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Empowering rural families to lift themselves out of poverty Video-based extension approach
Empowering rural families to lift
themselves out of poverty
Video-based extension
approach
Reached over 1.5 MILLION small holder farmers
DG ActivitiesDG OfficesDG AcademicCollaboration
END TO END PROCESS
Partner
OrientationVideo
Production
Adoption
VerificationTraining Dissemination Data Analysis
Studying feasibility of integrating health and nutrition
initiatives..Basanti's Story.mp4
Keonjhar District, Odisha, India
Four Year, Four Arm Cluster Randomized Control Trial
UPAVAN: Upscaling Participatory Action and Videos for Agriculture and Nutrition
Overview
7
• WHAT: 4 year, 4 arm cluster Randomized Control Trial
• OBJECTIVE: assess the impact and cost-effectiveness of DG’s technology-enabled extension approach and Ekjut’sparticipatory learning and action approach on maternal and children’s nutritional status
UPAVAN PARTNERS
Knowledge Partners
Implementation Partners
Research Partners
RCT Design
148 clusters in KeonjharDistrict, Odisha, India
Cluster Allocation for Intervention Arms
Arm 1 - DG-NSA: 37 clusters
Baseline and Endline:
Control Arm: 37 clusters
Amr 2 - DG-NSA + NUT: 37 clusters
Arm 3 - DG-NSA + PLA-NUT : 37 clusters
Overall Sample:N =4736 respondents
Cluster sample:32 mothers of children <2 years per cluster
Analysis: Four arm analysis design- comparisons between each intervention arm and the control arm only
Nutrition sensitive agriculture (NSA)
• Agricultural approaches which incorporate specific nutrition goals
NSA
• These activities and interventions aim to improve nutrition through women’s empowerment
Women involvement
• Physical, economic, and socio-cultural access to nutritious food year-round
• Adequate resources for health, WASH, and care at individual and household levels.
Addressing causes of undernutrition
Pathways of
nutrition sensitive agriculture (NSA)
Agriculture – Food
Agriculture –Income
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Agriculture –Women’s
empowerment
supplies local markets and households with sufficient, safe and
nutritious and diverse food year round
increases household resources and
purchasing power
increases women’s control over food, other resources (time, energy,
money, care and WASH), and equitable
workload sharing
increased nutritious food availability and
access enables increased intake at the
individual level
increases household resources and
purchasing power
improved care and household expenditure towards the health and
nutrition of children and family members
Promoted behaviorsLocally identified crop/livestock specific seasonally determined key
practices to:
Grow food Earn income Reduce work Make decisions
Increase production and diversity of nutrient rich
crop and livestock
Increase income from agriculture
Reduce workload of pregnant and lactating
women and use of drudgery reducing
technologies
Increase women decision making power in agriculture activities,
workload and use of income
Do no harm: handwashing and safe handling of manures and fertilizer
Intermediate outcomes:
1. More diverse food production, 2. Increased value of agricultural production, 3. higher household economic status and food security, 4. increased women’s decision-making power in
agriculture, 5. workload and use of income
Primary outcomes:
Improved dietary intake and nutritional status of children, mothers and the family as a whole
Content prioritization
Formative research
deeper understanding of primary and influencing
groups, as well as the barriers and facilitators
of key behaviors
Seasonality in current trends and practices
related to agriculture, nutrition and livelihood
Food beliefs, gender roles, community interests and priorities, access to resources
Refined understanding of the primary audience
pregnant and lactating women, fathers of children between 4 and 23 months; older women/grandmothers
BCC STAGESPre-contemplation
Contemplation Preparation Action Maintenance Termination
Population is in this state of change
People do not think that their behaviour poses a problem and have no intention of, or interest in, changing it.
People are aware of the problem related to their behavior and consider taking action, weighing the pros and cons
People are motivated to change their behaviour to solve the problem, see the benefits and plan to take action
People started practicing the behaivour, experiencing its benefits as well as costs, such as time, effort, money, opinions of others
People practice the behaviour, requiring some effort to continue in the long-term
People are not tempted to stop practising the behaviour and are able to maintain it in the long-term
Video focus is on the following
Raising awareness about the problem or practice
Highlighting a behaviour's benefits, increasing social pressuee, helping people to make plans.
Reducing barriers that make the behaviour more difficult such as lacking know-how or high costs.
Assisting with solving problems, providing feedback on results, facilitating social support
Ensuring pre-conditions for sustainability, reminders and reinforcement
Taking advantage of positive cases to encourage others to follow their example
Title Cultivating on Indian spinach for nutrition (target group:1000 day women and young children)
Rationale for the video Promoting consumption of the crop due to its high nutrient content
Ag objective Enhance production by promoting improved micro practices (planting and nutrient management)
NSA objective Increase access for consumption and reduced workloadAny food taboos and who enforces
Considered harmful for 1000 day women and young children and enforced by the mother in law
Primary NSA practice Produced foodSecondary NSA practice (s) Reduce workload, make decisionsKRPs (Knowledge Recall Points)
• What is the correct spacing between plants when planting Indian spinach? (Ag)2 feet between the rows, 1 foot between plant
• Why is it important for all family members to wash hands after working in the garden and after handling compost? (NSA)
Washing hands (after working in the garden and after handling compost) helps to avoid illness
ToC mapping Produce foodBCC stage Pre – contemplation
Meeting 19 – PLA Video no 6 – Benefits of diet diversity and adequacy during pregnancy and lactation - Testimonial Video + Exercise (Quiz on key practices and KRPs from previous videos on maternal diet
and rest)- 17th Dec
Prioritized Problems No ofgroups
Prioritized Strategies
Excessive work load inpregnancy and lactation
88/122 - Counselling sessions by FLWs (group members to ensure)to
pregnant and mothers with children under two during VHNDs onimportance of diet, rest, reducing workload and antenatal check-ups-Counselling mother on consumption of varieties of green leafyvegetable including Indian spinach, pumpkin and fish by groupmembers – Diet diversity-Sharing of success stories of mothers and children (formal andinformal discussion)who have had varieties of food and are healthy,to avoid myths around food restrictions - Food taboos-Family members to ensure support and care to women fornutritious food with food from all the four groups and eatingfrequent meals during pregnancy – Family support and Dietdiversity
Food taboos duringpregnancy and lactation
61/122
Stage of BCCMaintenance
and Termination
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