Protocol for the cost-consequence and equity impact analyses of a cluster randomised controlled trial comparing three variants of a nutrition-sensitive agricultural extension intervention to improve maternal and child dietary diversity and nutritional status in rural Odisha, India (UPAVAN trial)

Autor: Jolene Skordis, Shibanand Rath, Shibananth Pradhan, Abhinav Kumar, Sarah Cunningham, Helen Harris-Fry, Sneha Krishnan, Avinash Upadhyay, Naba Kishore Mishra, Hassan Haghparast-Bidgoli, Suneetha Kadiyala, Amit Ojha, Tom Palmer, Ronali Pradhan, Peggy Koniz-Booher, Meghan O’Hearn
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Rural Population
Adolescent
Nutrition-sensitive agriculture
Cost-Benefit Analysis
Psychological intervention
India
Nutritional Status
Medicine (miscellaneous)
Women’s groups
Young Adult
Study Protocol
03 medical and health sciences
Indirect costs
0302 clinical medicine
Environmental health
Outcome Assessment
Health Care
Health care
medicine
Cluster Analysis
Humans
Pharmacology (medical)
030212 general & internal medicine
Cluster randomised controlled trial
Agricultural extension
Randomized Controlled Trials as Topic
lcsh:R5-920
Equity (economics)
Dietary diversity
Maternal and child nutrition
business.industry
Malnutrition
Agriculture
Middle Aged
medicine.disease
Cost-consequence analysis
Diet
Economic evaluation
Participatory learning and action
Public Health
business
lcsh:Medicine (General)
030217 neurology & neurosurgery
Zdroj: Trials, Vol 20, Iss 1, Pp 1-11 (2019)
Trials
ISSN: 1745-6215
DOI: 10.1186/s13063-019-3388-2
Popis: Background Undernutrition causes around 3.1 million child deaths annually, around 45% of all child deaths. India has one of the highest proportions of maternal and child undernutrition globally. To accelerate reductions in undernutrition, nutrition-specific interventions need to be coupled with nutrition-sensitive programmes that tackle the underlying causes of undernutrition. This paper describes the planned economic evaluation of the UPAVAN trial, a four-arm, cluster randomised controlled trial that tests the nutritional and agricultural impacts of an innovative agriculture extension platform of women’s groups viewing videos on nutrition-sensitive agriculture practices, coupled with a nutrition-specific behaviour-change intervention of videos on nutrition, and a participatory learning and action approach. Methods The economic evaluation of the UPAVAN interventions will be conducted from a societal perspective, taking into account all costs incurred by the implementing agency (programme costs), community and health care providers, and participants and their households, and all measurable outcomes associated with the interventions. All direct and indirect costs, including time costs and donated goods, will be estimated. The economic evaluation will take the form of a cost-consequence analysis, comparing incremental costs and incremental changes in the outcomes of the interventions, compared with the status quo. Robustness of the results will be assessed through a series of sensitivity analyses. In addition, an analysis of the equity impact of the interventions will be conducted. Discussion Evidence on the cost and cost-effectiveness of nutrition-sensitive agriculture interventions is scarce. This limits understanding of the costs of rolling out or scaling up programs. The findings of this economic evaluation will provide useful information for different multisectoral stakeholders involved in the planning and implementation of nutrition-sensitive agriculture programmes. Trial registration ISRCTN65922679. Registered on 21 December 2016 Electronic supplementary material The online version of this article (10.1186/s13063-019-3388-2) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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