A&T Ethiopia Adolescent Nutrition Endline Survey 2021: Health Extension Worker

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 HEW interviews were conducted using pretested, structured questionnaires. Information was collected on HEW background, school and community role, nutrition-related activities, perceptions/beliefs, nutrition knowledge, effect of COVID-19 on workload or work activities, and receipt of COVID-19 training or guidelines.生存与繁荣（Alive & Thrive，简称A&T）是一项致力于推广普及营养干预措施的倡议，旨在通过改善孕产妇营养、母乳喂养及辅食喂养实践，挽救生命、预防疾病并促进健康成长与发育。 在埃塞俄比亚，A&T通过学校平台（升旗仪式中的营养宣传、营养课堂授课、面向女生的营养学生社团、营养同伴辅导、体重指数（Body Mass Index, BMI）测量与咨询、家长座谈会）与社区平台（卫生所服务、入户探访及讨论青少年营养的社区集会）实施了一套青少年营养干预组合方案。 本数据集为一项调查的组成部分，该调查旨在为上述干预措施的影响评估收集终线评估数据。本研究的总体目标为明确主要依托学校平台开展营养干预的可行性，及其对青春期女孩膳食质量的影响。 研究问题包括：1）项目对青春期女孩膳食产生了哪些影响：(1)膳食多样性、(2)用餐频次，以及(3)不健康零食摄入的减少情况？2）通过学校平台实施的青少年营养干预措施的覆盖程度如何？3）哪些因素影响了青少年营养干预措施融入学校平台的过程及其实施成效？ 本次评估采用双臂整群随机（cluster-randomized）非盲试验设计，包含两项针对4至8年级在册10至14岁在校青春期女孩的横断面调查。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月由本调查的埃塞俄比亚本地研究合作方——亚的斯大陆公共卫生学院（Addis Continental Institute of Public Health, ACIPH）执行。 终线调查涵盖以下内容：1）青春期女孩问卷；2）家长问卷；3）教师/校长问卷；4）小学观察检查表；5）卫生拓展工作者（Health Extension Worker, HEW）问卷。HEW访谈采用经过预测试的结构化问卷开展，收集的信息涵盖HEW背景信息、学校与社区工作职责、营养相关活动、认知与信念、营养知识、新冠疫情对工作负荷或工作内容的影响，以及是否接收过新冠相关培训或指南。