Actively Recruiting
Realizing Gender Equality, Attitudinal Change & Transformative Systems in Nutrition (REACTS-IN) to Improve Nutrition, Hygiene, and Sexual and Reproductive Health Services
Led by McGill University · Updated on 2026-04-29
13500
Participants Needed
3
Research Sites
26 weeks
Total Duration
On this page
Sponsors
M
McGill University
Lead Sponsor
W
World Vision Canada
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating World Vision's 7-year intervention called Realizing Gender Equality, Attitudinal Change and Transformative Systems in Nutrition (REACTS-IN), aimed at improving nutrition, nutrition-related rights, and gender equality for women, adolescent girls, and children under five years old in rural Bangladesh, Kenya, and Tanzania. This multi-sectoral approach integrates nutrition, water, sanitation, hygiene, and health system strengthening to improve access to quality, gender-responsive health services focusing on malnutrition prevention and treatment at the primary care level. The evaluation examines changes in child growth, dietary habits, women's empowerment, and equitable access to health services for nutrition and sexual and reproductive health, considering gender differences. The intervention includes nutrition-specific activities like school-based iron-folic acid supplementation for adolescent girls and nutrition-sensitive activities such as water, sanitation, and hygiene education, delivered through local health systems, schools, and communities. The evaluation compares intervention areas receiving these programs to comparison areas with no intervention but standard care available. Data will be collected at baseline, midpoint, and end-line from households, schools, and health facilities to assess changes over approximately five years. Participants will be surveyed on demographic, economic, and environmental factors, as well as knowledge and practices related to nutrition, hygiene, and sexual and reproductive health. Health staff and community leaders will provide qualitative data on gender-equitable service access. The primary outcomes measured include gender equality and child anthropometry changes, with additional outcomes covering maternal and child dietary practices, health service use, adolescent knowledge, and family planning. This evaluation spans about five years to capture the total impact of the intervention.
CONDITIONS
Brief Title
Evaluation of REACTS-IN, an Intervention to Improve Nutrition, Hygiene, and Sexual and Reproductive Health Services
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Women aged 15 to 49 years
- Biological mother of a child aged 0-5.9, 6-23.9, or 24-59.9 months living in the home
- Has lived in the community for at least 12 months
- Husbands or partners living in the home with the index woman
- Husbands or partners have lived in the community for at least 12 months
- Adolescents aged 10 to 19 years
- Male or female adolescents attending the target school for at least 6 months
- Adolescents living in the target community
- Children aged 0-5.9, 6-23.9, or 24-59.9 months
You will not qualify if you...
- Children with birth defects or illnesses affecting normal diet or growth
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 7 years
Participants receive educational training on nutrition, gender equity, WASH, and sexual and reproductive health rights in communities and schools. Additionally, adolescent girls may receive weekly iron and folic acid supplementation where allowed. Health facility staff receive training to improve gender-equitable nutrition, health, and sexual and reproductive services. Promotion and distribution of bio-fortified crops are also part of the intervention.
Multiple educational sessions and supplementation visits throughout the intervention period
Duration - Approximately 7 years
Participants take part in periodic data collection at baseline, midpoint, and end-line to assess nutrition, health, gender equality, and service access outcomes over the 7-year period.
3 main data collection visits (baseline, midpoint, end-line)
Trial Site Locations
Total: 3 locations
1
Brac University
Dhaka, Bangladesh
Actively Recruiting
2
Connar Consultants
Nairobi, Kenya
Actively Recruiting
3
Ifakara Health Institute
Ifakara, Tanzania
Not Yet Recruiting
Research Team
G
Grace S Marquis, PhD
A
Aishat Abdu, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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