Meals, Education, and Gardens for In-School Adolescents (MEGA): study protocol for a cluster randomised trial of an integrated adolescent nutrition intervention in Dodoma, Tanzania
Introduction Secondary schools have the transformative potential to advance adolescent nutrition and provide a unique entry point for nutrition interventions to reach adolescents and their families and communities. Integrated school nutrition interventions offer promising pathways towards improving...
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e062085.full |
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| author | Wafaie W Fawzi Dongqing Wang Abbas Ismail Leonard Kamanga Katalambula Andrea R Modest Tara Young Mary Mwanyika-Sando Amani Tinkasimile Dominic Mosha Augustine Malero Said Vuai |
| author_facet | Wafaie W Fawzi Dongqing Wang Abbas Ismail Leonard Kamanga Katalambula Andrea R Modest Tara Young Mary Mwanyika-Sando Amani Tinkasimile Dominic Mosha Augustine Malero Said Vuai |
| author_sort | Wafaie W Fawzi |
| collection | DOAJ |
| description | Introduction Secondary schools have the transformative potential to advance adolescent nutrition and provide a unique entry point for nutrition interventions to reach adolescents and their families and communities. Integrated school nutrition interventions offer promising pathways towards improving adolescent nutrition status, food security and building sustainable skill sets.Methods and analysis The Meals, Education, and Gardens for In-School Adolescents (MEGA) project aims to implement and evaluate an integrated, school-based nutrition intervention package among secondary schools in the Chamwino District of Dodoma, Tanzania. MEGA is a cluster-randomised controlled trial, including six public secondary schools assigned to three different arms. Two schools will receive the full intervention package, including school meals, school gardens, nutrition education and community workshops. Two schools will receive the partial intervention package, including the school garden, nutrition education and community workshops. Two schools will serve as the controls and will not receive any intervention. The intervention will be implemented for one academic year. Baseline and end-line quantitative data collection will include 750 adolescents and 750 parents. The domains of outcomes for adolescents will include haemoglobin concentrations, anthropometry, educational outcomes and knowledge, attitudes and practices regarding nutrition, agriculture and health. The domains of outcomes for parents will include knowledge, attitudes and practices of nutrition, agriculture and health. End-line focus group discussions will be conducted among selected adolescents, parents and teachers to assess the facilitators and barriers associated with the intervention.Ethics and dissemination This study was approved by the Institutional Review Board at Harvard T.H. Chan School of Public Health (approval number: IRB20-1623), the Institutional Research Review Committee at the University of Dodoma (approval number: MA.84/261/02) and the Tanzania National Institute for Medical Research (approval number: NIMR/HO/R.8a/Vol. IX/3801). A manuscript with the research findings will be developed for publication. Local dissemination meetings will be held with key stakeholders.Trial registration number NCT04788303.; ClinicalTrials.gov Identifier. |
| format | Article |
| id | doaj-art-90ad1b49ff034e7ab6b3c28d65bd5ad8 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-90ad1b49ff034e7ab6b3c28d65bd5ad82025-01-31T21:30:09ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2022-062085Meals, Education, and Gardens for In-School Adolescents (MEGA): study protocol for a cluster randomised trial of an integrated adolescent nutrition intervention in Dodoma, TanzaniaWafaie W Fawzi0Dongqing Wang1Abbas Ismail2Leonard Kamanga Katalambula3Andrea R Modest4Tara Young5Mary Mwanyika-Sando6Amani Tinkasimile7Dominic Mosha8Augustine Malero9Said Vuai10Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USAGlobal and Community Health, George Mason University College of Health and Human Services, Fairfax, Virginia, USACollege of Natural and Mathematical Sciences, University of Dodoma, Dodoma, TanzaniaDepartment of Public Health, College of Health Sciences, University of Dodoma, Dodoma, TanzaniaAfrica Academy for Public Health, Dar es Salaam, TanzaniaDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USAAfrica