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women participating in the Nutrition Links Project in a rural - - PowerPoint PPT Presentation

Poultry egg production and utilization among NUTRITION LINKS women participating in the Nutrition Links Project in a rural district of Ghana Afua Atuobi-Yeboah, Grace Marquis, Esi Colecraft, Frances Aboud, Shelley Clark, Theresa Gyorkos,


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Poultry egg production and utilization among women participating in the Nutrition Links Project in a rural district of Ghana

Afua Atuobi-Yeboah, Grace Marquis, Esi Colecraft, Frances Aboud, Shelley Clark, Theresa Gyorkos, Richmond Aryeetey, Anna Lartey, Carolyn Macdonald, Bridget Aidam, Raymond Owusu, Roland Kanlisi, Comfort Pinto

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Presentation Outline

What gaps informed research?/Why it is important. Nutrition Links Project Methods: Poultry Intervention Findings Challenges & lessons learned for Agriculture Nutrition and Health (ANH) research and policy in Africa Conclusion and implications of study

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What Gaps Informed Research?/ Why It Is Important

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Source: Ghana DHS, 2014

Indicator National (%) Eastern Region (%)

Stunted1 19 17 Wasted1 5 3 Anaemia1 66 66 Minimum adequate diet2 13 4

1 Under 5 y 2 6-23 mo

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Nutrition Links Project

Objectives

 Increase vulnerable households’ access to quality services in

agriculture/fisheries, nutrition and health, and finance

 Implement integrated intervention activities to improve infant and young child

and adolescent nutrition outcomes

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Integrated interventions (i) women with infants 0-12mo (ii) Adolescent girls 9-13 years Educational radio intervention Longitudinal data system for better planning Integrated training of district staff & communities

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Methods

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Study Site

Source: http://www.mapcruzin.com/free-ghana-maps.htm Source: https://www.graphic.com.gh/features/features /market-days-at-asesewa-the-affordable-market.html

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Study Design, Sampling, Data collection

 Design: randomized control trial  Population: women with infants

0-12 mo

 Phase 1: 144 intervention, 89

control (Feb’15-Jan’16)

 Phase 2 (Pass-on-the-gift): 89

intervention, 90 control

(Feb’16-Jan’17)

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District wide survey 146 communities Selected subdistricts (n=3) Intervention Communities (n=19) Control Communities (n= (24) Not selected subdistricts (n=3)

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Poultry Intervention

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Integrated Intervention-Other Activities

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Home gardens

  • Green leafy vegetables
  • Orange flesh sweet potatoes

Health

  • optimal child feeding
  • growth monitoring and promotion
  • psychosocial stimulation

Capacity building

  • Facilitated group discussions -gender & diversity
  • Nutrition Education-dietary diversity, using

garden vegetables and eggs

Delivery

  • Community-based
  • Initial training: mothers

and facilitators

  • Weekly meetings to

facilitate nutrition education

  • Interactive adult learning

process

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Poultry

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Phase 1=40 Phase I Phase II Phase 2=30

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Findings

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Characteristics Phase 1 (n=124) Phase 2 (n=87) P-value Child Age (mo) 9.6 ± 4.1 12.7 ± 6.2 Female 61 (49.2) 43 (49.4) Maternal Age (y) 29.8 ± 13.3 30.5 ± 16.9 Ga-Adangme-ethnicity 90 (97.8) 76 (87.4) P<0.001 Married/Cohabiting 95 (79.8) 73 (96.1) 0.001 Completed Primary education 53 (44.5) 10 (11.6) P<0.001 Completed Secondary or higher 37(31.1 76 (88.4) Occupation-Farming 61(55.0) 34 (46.6) Occupation-Trading 45 (40.5) 36 (49.3)

Mean ± SD or n (%); p<0.001

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Selected Baseline Characteristics of Participants

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Per household N Opening stock (hens) 40 Average hen mortality 9 Average ending stock 35 Range of ending stock (11-52)

Poultry and Egg Management in Phase1: Process Monitoring Data (Feb’15-Jan’16)

