at the time of the survey) were used to verify the birthdate/age of eligible students, which may be recorded from birth certificates or self-reported. Then, adolescent girls were randomly selected by simple random sampling until the required sample size was reached and visited at home to be recruited and interviewed. Parents of adolescent girls (either the mother, father, or legal guardian) were interviewed at home. At the school level, the principal and science teacher, and HEW responsible for providing nutrition education or facilitating other related activities/interventions were interviewed. At baseline, a light data collection at all study schools and subsamples of adolescent girls and their parents was conducted to assess comparability between study arms. At endline, the full samples of adolescent girls and their parents were surveyed
Unit of analysis Adolescent girl
Universe Adolescent girls aged 10-14 years and enrolled in grades 4-8 in A&T schools in the SNNPR and Somali regions of Ethiopia
Contact point IFPRI-Data
Funding Organisations Bill & Melinda Gates Foundation (BMGF)
Providers International Food Policy Research Institute (IFPRI)
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full citation International Food Policy Research Institute (IFPRI). 2023. A&T Ethiopia Adolescent Nutrition Endline Survey 2021: Adolescent Girl. Washington, DC: IFPRI [dataset]. https://doi.org/10.7910/DVN/KERYXJ. Harvard Dataverse. Version 1.

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Abstract

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 implemented a package of adolescent nutrition interventions through school-based (nutrition messages during flag assemblies, classroom lessons on nutrition, student clubs on nutrition for girls, peer mentoring on nutrition, body mass index (BMI) measurement with counseling, and parents’ meetings) and community platforms (health post and home visits and community gatherings to discuss adolescent nutrition). This dataset is part of a survey that was conducted to gather endline data for the impact evaluation of the interventions. The overall study objective was to determine the feasibility of delivering nutrition interventions primarily through school-based platforms and their impact on diet quality among adolescent girls. Research questions include: 1) What is the program's impact on the diet of adolescent girls: (1) dietary diversity, (2) meal frequency, and (3) less consumption of unhealthy snacks? 2) What is the exposure to adolescent nutrition interventions delivered through school-based platforms? 3) What factors influenced the integration of adolescent nutrition interventions into school-based platforms and their outcomes? The evaluation used a two-arm cluster-randomized, non-masked trial design, consisting of two cross-sectional surveys of in-school adolescent girls aged 10-14 years enrolled in grades 4-8. The unit of randomization is the primary school which includes grades 1-8. The endline survey was conducted in March-April 2021 by Addis Continental Institute of Public Health (ACIPH), the in-country research collaborator for the survey. The endline survey included the following: 1) Adolescent girl questionnaire, 2) Parent questionnaire, 3) Teacher/Principal questionnaire, 4) Primary school observation checklist, and 5) Health Extension Worker (HEW) questionnaire. The adolescent girl interviews were conducted using pretested, structured questionnaires. Information was collected on adolescent background, school attendance, dietary diversity, meal and snacking patterns, home food environment, nutrition knowledge, WASH practices, health and health service exposure, the effect of COVID-19 on school attendance and health service use, parental interaction, and other influencers (including sharing education messages and materials), gender and marriage beliefs, decision-making power, and anthropometry.