Evidence map›Paper›PMID 37396961›Full record

ArticleCurrent developments in nutrition2023

A Mixed Methods Exploration of the Role of Participation in a Nutrition-Sensitive Agroecology Intervention in Rural Tanzania.

Marianne Victoria Santoso, Halle Claire Petrie, Rachel Bezner Kerr, Charlotte Lane, Neema Kassim, Haikael Martin, Elias Mtinda, Esther Lupafya, Sera Young

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Article in Current developments in nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Marianne Victoria SantosoDepartment of Anthropology, Northwestern University, Evanston, IL, United States.
Halle Claire PetrieDepartment of Anthropology, Northwestern University, Evanston, IL, United States.
Rachel Bezner KerrDepartment of Global Development, Cornell University, Ithaca, NY, United States.
Charlotte LaneInternational Initiative for Impact Evaluation, Washington, DC, United States.
Neema KassimNelson Mandela African Institution of Science and Technology, Arusha, Tanzania.
Haikael MartinNelson Mandela African Institution of Science and Technology, Arusha, Tanzania.
Elias MtindaAction Aid Tanzania, Dar es Salaam, Tanzania.
Esther LupafyaSoils, Food and Healthy Communities (SFHC), Ekwendeni, Malawi.
Sera YoungDepartment of Anthropology, Northwestern University, Evanston, IL, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Participation is key to the successful implementation of nutrition-related interventions, but it has been relatively overlooked. Objective: We sought to describe participation intensity among smallholder farmers in a randomized nutrition-sensitive agroecology study in rural Tanzania. We explored the association between baseline characteristics and overall participation intensity (quantitatively at the individual level and qualitatively at the group level), the association of participation intensity with 2 process indicators, and the association between participation intensity and key study outcomes. Methods: Data came from 7 rounds of surveys with 295 women and 267 men across 29 months and 2 rounds of semi-structured interviews with the 20 "mentor farmers" who delivered the intervention. Participation intensity was based on the number of months of attendance at village-level project meetings or household visits (range: 0-29). Multivariable models of participation were built. Results: Women and men participated for 17.5 ± 7.2 and 13.6 ± 8.3 months, respectively. Participation intensity followed 1 latent trajectory: initially low, with a sharp increase after month 7, and plateaued after the first year. At baseline, higher participation intensity was associated with older age, higher education, level of women's empowerment, being in the middle quintile of wealth, and qualitatively, village residence. Higher participation intensity was associated with 2 process indicators - better recall of topics discussed during meetings and greater knowledge about key agroecological methods. High participation intensity was positively associated with increased use of sustainable agricultural practices among all participants, and among women, with husband's involvement in household tasks and child's dietary diversity score. Conclusions: Participation intensity covaried with key study outcomes, suggesting the value of increased attention to implementation in nutrition-related programs for providing insights into drivers of impact. We hope that investigations of participation, including participation intensity, will become more widespread so that intervention impacts, or lack thereof, can be better understood.

Indexed as

agroecologyimplementation sciencenutrition-sensitive agricultureparticipationparticipation intensityprocess evaluationsmallholder farmer

Identifiers

PMID37396961
PMCPMC10314235

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.