A&T Ethiopia Adolescent Nutrition Endline Survey 2021: Parent

Alive & Thrive (A&T) is an initiative that supports the scaling up of nutrition interventions to save lives, prevent illnesses, and contribute to healthy growth and development through improved maternal nutrition, breastfeeding, and complementary feeding practices. In Ethiopia, A&T implemented a package of adolescent nutrition interventions through school-based (nutrition messages during flag assemblies, classroom lessons on nutrition, student clubs on nutrition for girls, peer mentoring on nutrition, body mass index (BMI) measurement with counseling, and parents’ meetings) and community platforms (health post and home visits and community gatherings to discuss adolescent nutrition). This dataset is part of a survey that was conducted to gather endline data for the impact evaluation of the interventions. The overall study objective was to determine the feasibility of delivering nutrition interventions primarily through school-based platforms and their impact on diet quality among adolescent girls. Research questions include: 1) What is the program impact on the diet of adolescent girls: (1) dietary diversity, (2) meal frequency, and (3) less consumption of unhealthy snacks? 2) What is the exposure to adolescent nutrition interventions delivered through school-based platforms? 3) What factors influenced the integration of adolescent nutrition interventions into school-based platforms and their outcomes? The evaluation used a two-arm cluster-randomized, non-masked trial design, consisting of two cross-sectional surveys of in-school adolescent girls aged 10-14 years enrolled in grades 4-8. The unit of randomization is the primary school which includes grades 1-8. The endline survey was conducted in March-April 2021 by Addis Continental Institute of Public Health (ACIPH), the in-country research collaborator for the survey. The endline survey included the following: 1) Adolescent girl questionnaire, 2) Parent questionnaire, 3) Teacher/Principal questionnaire, 4) Primary school observation checklist, and 5) Health Extension Worker (HEW) questionnaire. The parent interviews were conducted using pretested, structured questionnaires. Information was collected on household members, social involvement, exposure to nutrition information, parent and household dietary diversity, nutrition knowledge, gender and marriage beliefs and decision-making power, social desirability, home food environment, food security, effect of COVID-19 on food security and access to health services, dwelling and assets.生机与成长（Alive & Thrive，简称A&T）是一项致力于推广营养干预措施的倡议，通过优化孕产妇营养、母乳喂养及辅食喂养实践，挽救生命、预防疾病，同时助力健康成长与发育。在埃塞俄比亚，A&T通过校本平台（含升旗仪式营养宣讲、课堂营养课程、女生营养学生社团、营养同伴辅导、体质指数（Body Mass Index, BMI）测量与咨询及家长座谈会）与社区平台（健康随访点与家庭访视、青少年营养主题社区集会），实施了一套青少年营养干预包。本数据集为该干预措施影响评估的终线调查数据的一部分。本研究的总体目标为评估主要通过校本平台开展营养干预的可行性，及其对青春期女生膳食质量的影响。 研究问题涵盖以下三项：1）该项目对青春期女生膳食的影响具体体现为：（1）膳食多样性水平，（2）进餐频率，（3）不健康零食摄入量的降低情况？2）通过校本平台开展的青少年营养干预的触达情况如何？3）哪些因素影响了青少年营养干预融入校本平台的进程与实施效果？ 本次评估采用双臂整群随机非盲试验设计，包含两项针对4至8年级在册10至14岁在校青春期女生的横断面调查。随机化单元为开设1至8年级的小学。该终线调查于2021年3月至4月由本调研的本土研究合作方——埃塞俄比亚大陆公共卫生研究所（Addis Continental Institute of Public Health, ACIPH）执行。本次终线调查涵盖以下内容：1）青春期女生问卷，2）家长问卷，3）教师/校长问卷，4）小学观察清单，5）健康拓展工作者（Health Extension Worker, HEW）问卷。 家长访谈采用经过预测试的结构化问卷开展，收集的信息包括：家庭成员基本情况、社会参与度、营养信息接触情况、家长与家庭膳食多样性、营养知识水平、性别与婚姻观念及决策权力、社会期许偏差、家庭食物环境、粮食安全状况、新冠疫情对粮食安全及医疗服务可及性的影响、居住条件与家庭资产情况。