39% 2% 3% 4% 37% 1% 14%

Use of eggs collected (N=802,663)

Sold Undeclared Consumed Damaged Inputs purchased Gifted POG

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Per household N Opening stock (hens) 30 Average hen mortality 6 Average ending stock 27 Range of ending stock (7-34)

Poultry and Egg Management in Phase 2: Process Monitoring Data (Feb’16-Jan’17)

7% 49% 2% 2% 28% 1% 11%

Use of eggs collected (N=440,608)

Sold Undeclared Consumed Damaged Inputs purchased Gifted POG

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Monthly Egg Production by Phase1 Households and Consumption by Children (N=124)

200 400 600 800 1000 1200 Feb March April May June Jul Aug Sept Oct Nov Dec Eggs produced (#*100) Month 1200 1000 800 600 400 200 Eggs consumed (#)

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Monthly Egg Production by Phase 2 Households and Consumption by Children (N=87)

10000 20000 30000 40000 50000 60000 70000 Feb March April May June Jul Aug Sept Oct Nov Dec Jan Eggs produced (#*100) Month 1200 1000 800 600 400 200 Eggs consumed (#)

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Child Egg Consumption in Previous 24 Hours at Baseline and Endline

10 20 30 40 50 60 70 80 90 100 Phase 1 Phase 2 Phase 1 Phase 2 No Yes

P=0.02 Baseline

Endline

% children

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Child Poultry Meat Consumption in Previous 24 Hours at Baseline and Endline

10 20 30 40 50 60 70 80 90 100 Phase 1 Phase 2 Phase 1 Phase 2 No Yes

P=0.02 Baseline

Endline

% children

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Challenges

 Issues with accessibility to communities (poor road

network, regular maintenance of project vehicles )

 Issues with telecommunication network coverage

(participants having challenges to report distress issues)

 Working with multiple partners (supporting agric extension

  • fficers to poultry intervention due to inadequate resources)

 Group meetings- lateness, non-cohesion, leadership  Intense supportive supervision of intervention (new to

district, community, households)

 Non-adherence to good poultry management practices  Repayment of feed and medication debt

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Challenges

 Marketing of eggs (support from project staff)  Caregivers placing greater emphasis on egg sales for income and

success of their poultry enterprise rather than home consumption

 Sustainability planning

  • Long-term support for agriculture-based interventions

 Poultry (feed production, medication and storage issues, technical knowledge setting up an independent person to maintain regular supply.

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Lesson Learnt

 The need for stakeholder engagement at all levels

(especially agriculture office, district assembly) for the success and sustainability of integrated agriculture interventions

 Commitment by participants  Need for continuous communication and information

sharing among project participants and stakeholders

 Implementation of sustainability measures from the start

  • f project
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Conclusion and implications of study

 There was a non-significant increase in egg consumption in

as caregivers placed more emphasis on egg sales and poultry enterprise.

 In-depth evaluation is on-going to better understand

caregivers’ behaviours and to determine the project effect

  • n total egg utilization.

 There is the need for stakeholder collaboration at all levels

for the success of integrated agriculture interventions

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Funding and Support by:

The Nutrition Links Project is funded by the Government of Canada, through Global Affairs Canada.

Additional funding is provided by: McGill University World Vision Canada

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Ghana: University of Ghana, World Vision Ghana, Heifer Ghana, Population Council Ghana, Ghana Health Service, Ministry of Food and Agriculture/Department of Food and Agriculture, Ghana Education Service, Upper Manya Krobo District Assembly, Upper Manya Krobo Rural Bank Canada/USA: McGill University, World Vision Canada, Nutrition Centre of Expertise/World Vision International Institutional Partners Collaborating Researchers Grace Marquis, Esi Colecraft, Frances Aboud, Shelley Clark, Theresa Gyorkos, Richmond Aryeetey, Anna Lartey, Carolyn Macdonald, Bridget Aidam, Raymond Owusu, Roland Kanlisi

Project Implementation Partners

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Thank you