Academy for Public Health, Dar es Salaam, TanzaniaAfrica Academy for Public Health, Dar es Salaam, TanzaniaAfrica Academy for Public Health, Dar es Salaam, TanzaniaCollege of Informatics and Virtual Education, University of Dodoma, Dodoma, TanzaniaCollege of Natural and Mathematical Sciences, University of Dodoma, Dodoma, TanzaniaIntroduction Secondary schools have the transformative potential to advance adolescent nutrition and provide a unique entry point for nutrition interventions to reach adolescents and their families and communities. Integrated school nutrition interventions offer promising pathways towards improving adolescent nutrition status, food security and building sustainable skill sets.Methods and analysis The Meals, Education, and Gardens for In-School Adolescents (MEGA) project aims to implement and evaluate an integrated, school-based nutrition intervention package among secondary schools in the Chamwino District of Dodoma, Tanzania. MEGA is a cluster-randomised controlled trial, including six public secondary schools assigned to three different arms. Two schools will receive the full intervention package, including school meals, school gardens, nutrition education and community workshops. Two schools will receive the partial intervention package, including the school garden, nutrition education and community workshops. Two schools will serve as the controls and will not receive any intervention. The intervention will be implemented for one academic year. Baseline and end-line quantitative data collection will include 750 adolescents and 750 parents. The domains of outcomes for adolescents will include haemoglobin concentrations, anthropometry, educational outcomes and knowledge, attitudes and practices regarding nutrition, agriculture and health. The domains of outcomes for parents will include knowledge, attitudes and practices of nutrition, agriculture and health. End-line focus group discussions will be conducted among selected adolescents, parents and teachers to assess the facilitators and barriers associated with the intervention.Ethics and dissemination This study was approved by the Institutional Review Board at Harvard T.H. Chan School of Public Health (approval number: IRB20-1623), the Institutional Research Review Committee at the University of Dodoma (approval number: MA.84/261/02) and the Tanzania National Institute for Medical Research (approval number: NIMR/HO/R.8a/Vol. IX/3801). A manuscript with the research findings will be developed for publication. Local dissemination meetings will be held with key stakeholders.Trial registration number NCT04788303.; ClinicalTrials.gov Identifier.https://bmjopen.bmj.com/content/12/7/e062085.full |
| spellingShingle | Wafaie W Fawzi Dongqing Wang Abbas Ismail Leonard Kamanga Katalambula Andrea R Modest Tara Young Mary Mwanyika-Sando Amani Tinkasimile Dominic Mosha Augustine Malero Said Vuai Meals, Education, and Gardens for In-School Adolescents (MEGA): study protocol for a cluster randomised trial of an integrated adolescent nutrition intervention in Dodoma, Tanzania BMJ Open |
| title | Meals, Education, and Gardens for In-School Adolescents (MEGA): study protocol for a cluster randomised trial of an integrated adolescent nutrition intervention in Dodoma, Tanzania |
| title_full | Meals, Education, and Gardens for In-School Adolescents (MEGA): study protocol for a cluster randomised trial of an integrated adolescent nutrition intervention in Dodoma, Tanzania |
| title_fullStr | Meals, Education, and Gardens for In-School Adolescents (MEGA): study protocol for a cluster randomised trial of an integrated adolescent nutrition intervention in Dodoma, Tanzania |
| title_full_unstemmed | Meals, Education, and Gardens for In-School Adolescents (MEGA): study protocol for a cluster randomised trial of an integrated adolescent nutrition intervention in Dodoma, Tanzania |
| title_short | Meals, Education, and Gardens for In-School Adolescents (MEGA): study protocol for a cluster randomised trial of an integrated adolescent nutrition intervention in Dodoma, Tanzania |
| title_sort | meals education and gardens for in school adolescents mega study protocol for a cluster randomised trial of an integrated adolescent nutrition intervention in dodoma tanzania |
| url | https://bmjopen.bmj.com/content/12/7/e062085.full |
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