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

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dc.contributor.authorWang, Dongqing
dc.contributor.authorKatalambula, Leonard Kamanga
dc.contributor.authorModest, Andrea R
dc.contributor.authorYoung, Tara
dc.contributor.authorIsmail, Abbas
dc.contributor.authorMwanyika-Sando, Mary
dc.contributor.authorTinkasimile, Amani
dc.contributor.authorMosha, Dominic
dc.contributor.authorMalero, Augustine
dc.contributor.authorVuai, Said
dc.contributor.authorFawzi, Wafaie W
dc.date.accessioned2023-05-25T10:51:07Z
dc.date.available2023-05-25T10:51:07Z
dc.date.issued2022
dc.descriptionFull text article. Also available at http://dx.doi.org/10.1136/bmjopen-2022-062085en_US
dc.description.abstractIntroduction 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.en_US
dc.identifier.citationWang, D., Katalambula, L. K., Modest, A. R., Young, T., Ismail, A., Mwanyika-Sando, M., ... & Fawzi, W. W. (2022). 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, 12(7),en_US
dc.identifier.otherDOI: http://dx.doi.org/10.1136/bmjopen-2022-062085
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3998
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.subjectNutritionen_US
dc.subjectAdolescenten_US
dc.subjectNutrition interventionen_US
dc.subjectAdolescent nutritionen_US
dc.subjectSchool nutritionen_US
dc.subjectFood securityen_US
dc.subjectSchool-based nutritionen_US
dc.titleMeals, Education, and Gardens for In-School Adolescents (MEGA): study protocol for a cluster randomised trial of an integrated adolescent nutrition intervention in Dodoma, Tanzaniaen_US
dc.typeArticleen_US
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